2025 Open Enrollment Period

Earlier this afternoon, the Centers for Medicare & Medicaid Services (CMS) published the second 2025 Open Enrollment Period "National Snapshot" report...and as I noted two weeks ago, at first glance healthcare data junkies might panic at the seemingly low topline numbers:

The Centers for Medicare & Medicaid Services (CMS) is committed to creating a robust Marketplace Open Enrollment process for consumers so they can effortlessly purchase high-quality, affordable health care coverage. CMS reports that nearly 988,000 consumers who do not currently have health care coverage through the individual market Marketplace have signed up for plan year 2025 coverage. 

OMG! Last year over 1.6 milllion new enrollees had signed up as of the first snapshot report...over 66% more!

Yep, my wife & I screwed up royally. Yes, I know: I'm "The ACA Guy" and yes, it's incredibly embarrassing to tell this story, but I'm doing so in the hopes of helping others avoid making the same mistake.

It's been several years since we enrolled in an ACA policy ourselves via HealthCare.Gov, since we were enrolled in my wife's student plan up until recently (she returned to college to get her master's degree). The last few times we were able to enroll or renew our policies without any issues, so we assumed it wouldn't be an issue this time.

However, there seem to have been a few changes to some of the questions during the application process, and one of them threw us for a loop.

In the household income section of the application process, Healthcare.Gov asks both how much you expect to earn this month specifically (November 2024) as well as how much you expect to earn for all of 2025.

It was the first of these questions which is what caused the problem for us.

You see, both my wife and I are self-employed, which means we have highly variable incomes--we may earn $10,000 one month but not earn anything the next.

Earlier this afternoon, the Centers for Medicare & Medicaid Services (CMS) published the first 2025 Open Enrollment Period "National Snapshot" report...and I admit my initial takeaway was PANIC OMG HAIR ON FIRE!!

Over 496,000 New Consumers Selected Affordable Health Coverage in ACA Marketplace

The Centers for Medicare & Medicaid Services (CMS) is committed to creating a robust Marketplace Open Enrollment process for consumers so they can effortlessly purchase high-quality, affordable health care coverage. CMS reports that 496,000 consumers who do not currently have health care coverage through the individual-market Marketplace have signed up for plan year 2025 coverage.

OMG! Last year nearly 920,000 new enrollees had signed up as of the first snapshot report...over 85% more!

via Maryland Health Connection (this is actually from Oct. 1st):

BALTIMORE (Oct. 1, 2024) – Marylanders can now preview 2025 health plans and prices on MarylandHealthConnection.gov, the state’s online health insurance marketplace. Use the “Get an Estimate” tool to compare health plans and savings.

Open enrollment to sign up for a 2025 health plan runs from Nov. 1, 2024 through Jan. 15, 2025. New this year, Marylanders can enroll in plans from Wellpoint Maryland, Inc. Other insurance companies include: Aetna, CareFirst, Kaiser Permanente, and UnitedHealthcare. Vision and dental plans also are available.

“Health insurance makes an impactful difference in the lives of Marylanders every day," said Michele Eberle, executive director of the Maryland Health Benefit Exchange. “With savings through Maryland Health Connection, health care is within reach. In fact, 9 out of 10 Marylanders who enroll get financial help with their health coverage.”

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