ACA Marketplace Enrollment has reached a record high, with nearly 21.3 million people signing up for health insurance plans as of 2024. This is a significant increase from the previous year, with approximately 16 million people signing up for ACA health insurance in 2023. The high enrollment numbers are attributed to enhanced subsidies, increased financial assistance, and expanded eligibility offered by the Inflation Reduction Act and the American Rescue Plan. These initiatives have made health insurance more accessible and affordable for millions of Americans, with 4 out of 5 enrollees finding plans for $10 or less per month.
Characteristics | Values |
---|---|
Number of people signed up for ACA insurance | 21.3 million |
Percentage increase from last year | Nearly 5 million higher |
Number of new people signing up | 5 million |
Number of people renewing their coverage | 16 million |
Number of people enrolled in ACA-compliant plans | 93% |
Number of people enrolled in non-ACA-compliant plans | 7% |
Number of people enrolled in individual market coverage | 18.2 million |
Number of people enrolled in Obamacare | 19 million |
What You'll Learn
ACA Marketplace Enrollment Reaches Record High
The Affordable Care Act (ACA) health insurance marketplace has seen a record number of people signing up for health insurance plans. This is the third year in a row that ACA health insurance plans have seen record signups.
2023
As of early 2023, an estimated 18.2 million people had individual market coverage, the highest since 2016. This was an increase of about 29% from early 2020. The number of people enrolled in ACA-compliant plans has also increased to 93% in mid-2022, up from 71% in mid-2015.
During the 2023 Marketplace Open Enrollment Period (OEP) from November 1, 2022, to January 15, 2023, about 15.9 million people selected an ACA Marketplace health plan nationwide. This included 3.1 million people who were new to the Marketplaces and 12.8 million people who renewed their coverage.
2024
During the 2024 Open Enrollment Period, 21.3 million people selected an ACA Marketplace health insurance plan. This included 5 million people who were new to the Marketplaces and 16 million people who renewed their coverage.
Factors Contributing to Record-High Enrollment
The record-high enrollment has been attributed to several factors, including:
- The Inflation Reduction Act: This legislation has made health insurance more affordable, with four out of five HealthCare.gov enrollees finding coverage for $10 or less per month.
- Enhanced subsidies: The American Rescue Plan Act (ARPA) and the Inflation Reduction Act have provided enhanced subsidies, making coverage more affordable for many individuals and families.
- Increased financial assistance: The Biden-Harris Administration has provided almost $100 million in Navigator Awards, allowing organizations to hire staff to help consumers find affordable coverage.
- Extended enrollment periods: The Open Enrollment Period has been extended, giving more people the opportunity to sign up for coverage.
- Outreach and education: The Biden-Harris Administration has increased outreach and education efforts, including hiring additional navigators to help consumers understand their options and enroll in health plans.
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Cheaper plans
The Affordable Care Act (ACA) marketplace has made health insurance more accessible and affordable for people across the United States. As of 2024, Kaiser Permanente is the cheapest health insurance company, offering affordable, quality healthcare to residents of eight states and Washington, D.C.
Kaiser Permanente has superior ratings from the National Committee for Quality Assurance and offers four different types of metal tiers on the ACA marketplace. They also have the cheapest prices among the health insurance companies evaluated, with a 40-year-old paying an average of $351 monthly for a Bronze plan.
Blue Cross Blue Shield is another affordable option, with providers available in all 50 states and Washington, D.C. They offer three types of health plans and four metal tiers on the ACA marketplace. Their silver plan deductible costs are lower than average.
UnitedHealthcare is also worth considering, with a large provider network of 1.5 million providers and 7,000 hospitals and facilities across the country. They offer three metal tiers on the ACA marketplace and other types of insurance, including dental, vision, accident, and critical illness plans.
The ACA marketplace at HealthCare.gov is a great place to start when looking for cheaper health insurance plans. It allows you to compare health plan options, including information about costs, deductibles, and coinsurance.
Additionally, Medicaid is a federal/state program that offers the same benefits and coverage as a private health insurance plan but at a lower cost. If you qualify, Medicaid bases costs on your household income, and premiums can be as low as zero.
Short-term health insurance plans are also an option for cheaper coverage, but they have limited benefits and may not cover prescriptions, mental health, maternity care, or pre-existing conditions.
When choosing a health insurance plan, it's important to consider your family's current and future healthcare needs. If you anticipate high healthcare costs, you may want to choose a plan with higher premiums but lower out-of-pocket costs, such as a Gold or Platinum plan. On the other hand, if you don't expect to need much healthcare, a Bronze plan or a high-deductible health plan (HDHP) may be a more affordable option.
Tax credits and subsidies can also make health insurance more affordable. The ACA marketplace offers premium tax credits based on your household income, and people with household incomes below 400% of the federal poverty level qualify for subsidies on ACA plans.
Overall, the ACA marketplace and cheaper health insurance plans provide individuals and families with more accessible and affordable healthcare options.
