Charles Gaba's blog

Washington HealthPlan Finder

via the Washington Health Benefit Exchange:

Now is a great time to sign up for health and dental insurance

Open enrollment now through Jan. 15; 2024 election results do not affect 2025 coverage

Open enrollment on Washington Healthplanfinder™, the state’s marketplace for private health and dental insurance, is going strong and coverage for 2025 is unchanged by the results of the 2024 election. Through Washington Healthplanfinder, operated by Washington Health Benefit Exchange (Exchange), Washingtonians can choose from a variety of plans available in all regions across the state and access more savings than ever before.

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.

via CoverME.gov:

Plan Selection Snapshot

The Maine Department of Health and Human Services (DHHS) Office of the Health Insurance Marketplace (OHIM) will release biweekly updates on plan selections through CoverME.gov, Maine’s Health Insurance Marketplace.  

Plan selections provide a snapshot of activity by new and returning consumers who have selected a plan for 2025. “Plan selections” become “enrollments” once consumers have paid their first monthly premium to begin insurance. These numbers are subject to change as consumers may modify or cancel plans after their initial selection.   

The deadline to select a plan for coverage beginning January 1, 2025 is December 15, 2024. Consumers who select a plan between December 16, 2024 and January 15, 2025 will have coverage beginning February 1, 2025. 

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!

IMPORTANT: See caveats below regarding the impact of Medicaid Unwinding & other enrollment changes over time on these estimates.

12/12/24: Note: ACA Medicaid Expansion data has been updated by 3 months for most states, from March 2024 to June 2024.

(sigh) Annnnd here we go again. With another GOP trifecta and Trump's Project 2025 promising draconian cuts to federal spending, there's a very good chance that the Affordable Care Act is, once again, on the chopping block.

I have no idea what's going to happen to either it, Medicaid, Medicare, the Children's Health Insurance Program (CHIP), the VA or the Indian Health Service, but whatever it is probably isn't gonna be pretty.

With that in mind, I figured it would be helpful to take stock of just how many Americans are actually receiving healthcare coverage through the ACA...and while I've crunched this number several times before (spoiler: the grand total is a little shy of 45 million people nationally), I'm taking it several steps further this time and breaking it out not only by state, but by Congressional District (CD).

OK, I'm about a week behind on this but I've been a wee bit preoccupied of late...

Via the Centers for Medicare & Medicaid Services (CMS):

On November 8, 2024, the Centers for Medicare & Medicaid Services (CMS) released the 2025 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2025 Medicare Part D income-related monthly adjustment amounts. 

Medicare Part B Premium and Deductible

Medicare Part B covers physicians’ services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A.

via DC Health Link:

DC Residents Can Get Covered at DCHealthLink.com from November 1, 2024 – January 31, 2025 

(Washington, DC) – Mayor Muriel Bowser announced that the 2025 Open Enrollment period will start tomorrow, Friday, November 1, and is encouraging DC residents to sign up for high-quality, affordable health insurance at DCHealthLink.com, the District’s online state-based health insurance marketplace. Open enrollment for individuals and families begins on November 1, 2024 and continues through January 31, 2025.

“Part of making sure that everyone in our community is getting the right care at the right time means getting more residents insured,” said Mayor Bowser. “We are making high-quality health care more affordable for more residents and using insurance to address disparities in health outcomes. We want Washingtonians to check out their options and get covered.

via Pennie:

To start coverage on January 1, 2025, Pennsylvanians must enroll by December 15, 2024

Harrisburg, PA – With the Shapiro Administration committed to cutting costs and delivering results for Pennsylvanians, the Pennsylvania Insurance Department (PID), Department of Human Services (DHS), and Pennie joined together today to remind Pennsylvanians that Pennie’s Open Enrollment period is underway, offering affordable health insurance options for 2025.

“This Open Enrollment period is the best time to explore available options and shop around to find a plan — even if you already have insurance. Quality, comprehensive health care coverage has never been more affordable, or more within reach for Pennsylvanians,” said Pennsylvania Insurance Commissioner Michael Humphreys. ”PID’s focus on increasing Marketplace competition has delivered more choices and greater affordability for consumers across the Commonwealth.”

via Politico:

Trump expected to select Robert F. Kennedy Jr. to lead HHS

President-elect Donald Trump is expected to nominate former presidential candidate and anti-vaccine activist Robert F. Kennedy Jr. to lead the Department of Health and Human Services, according to a person with direct knowledge of the selection.

The expected pick, which will roil many public health experts, comes after Trump promised to let Kennedy “go wild” with health and food policy in his administration after Kennedy dropped his own presidential bid to endorse the now-president-elect. It’s also a sign of the opening Trump sees after he scored a decisive electoral victory and Republicans won a comfortable majority in the Senate.

Trump could still select someone else for the post. The Trump transition couldn’t immediately be reached for comment.

“He’s going to help make America healthy again. … He wants to do some things, and we’re going to let him get to it,” Trump said in his victory speech. “Go have a good time, Bobby.”

Eight years ago I posted the following:

ACA Signing Off.

I made a commitment to keep this site up and running through next spring, and I intend on keeping this commitment. Beyond that, I have no idea what my plans for the site are.

After yesterday's atrocity, however...I'm honestly dreading the thought of what most of my charts, graphs, spreadsheets and blog entries are going to look like.

You see those impressive-looking odometer-style numbers at the top of the home page? Yeah, forget about those. They're meaningless now.

A lot of people will still sign up, but I'm guessing many who were planning on doing so once they were certain the ACA would still be around next year are now going to take a pass. And that's simply the beginning.

Beyond that...it's 4:30am. I'm exhausted, my stomach hurts and my hands are shaking.

God help us all.

I've spent the past week trying to decide how to approach the elephant in the room this time around.

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