Chattanooga Times Free Press

Enrollment down, but higher than expected

- BY ELIZABETH FITE STAFF WRITER

Affordable Care Act enrollment is down, but not by much, and a special enrollment period for people affected by hurricanes means last-minute signups could trickle in from states such as Georgia and Alabama, which now have a Dec. 31 deadline.

Most of the country’s chance, including Tennessee’s, to obtain Affordable Care Act health insurance ended Dec. 15. The Centers for Medicare and Medicaid Services, commonly called CMS, released a report last week that summarized HealthCare.gov activity through the final stretch.

The report found that about 8.8 million people nationally selected plans or were automatica­lly re-enrolled through the federal marketplac­e, down from 9.2 million people last year. Nearly 230,500 Tennessean­s have signed up for coverage starting in 2018, which is about 3,500 fewer people than in 2017.

People in Georgia and Alabama still have until the end of the month to enroll, but the Atlanta Journal Constituti­on reported that

the deadline extension was poorly publicized and many, including insurance brokers, were unaware of the provision. Those wishing to take advantage of the special enrollment period must sign up over the phone, not online, by calling 1-800-3182596.

The CMS numbers are not final and provide just a snapshot of enrollment — since only 39 states use the HealthCare.gov platform, people may not pay premiums to effectuate coverage and deadlines are later in some areas — but they come as a shock to most experts.

Enrollment this year was projected to be much lower, partly because President Donald Trump and the GOP-led Congress repeatedly tried to take down so-called “Obamacare.” Other obstacles included an enrollment period half the length of last year’s and a significan­t reduction in federal funds used to provide enrollment assistance and marketing.

“This [enrollment] number is higher than anyone expected, and has to be considered a success,” Larry Levitt of the nonpartisa­n Kaiser Family Foundation told The Associated Press.

The numbers came a day after Trump proclaimed the Republican

tax bill “essentiall­y repealed Obamacare.” The tax overhaul repealed only the individual mandate that fined people without qualifying health insurance, starting in 2019.

While that move is expected to weaken the ACA, other major elements of the law remain in place, including protection­s for people with preexistin­g medical conditions, subsidies to help consumers pay their premiums and requiremen­ts that insurers cover “essential” health benefits.

However, the administra­tion also took steps to facilitate enrollment, such as creating an easier path for insurers and brokers to sign up customers.

In Twitter messages last week, CMS head Seema Verma struck an upbeat tone:

“We take pride in providing great customer service,” she wrote, congratula­ting her agency on “the smoothest experience for consumers to date.”

“This [enrollment] number is higher than anyone expected, and has to be considered a success.” – LARRY LEVITT OF THE NONPARTISA­N KAISER FAMILY FOUNDATION

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