Objective: This study explored the relationship between patient satisfaction, health literacy, experiences with discrimination and insurance status for African American emerging adults between the ages of 18 and 29. Methods: Participants (N=148, 68.2% female, mean age 22) were recruited from African American/Black college organizations and completed an online survey. Results: The results indicated a strong positive relationship between patient satisfaction and health literacy and a strong negative relationship between patient satisfaction and experiences with discrimination. The results also indicated significant difference in patient satisfaction between those with and without insurance. Those with insurance reported higher patient satisfaction compared to those without.