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Nearly 370,000 Pennsylvanians Sign Up for ACA Marketplace Coverge, Part of Nearly 8.5 Million Nationwide

December 21, 2018

According to preliminary data from Centers for Medicare & Medicaid Services (CMS), 369,954 Pennsylvanians used HealthCare.gov to select Affordable Care Act (ACA) marketplace health plans for 2019—about a five percent drop in enrollment compared to last year.

Nationwide, nearly 8.5 million Americans enrolled, down from 8.8 million at the same time last year.

The CMS report shows total plan selections in the 39 states using HealthCare.gov for 2019 Open Enrollment from November 1 through December 15, 2018. The report does not include people who enrolled through 3 a.m. ET on December 16 or left their contact information at the call center due to high volume. CMS plans to release an updated snapshot next week.

Federal funding for Open Enrollment assistance was greatly reduced, hindering navigator and other programs that encourage and assist consumers in health insurance policy selections. Another factor that may have impacted enrollment is that the penalty for failing to maintain health insurance coverage was repealed by Congress. That policy—enforcing the “individual shared responsibility” or “individual mandate” provision by imposing a penalty—was designed to help balance the insurance markets by incentivizing all Americans, healthy and sick, to maintain meaningful insurance coverage.

Despite these challenges, the hard work of the hospital community, community health centers, health plans, consumer advocates, and the Pennsylvania Insurance Department helped sustain Pennsylvanians’ access to health insurance. 

HAP and Pennsylvania hospitals and health systems continue to advocate for health insurance coverage for all Pennsylvanians.

For more information, please contact Jolene Calla, HAP’s vice president, health care finance and insurance.

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