Health insurance literacy is a fledgling concept that emerged largely after the Obama Care law in the United States. This study, through a narrative approach and by examining related literature, discusses various aspects of this concept and the definitional and instrumentation requirements in this field for other countries, including Iran. What is certain, given the substantial differences in the US health insurance system with other countries, any use of this concept and its operationalization requires the redefinition of a native and applicable insurance system and an effort to understand its operation to complement coverage. It has health insurance.