ACA sees 21% enrollment increase in 2022

Over 14.5 million people signed up for health coverage under the Affordable Care Act in 2022, according to a federal report released March 23.

Key takeaways from the "Health Insurance Marketplaces 2022 Open Enrollment Report":

  • Over 2.5 million more consumers signed up for coverage during the 2022 open-enrollment period compared to 2021, a 21 percent increase. 
  • In healthcare.gov states, 10.3 million consumers enrolled in health coverage during the 2022 open-enrollment period between Nov. 1, 2021, and Jan. 15, 2022. 
  • Across the 18 state-based marketplaces, 4.3 million enrollees signed up for health coverage during the 2022 open-enrollment period from Nov. 1, 2021, through the end of their respective reporting periods.
  • The number of new beneficiaries signing up for ACA coverage during the 2022 open-enrollment period increased by 20 percent to 3.1 million, from 2.5 million in 2021. 
  • Nineteen percent of enrollees identified as Hispanic/Latino in the 2022 open-enrollment period, compared to 18 percent in 2021. Enrollees who identified as Black increased to 9 percent in 2022, from 8 percent in 2021. 
  • In 2022, 2.8 million more consumers are receiving advanced premium tax credits compared to 2021. The average monthly premium after tax credits decreased by 19 percent, from $164 in 2021 to $133 in 2022. 
  • Twenty-eight percent of enrollees selected a plan for $10 or less per month after tax credits during the 2022 open-enrollment period. 
  • The percentage of all marketplace consumers who received cost-sharing reductions increased slightly from 47 percent in 2021 to 49 percent in 2022.
  • The average monthly 2022 premium for healthcare.gov enrollees was $111. Without the additional advanced premium tax credits in the American Rescue Plan, average monthly premiums would have been 53 percent higher, or $170.

In a statement, President Joe Biden shared that an additional 18.7 million low-income Americans are now covered by Medicaid expansion.

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