Under the Affordable Care Act, insurance purchased via a government-run health-insurance exchange by Dec. 15 will kick in on Jan. 1, 2014.
But the uninsured have until March 31 to be covered and avoid paying a fine. That’s because under the law, Americans can go uninsured for up to three months without penalty. (After that, in the first year, the fine is as low as $95, then escalates in the following years.)
So if one wants to push buying insurance right up to the edge, logic would dictate that the deadline is March 15, right?
Not so fast! Most companies start their policies on the first of the month, and so to be covered on March 31, one has to buy insurance that starts on March 1. To get insurance that starts on March 1, one has to sign up by around Feb. 15.
Maybe the deadline to avoid penalties can be tweaked back a day to April 1, thus giving the uninsured another month to shop – and the federal government more breathing room to get its act together with HealthCare.gov. Some of the 14 state-run exchanges have also had major problems, and that would give them more time, too.
For now, though, HealthCare.gov and state exchanges are enduring widespread scorn over their performance since the open enrollment period began Oct. 1. Only 7 percent of Americans say the launch has gone “very well” or “somewhat well,” while 40 percent say it hasn’t gone well and 20 percent say it’s gone somewhat well, according to an AP-GfK poll released Oct. 10. Thirty percent didn’t have an opinion.
The poll, which was conducted Oct. 3-7, also found that 7 percent of Americans say somebody in their household has tried to sign up for insurance through one of the exchanges. That could represent more than 20 million Americans, the AP reports. It demonstrates wide interest in the exchanges, a point Obama administration officials have emphasized when asked about all the problems with HealthCare.gov.
So who would be satisfied with the new health-care exchanges? There are probably several categories: people who are now able to buy insurance after being turned down because of preexisting conditions. (Insurance companies can no longer bar them from coverage.) Then there are the already-insured who are discovering they can get a better deal via the exchange, including a federal subsidy in some cases. And some of the states that run their own exchanges have not had massive technology problems, such as Kentucky and Connecticut. People in those states might also be satisfied customers, especially if they fit in one of the first two categories.
Other articles in the Monitor’s Obamacare 101 series: