Keep Calm Enrollment Carries On

In a recent Gallup Poll, only a small percentage of uninsured people have visited either the federal or a state-run marketplace.

Percentage who have visited a marketplace:

18% of all uninsured adults polled 

22% of uninsured adults who plan on purchasing coverage

About 1 in four uninsured adults say they plan on paying the fine.  About half say they plan on purchasing coverage. 

How I See It

With all of the news, I get worried about whether enough people will enroll in health coverage this year to really make a difference on the cost.  In taking time to think about everything rationally instead of just reacting on emotion, I am now less worried.

Enrollment has only been open for five weeks.  There are 20 more weeks to enroll.  We can break that down into four 5-week periods.  If 22% visit a marketplace and enroll during each one of these four increments, then basically everyone who said they would enroll will have enrolled by time March 31^st comes around.   

I doubt many people are trying to put up with the botched federal website.  And some of the state-run exchanges have glitches as well.  My guess is more people will visit these sites and begin enrollment in January.  The technological kinks should be worked out by then. 

People also will have had the opportunity to learn about the ACA before visiting and enrolling.  In fact, with the exchanges being so awful, many navigators and certified application counselors have taken to educating communities.  That way, when everything is properly running, people will be well prepared for how enrollment will work and for what is the best sort of option for themselves. 

I also know that our certified application counselor’s phone rings at least once an hour every day.  Today she had 20 voicemail messages left from this weekend.  People are interested.  People want insurance.  People want to be educated on what is best for them.  In fact, when Romneycare first rolled out in Massachusetts, on average, people had 18 interactions with the exchange before finally enrolling.  They were researching their options and taking time to understand how they were affected.  There was a surge in enrollment during the last two months of Romneycare enrollment.  Seven years later, 97% of people in Massachusetts are insured.  

Fear not.  Stay logical.  Get insurance.  Get and stay healthy.