Three of Four Buying Health Insurance Do So in State-run Exchanges

Secretary Sebelius released the numbers for the health insurance exchanges yesterday. As expected given the technical troubles that have plagued the federal government's website that covers 36 states, the numbers were small. Just over 106,000 individuals have selected a health insurance plan. The state-run exchanges -- in the District of Columbia and 14 states -- have 79,391 individuals who have selected a plan, 75 percent of the national total. 

Over 500,000 applications covering 1.5 million Americans were completed during the first month, October 1 through November 2, according to the DHHS numbers. Nearly 400,000 of those individuals were determined to be eligible for Medicaid or CHIP, more than half of them in the states with their own exchanges which have all expanded Medicaid eligibility to 138 percent of the federal poverty level. Another 326,000 will be eligible for financial assistance to make their premiums more affordable. 

USA Today reports that Secretary Sebelius said, "Even with the issues we've had, the marketplace is working, and people are enrolling. As more people shop and talk things over with their families, we expect these numbers to rise." She said she did not find it discouraging that people have gone through the process but not purchased a plan. People will visit the site multiple times before making a decision, she said.


Health Insurance Enrollment Under ACA Marketplaces, Oct. 1 to Nov. 2, 2013


Data Source: ASPE Office of Health Policy, November 13, 2013.

Calculations by CSG.