By Heather Tirado Gilligan, California Health Care Foundation, June 14, 2021
A record 31 million Americans enrolled in Affordable Care Act (ACA) marketplace or Medicaid expansion coverage nationally this year — nearly 4 million more than signed up in 2020, according to new data from the Department of Health and Human Services (HHS).
The total includes about 15 million adults who were covered as of December 2020 through the ACA’s Medicaid expansion.
The ACA enrollment record is likely an undercount, because it doesn’t include some categories of people with private coverage, such as those under age 26 who are covered through a parent’s employer-sponsored insurance plan under an option created by the ACA, Katie Keith reported on the Health Affairs blog. The figures reflect ACA marketplace enrollment as of February 2021 and therefore exclude subsequent signups through Healthcare.gov and state-based marketplaces, which extended open enrollment in response to the pandemic. For Californians, open enrollment through Covered California, the state ACA insurance marketplace, will continue through December 2021.
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Image: Olivier Douliery/AFP Getty Images
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