Mazel Tov to the #ACA on its bar mitzvah! #ACA13 (Part 4)
Note: I'm breaking this analysis into several sections:
Part 1 / Part 2 / Part 3 / Part 4 / Part 5 / Part 6 / Part 7
Next up: Premiums, Advance Premium Tax Credits (APTC) and Cost Sharing Reduction (CSR) assistance.
Nationally, the average unsubsidized premiums for 2023 exchange-based Open Enrollment Period enrollees is $605/month, up just 1.8% from 2022's $594/month. Utah now has the lowest average premium for OEP enrollees, at $431/month, while West Virginia once again has by far the highest: $1,174/month, or nearly twice the national average.
Around 48% of all OEP exchange enrollees are receiving Cost Sharing Reduction (CSR) assistance, ranging from just 3.1% in DC to over 71% of Mississippi enrollees. This is a bit misleading, however, since DC provides Medicaid eligibility to residents earning up to 210% of the Federal Poverty Line; similarly, both Minnesota (7.1%) and New York (13.9%) provide Basic Health Plan coverage to enrollees earning up to 200% FPL. If you only include the other 48 states, Alaska has the lowest CSR-receiving percentage, which surprised me a bit given the special CSR eligibility that Alaska Natives (and Native Americans) are entitled to.
As for APTC assistance, this averages over 90% nationally, ranging from just 19% in DC to a stunning 97.2% in Mississippi. Again, DC, MN (57%) and NY (61%) are misleading due to their Medicaid/BHP programs; if you disregard them, the state with the lowest APTC percent is Washington State at just shy of 70% of enrollees.