Many Americans will consider participating in a wellness program but do not think they should have to pay for their health care.

Executives at the Vitality Group, Chicago, a unit of Discovery Holdings Ltd., Sandton, South Africa, discuss those findings in a summary of results from a recent survey of 1,013 U.S. adults.

About 82% of the survey participants said they alone are responsible for their health, but 44% said they believe they should not have to pay anything for their health care.

About 59% said employers should help pay for care, and 46% said the government should help pay for care.

About 95% of the participants said they would use a wellness program in exchange for low health care costs or other health care incentives, but only about 40% of the participants said they would join a wellness program if they had to pay to join, according to Vitality executives.

Vitality commissioned the survey to support its efforts to sell wellness and condition management incentive programs.

Vitality previously was part of Destiny Health, a health account program pioneer. Discovery sold the health account plan business and kept the Vitality health improvement incentive program business.