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More logistical help
As of early 2023, an estimated 18.2 million people have individual market coverage, the highest number since 2016. This is a record high for ACA Marketplace enrollment, with 13.6 million people signing up for health coverage on the ACA Insurance Marketplaces with a month of open enrollment left to go. This is a significant increase from the previous year, with about 1.8 million more people signing up for health insurance.
The increase in enrollment can be attributed to the enhanced subsidies provided by the American Rescue Plan Act (ARPA) and the Inflation Reduction Act, which have made health insurance more affordable and accessible for people across the country. These acts have also increased the number of people eligible for subsidies, with 92% of people receiving premium tax credits. Additionally, the Biden-Harris Administration has made expanding access to health insurance a key priority, and their efforts have resulted in more people gaining health care coverage.
One of the main reasons for the increase in ACA enrollment is the availability of more logistical help. The Affordable Care Act created a program of "navigators," who are trained individuals that assist consumers in understanding their options and enrolling in a health plan. The Tampa Bay Navigator Project, for example, doubled its staff from 16 to 35 navigators. These navigators help people navigate the complex process of selecting a health plan, especially when facing life events such as pregnancy or changes in employment.
To further assist individuals in enrolling in ACA insurance, there are over 1,500 certified Navigators available across the country. These Navigators can be found through online directories or by contacting local community organizations, such as the local Boys & Girls Club. Additionally, individuals can seek help from Certified Application Counselors or agents/brokers by searching for them in the online directory or requesting to be contacted by them. These professionals can provide guidance and support throughout the enrollment process, ensuring that individuals can make informed decisions about their health coverage.
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2024 Open Enrollment Period
The 2024 Open Enrollment Period for the Affordable Care Act (ACA) is a significant event, marking the 11th year of the Marketplaces. This year, individuals could sign up for ACA-compliant health insurance between November 1, 2023, and January 15, 2024, in most states, with a few exceptions. Notably, the deadline was extended to January 16, 2024, in many states due to a federal holiday on January 15.
The Open Enrollment Period is a critical window during which individuals and families can compare and select the health plan that best suits their needs for the upcoming year. This year, over 15 million people signed up for ACA Marketplace health plans, a record-breaking number, representing a 13% increase from the previous year. This includes about 3.1 million new enrollees and 12.8 million people who were automatically re-enrolled or actively selected a plan for 2023 coverage.
The high enrollment numbers can be attributed to enhanced subsidies, such as those provided by the Inflation Reduction Act, which has made health insurance more affordable and accessible. Additionally, the Biden-Harris Administration's efforts to expand access to health insurance and lower healthcare costs have played a role in this achievement.
Looking ahead to the 2024 Open Enrollment Period, there are a few key points to consider. Firstly, unsubsidized premiums in the ACA Marketplaces are expected to rise due to inflation, with an average increase of 5% for the second-lowest-cost silver plan and 6% for the lowest-cost bronze plans. However, the Inflation Reduction Act's temporary enhancement of subsidies will continue to provide financial assistance to most Marketplace shoppers, shielding them from the full impact of these increases.
Secondly, state-level policy changes will affect eligibility, costs, and enrollment processes. For instance, Virginia will start using its enrollment platform, while California will introduce additional cost-sharing reduction subsidies. It's important to stay informed about specific state-level variations.
Lastly, the 2024 Open Enrollment Period is expected to be busy due to individuals renewing their coverage, previously uninsured people signing up, and those transitioning from Medicaid coverage. With the ongoing changes and improvements in the healthcare landscape, it's essential for individuals to stay informed about their options and take advantage of the Open Enrollment Period to secure the best health plan for their needs.
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4/5 people pay $10 or less per month
As of early 2023, an estimated 18.2 million people have individual market coverage, the highest number since 2016. This is a significant increase from the approximately 11 million people who had signed up for ACA insurance before the ACA was implemented.
ACA Marketplace enrollment reached a record high in early 2023, and the upcoming open enrollment period could be one of the busiest yet. This is due in part to the enhanced premium assistance offered by the Inflation Reduction Act, which has made coverage more affordable and accessible for people across the country. As a result, about 4 in 5 HealthCare.gov enrollees can find coverage for $10 or less per month after tax credits. This means that those who were already eligible for subsidies are now paying even less than before.
The American Rescue Plan has also played a crucial role in expanding access to healthcare. Since President Biden took office, more than 4.6 million Americans have gained health care coverage. The plan has made coverage more affordable and accessible, with 92% of people in HealthCare.gov states receiving premium tax credits for 2022 coverage.
The Biden-Harris Administration has made expanding access to health insurance and lowering healthcare costs a top priority. Their efforts have resulted in the national uninsured rate reaching an all-time low. The administration encourages all families to visit HealthCare.gov to explore the healthcare coverage options and savings available to them.
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Frequently asked questions
13.6 million people signed up for ACA insurance in 2022.
16.3 million people signed up for ACA insurance in 2023.
21.3 million people signed up for ACA insurance in 2024.