When asked how HSF could be improved in an open-ended question , about four in ten ( 41 % ) program participants could not think of an improvement or were satisfied with the program as is . Among those that answered with a recommendation , the two most common answers were streamlining the appointment process ( 13 % ) and providing additional benefits , such as dental and vision care ( 14 % ) . Other categories of recommendations of note include improving access to care and access to providers ( 10 % ) , followed by improvements in customer service and communications ( 7 % ) changes related to policy and increasing public awareness ( 6 % ) , lowering the overall cost to participants ( 4 % ) , and improving the quality of care and facilities ( 4 % ) .