Sign-ups drop, so far, for health insurance exchange in Nevada

By Jessie Bekker / Las Vegas Review-Journal

Purchases of policies on the Affordable Care Act’s health insurance marketplaces are down nationwide and in Nevada through the first four weeks of open enrollment, the Centers for Medicare and Medicaid Services reported Wednesday.

Enrollments were down 12.8 percent nationwide and an even steeper 13.3 percent in Nevada.

While the figures concern Heather Korbulic, executive director of Nevada’s Silver State Health Insurance Exchange, they don’t come as a shock, she said.

“We’re really focusing on pushing on the gas pedal with everything we can,” she said.

Korbulic said sign-ups have been affected by competition from association health plans tailored to small-business owners and sole proprietors; the Trump administration’s elimination of the individual mandate that penalized the uninsured; and a widespread robocall campaign urging potential buyers to instead tap into so-called short-term, limited-duration plans and health-sharing ministries.

The Trump administration’s proposed change of a public charge rule also has had a “chilling effect” on immigrants signing up, Korbulic said.

The policy change would consider use of public benefits programs as a basis to deny an immigrant’s petition to legally enter the United States, obtain a green card or adjust an immigration status. It wouldn’t penalize anyone for buying a subsidized plan on the exchange, she said.

CMS also released a report Wednesday that found about 86 percent of those who selected an exchange plan during open enrollment last year paid for it and remained insured into early 2018.

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