Report: More Vermont individuals are covered by health insurance

Vermont Business Magazine The Department of Vermont Health Access announced today that enrollment in Vermont’s individual health plans increased to 34,396 in January, up nearly one percent from the prior year. The number of subsidized members and unsubsidized members both increased relative to the prior year. Due to increased federal subsidies for those who qualify, the average subsidized member is paying $131 per month in 2019, compared to $163 in 2018.

The number of subsidized enrollees under age 45 grew by three percent. Notably, enrollment grew most among young adults age 26-34 – the age group that the 2018 Vermont Household Health Insurance Survey found most likely to be uninsured. This increase in young adult enrollment more than made up for a slight decrease in enrollees over age 45, mainly attributed to baby boomers turning 65 and moving from commercial coverage to Medicare.

While there were significant changes in federal and state policy, enrollment in Vermont’s individual health plans remained stable from 2018 to 2019. The number of new members, subsidized members, and
unsubsidized members all exceeded the prior year.

“More Vermonters used the Plan Comparison Tool to comparison shop than ever before,” said Cory Gustafson, Commissioner of the Department of Vermont Health Access. “It’s great that more than 20,000 users were able to access estimates of total costs, not just premiums, and that many people found this tool to be helpful. At the same time, it’s clear that health care continues to be expensive and complicated. We all need to keep working together to equip Vermonters to make the best insurance decisions for their families.”

DVHA reminds Vermonters that there are still opportunities to take action, find the right health coverage, and save money. Specifically:

  • Members who are near, or just over, the subsidy threshold can talk to a tax professional for advice on qualifying for tax credits and ensuring that they don’t have to pay back the federal government. Even members who are currently doing their 2018 taxes and appear to be over-income may have options prior to April 15th.
  • On-exchange members who know they earn too much for subsidies can change plan administration directly to their carrier (Blue Cross Blue Shield of Vermont or MVP Health Care) at any time. If they’re in a non-silver plan, the premium and benefits will be the same. If they’re in a silver plan, they can save money by direct enrolling.
  • Subsidized members should promptly report income changes throughout the year, both because they are required to do so and because it can help them avoid costly surprises down the road.
  • Vermonters who have a life event that impacts their health coverage, such as a job change or marriage, may be able to sign up for coverage through a Special Enrollment Period, typically within 60 days of that event.
  • Vermonters who qualify for Medicaid can enroll anytime during the year.
  • All Vermonters can continue to use the Plan Comparison Tool and learn about health insurance options online (http://VermontHealthConnect.gov), by phone (toll-free: 855-899-9600), or with one of nearly 300 in-person assisters located across the state.

The new report “Vermont’s 2019 Individual Enrollment in Five Graphs” can be found here.

Source: WATERBURY, VT – The Department of Vermont Health Access 2.26.2019