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Pennie Logo

via Pennie, Pennsylvania's state-based ACA exchange:

This Tax Season, PA takes the Path to Pennie™ for Quality, Accessible Health Coverage

This tax season, uninsured Pennsylvanians can enroll in quality, low-cost health coverage through Path to Pennie™. The Pennsylvania Department of Revenue and Pennie have teamed up to allow uninsured tax filers the ability to get covered outside of Open Enrollment. When completing their Pennsylvania state income tax return, individuals can indicate interest in getting covered through Pennie.

Uninsured Pennsylvanians will be able to indicate they are without health insurance through an optional tax form called, REV-1882 ‘Health Insurance Coverage Information Request.’ This form creates a simple and straightforward way for Pennsylvanians to specify that they, their spouse, and/or their dependents do not have health coverage and are interested in learning more about the services provided by Pennie.

Covered California Logo

via Covered California:

Covered California Provides New Opportunities for People to Sign Up for Health Insurance Through Special Enrollment

SACRAMENTO, Calif. — Covered California is reminding Californians that they still have an opportunity to sign up for quality health insurance and get financial help to lower the cost of their monthly premiums even though open enrollment ended on Jan. 31. Every year, Covered California allows people who have experienced a significant life event to sign up for coverage during special enrollment.

“Californians can still protect themselves and their families with quality health insurance for the rest of the year, if they have had a major change in their lives,” said Jessica Altman, executive director of Covered California. “If you have recently lost your coverage, gotten married, had a baby, or have been affected by California’s winter storms, visit CoveredCA.com to check out what plans are available to you.”

Washington HealthPlan Finder

via Washington HealthPlanFinder:

Special enrollment remains open for those who qualify for, but are not enrolled in, Cascade Care Savings

More than 60% of Washington Healthplanfinder customers are in a Cascade Care plan

Washington Health Benefit Exchange (Exchange) released its 2023 Enrollment Preview Report today. Nearly 231,000 customers signed-up for a 2023 qualified health plan through Washington Healthplanfinder, including 37,000 new customers.

“We had our highest net enrollment gain and launched the new Cascade Care Savings during open-enrollment for 2023, resulting in our highest percentage of subsidized customers and highest percentage of plan switching,” Exchange interim CEO Jim Crawford said.

The exact QHP total, according to the preview report, was 230,800, down 3.7% from the 2022 Open Enrollment Period.

New York State of Health

As I noted this morning, while the 2023 ACA Open Enrollment Period has now officially ended in all states, there's still a lot of Special Enrollment Period (SEP) exceptions for people who have Qualified Life Experiences (QLEs) such as losing their current coverage, turning 26, moving, getting married/divorced, giving birth and so forth.

There's also year-round enrollment available for members of Native American tribes, as well as those eligible for Medicaid and the Children's Health Insurance Program (CHIP).

Finally, in most states, residents are eligible to enroll year-round as long as their income is below a certain threshold--usually 150% of the Federal Poverty Level (FPL), somewhat higher in some states, including New York, where residents earning. up to 200% FPL can enroll in the Essential Plan year-round.

The 2023 ACA Open Enrollment Period has now officially ended in every state.

However, as I keep noting, there's still plenty of people who are eligible to enroll in ACA healthcare coverage during the off-season (thanks to Louise Norris for providing some of the links below):

MOST STATES: If your household income is less than 150% of the Federal Poverty Level (or higher in some states), you can enroll year-round:

Covered California Logo

via Covered California:

With time running out, Covered California announced new enrollment data and encouraged consumers to sign up for coverage before this year’s open-enrollment period ends.

As of Jan. 29, more than 240,000 consumers had newly signed up for health insurance through Covered California during the current open-enrollment period. In addition, more than 1.5 million Californians have renewed their coverage for another year.

That's a grand total of at least 1,740,000 people...or around 21,000 higher than CMS had reported California being at as of January 15th. Note the "more than" clarifier re. the 1.5M figure; this suggests that the actual total could be as much as ~40K or so higher.

Last spring, I noted that total enrollment in healthcare policies either specifically created by or expanded to more people by the Affordable Care Act had broken 36 million Americans:

The press release talks about "more than 35 million" being enrolled, but when you look at the actual data, it's almost certainly over 36 million as of today. Here's how they break it out:

  • Effectuated ACA exchange enrollment as of March 2022: 13,640,412
  • Medicaid Expansion (newly eligible) as of October 2021: 16,781,800
  • Medicaid Expansion (previously eligible) as of October 2021: 4,261,277
  • Basic Health Plan enrollment as of March 2022: 1,135,190
  • TOTAL: 35,818,679

Notice that even without delving further, the total is already over 35.8 million.

However, there's two important dates to look at here: First, the Medicaid Expansion totals are only up to date as of last October, a good 6 months ago.

District of Columbia

via DC Health Link:

City leaders to join DC Health Link for whirlwind final weekend of Open Enrollment featuring barbershop outreach, pizza delivery outreach, door-to-door canvassing, and enrollment marathon with unique events at barbershops, Ben's Chili Bowl and all over DC

WHAT/WHO:

Because District residents have only four days left to sign up for health insurance coverage before the Open Enrollment deadline, DC Health Link is crisscrossing the city this weekend to make sure every resident in high uninsured areas of the District has the opportunity to enroll in quality, affordable health insurance. DC Health Link is holding its signature Enrollment Marathon and partnering with local businesses, city leaders, and civic groups to offer District residents FREE one-on-one, and virtual, enrollment help over the weekend at different locations throughout the District. These additional enrollment opportunities will help residents get covered before the Open Enrollment Period ends at midnight January 31, 2023.

ACA Signups Logo

There's still likely between 40,000 - 80,000 Qualified Health Plan (QHP) enrollments to be added to the 2023 Open Enrollment Period (OEP) tally from the states which have extended deadlines (through Tuesday, January 31st), but I decided to throw this together today for the hell of it.

The table below charts the first ten years of ACA Open Enrollment Periods, broken out by state. I've also included Basic Health Plan (BHP) enrollment in Minnesota & New York, the only states where BHP programs have been implemented to date.

The states which jump out at me the most in terms of enrollment growth, at least visually, are Florida, Georgia, New York (BHPs) and Texas.

No further analysis or comment here; I just think this is a pretty cool graphic.

via the Centers for Medicare & Medicaid Services:

Biden-Harris Administration Announces Record-Breaking 16.3 Million People Signed Up for Health Care Coverage in ACA Marketplaces During 2022-2023 Open Enrollment Season

  • Nearly 50% increase in HealthCare.gov signups since President Biden took office, and 3.6 million people signed up for health care coverage on the Marketplaces for the first time this year

Today, the Biden-Harris Administration announced that a record-breaking more than 16.3 million people have selected an Affordable Care Act (ACA) Marketplace health plan nationwide during the 2023 Marketplace Open Enrollment Period (OEP) that ran from November 1, 2022- January 15, 2023 for most Marketplaces. President Biden promised to strengthen and build on the Affordable Care Act, and this year, the 10th year of ACA Open Enrollment, more Americans signed up for high-quality, affordable health insurance through the ACA Marketplaces than ever before. Since President Biden took office, the number of people who have signed up for an affordable health care plan through HealthCare.gov has increased by nearly 50%. Because of the President’s plan, millions of working families saved an average of $800 on their health insurance premiums last year.

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