In the Journal of Adolescent Health, Charlene Wong and colleagues, including David Asch, Tom Baker, Robert Town, and Raina Merchant, describe young adults’ perspectives on health insurance and HealthCare.gov, including their attitudes toward health insurance, health insurance literacy, and benefit and plan preferences. Access to preventive or primary care and peace of mind were the most salient advantages of health insurance for young adults. The authors find that young adults perceive the financial strain of paying for health insurance as the most salient disadvantage. Deductible and premium amounts as well as preventive care coverage influenced plan selection the most. The authors suggest that the perspectives of young adults about health insurance and enrollment via HealthCare.gov can inform strategies to design health insurance plans and communication about these plans in a way that engages and meets the needs of young adult populations.