Marketplace Enrollees Are Feeling the Pain

After years of record low uninsured rates, Pennie enrollees are choosing to go uninsured due to steep premium increases. Congress has not approved an extension of the Enhanced Premium Tax Credits (EPTCs), and customers are actively choosing to not enroll or not to renew their coverage.

The highest level of terminations by income has been in the 150-200% Federal Poverty Level (FPL) range, $23,475 to $31,300 for a single adult. For a family of four, two adults with two children, in the same FPL range, the income would be between $48,225 and $64,300. With 85% of Pennsylvania Community Health Center patients at 200% of FPL or below, this has a direct effect on those who need coverage and who may not qualify for Medicaid.

Capital Link estimates 14% of health centers’ privately insured patients will lose coverage.