Dayton Daily News

Marketplac­e enrollment open amid jobless spike

- By Kaitlin Schroeder Contact this reporter at kaitlin. schroeder@coxinc.com.

More people lost health insurance over the course of the pandemic when jobs disappeare­d, so the Biden administra­tion has opened up an additional open enrollment period on the Affordable Care Act marketplac­e.

Open enrollment is through May 15. Coverage begins the first day of the month following the date of plan selection.

People can sign up on HealthCare.gov, through the free marketplac­e call center at 1-800-318-2596, or through other places where you can get direct help enrolling like at a community health center or directly through an insurance company.

Anytime you lose a job thus your job-based health insurance, you get a window to buy insurance through the marketplac­e. But many people did not buy insurance during their window, so this open enrollment period is intended to give people a second chance to get insured and build awareness of options.

“The real reason they are doing this is because so many people have lost their jobs and the marketplac­e was not advertised very well with the last administra­tion,” said Ron Irvine, a local marketplac­e insurance navigator. “And they are doing pretty extensive advertisin­g about it now.”

Irvine works for HRS Erase LLC and his team’s service area includes the Dayton area. The navigators are people who get federal training and funding to help walk people through their options for marketplac­e insurance and help people figure out if they qualify for subsidies.

HRS can be reached at 1-855894-2711, helpmeenro­ll.org or navigator@aspiron.com.

Many people can get some type of help paying for their marketplac­e insurance. In 2020, Kaiser Family Foundation reported 84% of marketplac­e enrollees received tax credits that reduced their monthly premium and just under half also received cost sharing reductions that lower deductible­s in silver-level plans.

An estimated 8.9 million uninsured Americans are eligible for marketplac­e subsidies today but not enrolled, Kaiser Family Foundation reported earlier this month, and racial and ethnic minorities are disproport­ionately represente­d in this population.

Some people will qualify for “free” bronze plans and not have any premium costs, but a Kaiser survey found 75% of uninsured individual­s are not interested in free bronze plans with such high deductible­s.

Irvine said the deductible­s for these types of plans are “just sky high” which many people don’t want but might be an option for some people. Deductible­s for bronze plans can approach $7,000 a year but range by plan and circumstan­ce.

Community health centers can also help people understand their options for enrolling and look at whether people qualify for Medicaid or marketplac­e insurance. Dayton-based Five Rivers Health Centers outreach and enrollment coordinato­r Tiana Shaw can talk with people and schedule appointmen­ts to discuss marketplac­e and other insurance options at 937-734-6727.

In Ohio, about 196,800 individual­s signed up for marketplac­e insurance during open enrollment for 2020.

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