Fact Sheet on Health Communities Challenge for Philadelphia

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FACT SHEET: Healthy Communities Challenge for Philadelphia

As the Affordable Care Act’s coverage provisions have taken effect, 17.6 million Americans have gained coverage, and, since 2010, we’ve reduced the uninsured rate in this country by 45 percent.  The nation’s uninsured rate now stands at its lowest level ever. But still, in communities across the country, 10.5 million people eligible for Marketplace coverage remain uninsured.

Today, we are launching the White House “Healthy Communities Challenge” to engage key communities with large numbers or high percentages of uninsured in states across the country where strong federal, state and community collaboration can have a meaningful impact on reaching the uninsured. Through this challenge, we are calling on community leadership to build outreach efforts to reach these remaining uninsured and help them gain coverage. 

At the end of this third open enrollment period, the Department of Health and Human Services (HHS), along with State-based Marketplaces, will publish tallies of new Marketplace signups in participating communities. These tallies will be compared to HHS estimates of the number of eligible uninsured people at the start of open enrollment to see which communities made the most progress during the challenge. 

The victorious community gets bragging rights, a healthier community, and a visit from President Obama to celebrate their success in helping ensure every American has health coverage.

Based on particularly high opportunity for impact, the White House reached out to local officials in each of these 20 communities, including Mayor Michael Nutter, who embraced the “Healthy Communities Challenge” to get their uninsured constituents covered.

Philadelphia Health Insurance Marketplace for 2016

• Health insurance coverage is affordable.  On June 30, 2015, 397,967 people in Pennsylvania were covered through its Health Insurance Exchange, or Marketplace. 

• In Pennsylvania, 69 percent of people can find a plan for $100 or less, 63 percent for $75 or less, and 55 percent for $50 or less for 2016. 
  
• The average monthly premium in Philadelphia for the second-lowest cost silver plans will increase by 3 percent from 2015 to 2016 before tax credits.

• Tax credits matter.  In 2015, 80 percent of Marketplace enrollees – 320,162 people – in Pennsylvania received a tax credit, and consumers saved an average of $220 per month.

• Consumers have a choice. 

• In Pennsylvania, 12 issuers are offering individual health plans in the Marketplace in 2016.

• Issuers are offering an average of 31 plans per county in Pennsylvania in 2016.

• In Philadelphia, 4 issuers are offering individual health plans in the Marketplace in 2016.
  
• It pays to shop. 

• In Pennsylvania, 92 percent of Marketplace consumers who switch to the lowest-cost plan within a coverage level could save on average $38 per month, or $450 per year, on their premium costs in 2016.

• About 21 percent of 2014 enrollees in Pennsylvania switched to a new plan in 2015, saving $603 per year – and $17,578,294 in total statewide – on premium costs.

• While progress has been made, more work is needed to cover the uninsured.

• In Pennsylvania, the adult uninsured rate dropped from 11 percent in 2013 to 7.7 percent in the first half of 2015. 

• In Philadelphia and the surrounding region, there are 178,000 uninsured who are eligible for the Marketplace.
  (The number of the uninsured is for the Designated Market Area that includes Philadelphia.)