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Short-Term Plans And No Penalties For Not Signing Up: How Health Care has Changed In 2019

Leon County Judge John Cooper on June 30, 2022, in a screen grab from The Florida Channel.
Flickr Creative Commons
The Florida Channel
ACA enrollments runs until December 15.

Open enrollment for health insurance through the Affordable Care Act has started, and people might notice their premiums going up.  That’s because of two changes to the law.

Those changes come in the form of new legislation from the Trump administration making it easier for people to enroll in short-term plans offered by private insurers or to opt out of buying health insurance altogether. Kaiser Family Foundation’s Cynthia Cox says insurers in the federal program raised premiums to account for some customers choosing these other options.

“So on average they have baked in about six percentage points into their premiums with the expectation that healthy people might leave,” she said.

Joshua Peck of the nonprofit Get America Covered  which supports people enrolling in plans on the ACA marketplace says some of the alternative plans offered by private insurers don’t have to cover pre-existing conditions.

“Will they be allowed to get it because of a pre-existing condition is there a hidden limit to what it covers? So if they get sick will it really be there for them?” Peck asked.

Under the Affordable Care Act, insurers can’t deny coverage or raise premiums for people with pre-existing conditions. Open enrollment in ACA plans lasts until December 15.