Open enrollment in the Affordable Care Act’s marketplaces, where about 12 million people buy health insurance, begins on Wednesday. According to a report by the Department of Health and Human Services’ policy division, 80 percent of HealthCare.gov enrollees will be able to purchase a plan for $75 or less per month.
After several failed attempts to repeal the Affordable Care Act this summer, the Trump administration turned to regulatory rollback and spending cuts to chip away at the law. This month, Trump halted payments that reimburse insurance companies for reducing out-of-pocket costs for low-income enrollees. Since insurers are still required to lower those costs, monthly premiums for certain silver tier, or mid-level, plans have skyrocketed.
But many low-income and middle-class customers will be spared the higher costs. Shoppers with incomes less than four times the poverty line—about $48,000 for an individual or $98,000 for a family of four—are eligible for subsidies that reduce the cost of monthly premiums.
Since those subsidies rise with the cost of silver plans, it will be easier than ever for people who receive premium subsidies to find cheap plans. That's good news for customers. It's bad news for taxpayers who will pay the difference.
2015
2016
2017
2018
40
50
60
70
80
90%
HealthCare.gov
Average
AL
OK
WY
FL
UT
TN
SC
NE
NC
ME
MS
TX
KS
VA
PA
MO
MI
MT
IA
GA
WI
NV
SD
LA
IL
NM
HI
KY
AK
AR
DE
AZ
OH
NJ
OR
WV
ND
NH
IN
40
50
60
70
80
90%
2015
2016
2017
2018
40
50
60
70
80
90%
HealthCare.gov
Average
Alabama
Oklahoma
Wyoming
Florida
Utah
Tennessee
South Carolina
Nebraska
North Carolina
Maine
Mississippi
Texas
Kansas
Virginia
Pennsylvania
Missouri
Michigan
Montana
Iowa
Georgia
Wisconsin
Nevada
South Dakota
Louisiana
Illinois
New Mexico
Hawaii
Kentucky
Alaska
Arkansas
Delaware
Arizona
Ohio
New Jersey
Oregon
West Virginia
North Dakota
New Hampshire
Indiana
40
50
60
70
80
90%
2015
2016, 2017
2018
40
50
60
70
80
90%
HealthCare.gov
Average
Alabama
Oklahoma
Wyoming
Florida
Utah
Tennessee
South Carolina
Nebraska
North Carolina
Maine
Mississippi
Texas
Kansas
Virginia
Pennsylvania
Missouri
Michigan
Montana
Iowa
Georgia
Wisconsin
Nevada
South Dakota
Louisiana
Illinois
New Mexico
Hawaii
Kentucky
Alaska
Arkansas
Delaware
Arizona
Ohio
New Jersey
Oregon
West Virginia
North Dakota
New Hampshire
Indiana
40
50
60
70
80
90%