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

In the first month that Americans could go to the health insurance exchanges (or marketplaces) created under the Affordable Care Act, just over 106,000 individuals 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. 


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.