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Obamacare enrollment hits 3.6 million on HealthCare.gov, but risks not matching last year's tally

  • Enrollment on HealthCare.gov hit 3.6 million people as of Saturday.
  • A total of 823,180 people signed up for a plan sold on that federal Obamacare exchange last week.
  • The deadline for enrolling in a HealthCare.gov plan is Dec. 15, but most states that run their own Obamacare markets have later deadlines.
Rudy Figueroa (R), an insurance agent from Sunshine Life and Health Advisors, speaks with Marvin Mojica as he shops for insurance under the Affordable Care Act at a store setup in the Mall of Americas on November 1, 2017 in Miami, Florida.
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Rudy Figueroa (R), an insurance agent from Sunshine Life and Health Advisors, speaks with Marvin Mojica as he shops for insurance under the Affordable Care Act at a store setup in the Mall of Americas on November 1, 2017 in Miami, Florida.

Enrollment on the Obamacare marketplace HealthCare.gov hit 3.6 million, as the sign-up season on that federally run exchange entered its final two weeks, officials said Wednesday.

While the pace of sign-ups picked up last week, it still remains far from clear whether HealthCare.gov will end up enrolling more people for insurance this open enrollment period than last season.

A total of 823,180 people signed up during the week ended Saturday for an insurance plan sold on HealthCare.gov, which serves most of the United States, officials said.

That was nearly 320,000 more people than had signed up during the prior week, a traditionally slow one due to the Thanksgiving holiday.

The pace of enrollment is expected to accelerate in coming days, with the approach of the Dec. 15 deadline for selecting a HealthCare.gov plan that goes into effect Jan. 1. Most of the 11 states that operate their own Obamacare marketplaces have later deadlines.

Despite the likelihood of enrollment picking up this week, there is still a serious risk that HealthCare.gov will fall short of last year's enrollment tally of 9.2 million people.

Last year, from Nov. 1 through Dec. 10, almost 4.02 million people had selected a plan on HealthCare.gov, according to the Centers for Medicare and Medicaid Services.

The enrollment snapshot that CMS released Wednesday, which shows 3.6 million sign-ups since the beginning of November, covers a period that is eight days shorter.

Given the current pace of enrollments, it is likely that next week's tally will beat the total seen during the same time frame last year.

But Obamacare advocates are worried that the final tally for this season will be lower than last year's, due to several factors.

They note that this year's enrollment period is half the length of last year's season. Many consumers are unaware of that fact.

Another concern among advocates is that repeated negative comments about Obamacare by the Trump administration will discourage many people from signing up for coverage.

The administration also has slashed the budgets for outreach and advertising promoting enrollment in Obamacare plans.

If people do not sign up for some form of health insurance by the end of December — such as an Obamacare plan, a job-based health plan, Medicare or Medicaid — they risk being subject to the tax penalty.

However, Congress is currently considering tax legislation that would suspend that Obamacare penalty for not having some form of health insurance.

If the penalty does not end up being suspended, uninsured people face a potential fine that is the higher of $695 per adult or 2.5 percent of household income.

Most Obamacare customers qualify for financial aid that can lower their monthly insurance premiums, often dramatically. Many Obamacare customers also qualify for discounts to their out-of-pocket health charges when they obtain medical services or prescription drugs.