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State sees sharp decline in ACA enrollment for those not receiving subsidies

State sees sharp decline in ACA enrollment for those not receiving subsidies

The number of enrollees in Illinois’ individual insurance market who were not receiving tax credits from the Affordable Care Act fell 39 percent last year, while the number of people receiving subsidies stayed relatively steady. That’s according to a recent report from the Centers for Medicare and Medicaid Services.

Illinois enrollees not receiving subsidies decreased from 271,089 to 165,646 from 2016 to 2017. Meanwhile, individuals receiving tax credits decreased 0.7 percent during that same period, from 231,892 to 230,265.

Illinois was one of 44 states that experienced a decline in enrollment.

Nationally, unsubsidized enrollment fell by 20 percent between 2016 and 2017, while enrollment in plans with tax credits decreased by 3 percent.

A separate report released at the same time by CMS found that total effectuated enrollment in Illinois, or the number of people that selected a plan and paid the first month’s premium, stayed relatively steady into 2018. As of March, 304,712 effectuated coverage, 86 percent of whom were receiving tax credits.

Forty-five percent of the enrollees were receiving cost-sharing reductions. While CMS discontinued cost-sharing reduction payments to insurers last year, the insurers are still required under the ACA to provide the reductions to enrollees.

Across the country, 10.6 million had effectuated their coverage as of March, which was 3 percent higher than the 10.3 million people still enrolled at the same time last year.

The average total premium per month for Illinois enrollees for 2017 was $643.70, while the average tax credit was $532.06.

Health News Illinois is a nonpartisan, independent news service covering the Illinois healthcare beat. Sign up for a free trial to the newsletter here.

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