ACA exchange enrollment reaches record high of 15.7 million

ACA exchange enrollment reached a record high in early 2023, and the individual market reached an almost record size, according to an analysis from KFF published Sept. 7. 

In early 2023, 15.7 million people were enrolled in ACA marketplace plans, the highest since the marketplace opened in 2014. Of those, 14.3 million receive subsidies to cover some or all of the cost of marketplace plans, the highest share since 2014. The Inflation Reduction Act extended enhanced subsidies through 2025. 

Another 2.5 million people are enrolled in individual insurance plans off the exchange. This number has declined since 2014. The total individual insurance market enrollment was 18.2 million, the highest number since 2015, when 19.8 million people had individual insurance coverage. 

KFF estimated that enrollment in non-ACA compliant plans, such as short-term plans, is at a record low, at an estimated 1.2 million, down from 5.7 million in 2015. 

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