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Home / Health / Almost 11.8 million have signed up for Obamacare for the year 2018, but there are questions for next year

Almost 11.8 million have signed up for Obamacare for the year 2018, but there are questions for next year



  How Trump Abolishes Obamacare

Obamacare remained popular with millions of Americans in 2018, despite the Trump government's repeated attacks.

Almost 11.8 million people voted for coverage this year at the federal and state stock exchanges. The official credentials received on Tuesday from the Centers for Medicare & Medicaid Services have been shortened, the enrollment deadline. That's only 3.8%, much less than some advocates of the health reform law initially feared.

Around 8.7 million people registered at the Federal Exchange, while 3 million in the 1

1 states and the District of Columbia selected plans for their own marketplaces. 27% of consumers were new to Obamacare, a slightly lower proportion than last year. Another 24% were automatically re-enrolled, while 47% returned customers who chose new plans, slightly higher than last year.

The registration is not final until the consumer has paid the premium of their first month, and the number of subscriptions usually falls after the registration period .

Obamacare's open registration phase was in the limelight last fall as both supporters and critics were prepared to use the numbers in support of their arguments. The modest decline in enrollment allowed advocates to emphasize the value of the Affordable Care Act for consumers.

Related: 8 Ways Trump Has Hurt Obamacare

"The final open enrollment report from the administration proves once again how important the ACA marketplaces are to provide people with affordable, high-quality healthcare," said Josh Peck , Co-founder of Get America Covered, an interest group. "While enrollment remained stable for those who qualify for tax credits because of the high level of customer satisfaction and lower premiums, enrollment would have surpassed previous years if the administration had focused on sending people instead of derailing open enrollment efforts. "

CMS Administrator Seema Verma said that the open application deadline is still the "most cost effective and successful" to date.

The Trump administration has won many significant changes in the sign up process for 2018. The open enrollment deadline has been halved, the advertising cut by 90% and the support reduced at enrollment.

Many insurers also fled the market. Those who continued to increase premiums in Washington and D. Donald Trump were affected by the uncertainty of cutting funding for the shared costs of Obamacare.

Related: What Trump does not have about Obamacare and health insurance profits

In a strange twist, richer federal premium subsidies actually provide coverage for many people more affordable. Many insurers have included the premium increases in their silver plans, which are based on premium grants. For example, eligible consumers received larger subsidies for the purchase of Silver Plans or Bronze Policies, which have lower premiums.

These people pay an average of $ 89 a month for coverage in 2018, compared to $ 106 last year. The federal government has now got more of the bill, with the average subsidy rising to $ 550 a month, from $ 383 a month last year.

Those who do not qualify for subsidies saw their monthly rate rise from $ 476 to $ 621. The proportion of consumers receiving premium support was 83% in 2017 and 2017.

Although Obamacare remained popular this year, 2019 may turn out to be another story.

It will be the first time that the individual mandate, which obliges almost all Americans to cover or pay a fine, is no longer in force. (Congress has abolished the punishment under the 2017 tax reform.) Fears that more insurers will leave the exchanges, leaving some registered without options – or just more expensive ones.

About a third of market participants said the mandate was a "major reason" why they decided to buy insurance, according to a new Kaiser Family Foundation survey. But nine out of ten said they intend to continue reporting.

Related: Trump Administration Reveals Alternative to Obamacare

The Trump Administration also allows insurers to offer alternatives to Obamacare, which will come with lower rewards but fewer benefits. Of particular concern to health policy experts are short-term health insurance plans. The administration plans to facilitate this insurance cover by allowing insurance companies to sell policies that are just under one year and not longer than 90 days.

Many Americans are concerned about their coverage for next year, the Kaiser survey found. Around 58% of Obamacare participants said they were "very worried" or "slightly concerned" that there would be no insurers selling plans in their area. Around 82% were concerned that their premiums would rise so much that they could not afford their current plan, while 80% feared that co-pay and deductibles would become so high that they could not afford it Health care they need.

About 53% of Americans – and 60% of Obamacare members – believe the exchange is breaking down, the poll found. In fact, insurers stabilized their ACA divisions last year.

Slightly more than half of the Obamacare participants said they were satisfied with their plan decisions on the stock exchanges and their health insurance was an "excellent" or "good" value, Kaiser said. Most respondents said their premiums and deductibles in 2018 were similar or lower than in the previous year.

CNNMoney (New York) First published on April 3, 2018: 6:51 pm ET

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