Report: Nearly 3.3 Million Americans Have Enrolled in Private Obamacare Plans
By Phil
Galewitz
KHN Staff Writer
Feb 12, 2014 - Kaiser Health News
Nearly 3.3 million Americans have signed up for private health insurance
plans since October through the online marketplaces created by the health law,
with enrollment continuing to surge through January, an Obama administration
report said Wednesday.
But the number of young adults signing up continues to lag expectations,
which could impact insurance premiums next year. Insurance industry officials
have been closely watching the mix of customers to make sure they get enough
healthy people to balance the cost of covering older Americans who generally
require more medical care.
About 25 percent of people signing up for coverage through January were
between the ages of 18 and 34 in the 36 states served by the federal
marketplace—up from 24 percent in last month's enrollment report. However,
officials noted that the rate of signups among young people grew by 65 percent
in January, compared to 55 percent for all other age groups combined.
gThese encouraging trends show that more Americans are enrolling every day,
and finding quality, affordable coverage in the marketplace,h Health and Human
Services Secretary Kathleen Sebelius said in a statement.
The administration hopes that ads being shown during the Olympics and pro
basketball games will also bring in more young adults. To date, enrollees have
skewed female: Of the 3.3 million overall signups through January, 55
percent are female and 45 percent are male.
Overall, enrollment increased by more than 1 million in January, the
report said. That was lower than the 1.8 million who had signed up in December,
a surge fueled by those who had been unable to use the website in October
and November and who wanted coverage starting Jan.1.
The online insurance marketplaces — a centerpiece of the Affordable Care Act
—were created so Americans who could not get coverage through their jobs could
select among plans that offer a basic set of benefits. Americans making between
the federal poverty level, $11,500 for an individual and four times that, or
$46,000, qualify for government subsidies to offset the cost of their
premiums.
The marketplaces opened Oct 1 and the first year's open enrollment
is scheduled to end March 31. After a disastrous start as a result of
malfunctioning websites, the nonpartisan Congressional Budget Office revised
downward its expectations on how many would enroll in the first year. Instead of
7 million, CBO now expects 6 million.
California, which is running its own marketplace, has enrolled more than
728,000 people—twice as many as any other state. Florida, which is relying on
the federal exchange, has enrolled more than 296,000. New York, which has its
own marketplace, has the third highest enrollment at 211,000.
The percentage of people between 18 and 34 enrolling ranged from 17 percent
in West Virginia, to 31 percent in Utah, to 44 percent in the District of
Columbia. The variation reflects states' different demographics,
federal officials said.
An estimated 6.3 million people have enrolled in Medicaid through the same
period, officials said, but that number includes previous enrollees as well
as those who are newly eligible under the law. Consulting firm Avalere estimates
that between 1.1 million and 1.8 million of those have enrolled as a
result of expanded eligibility.
In addition, more than 420,000 people have purchased standalone dental
plans in the federal marketplace, the report said. Dental enrollment figures
were not available for the state marketplaces.