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Here's how much Obamacare premiums will increase in every state

Obamacare premiums are actually declining for 2019, with the cost for an average benchmark silver-level plan dropping by 0.8% from 2018.

November 1 marked the first day Americans can sign up for health insurance on the Affordable Care Act's marketplaces for 2019, marking the sixth open-enrollment period for the law known as Obamacare and the first to feature a fully stabilized program.

After years of increasing premiums, the marketplaces — for people who do not get coverage from their job or a government program like Medicare — appear to have finally settled into a groove. Many states will see small increases, and some will even experience decreases in premiums.

Why exactly we aren't seeing the sky-high premium increases of previous years is a matter of some political debate, but many experts say that the improving costs are simply a function of time.

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For the 39 states that use the federally facilitated Healthcare.gov platform, open enrollment runs from November 1 until December 15 (other states may have longer enrollment periods).

This half the length of open enrollment periods under former President Barack Obama. But consumers in most states should be getting some relief from the skyrocketing premiums of recent years. The Kaiser Family Foundation, a nonpartisan health policy think tank, crunched the numbers on premiums for every state and found a more favorable environment for consumers compared to previous years.

To determine a benchmark for premiums, Kaiser used the second-highest cost silver-level plan for a 40-year-old male. (While the Department of Health and Human Services uses a 27-year-old male for its benchmark, the actual pool of enrollees is typically a bit older.)

Overall, the United States saw an average premium decrease of 0.83% from 2018 to 2019 plans:

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The premium increases for 2019 are a far cry from just two years ago, when some states were facing jumps as high as 116% in Arizona. Trump, then a candidate, and the GOP used the premium jumps as an effective weapon against Hillary Clinton and many Democratic candidates.

During that election, Republicans promised to repeal and replace the ACA, a promise they failed to keep. The Trump administration and the GOP have made major changes to the healthcare system, but whether those are the reason for the easing of increases is up for debate.

Seema Verma, the administrator for the Centers for Medicare and Medicaid Services, took credit for the drop.

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But even in terms of 2019's cost, recent studies showed that premiums are coming down in spite of Trump's changes — not because of them:

  • Researchers at the Kaiser Family Foundation
  • profit margins on many insurers' Obamacare products
  • grew after the large price jumps in previous years.
  • Those companies could now correct back in the other direction by lowering premiums.
  • But the Trump administration's actions forced the insurers to keep the premiums 16% higher than they would be otherwise, Kaiser said.

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Another study by

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Breaking down the last five years of premium jumps, the large shifts in cost across the US are obvious:

Since 2014, three states have seen premiums for benchmark plans increase by more than 200% — Nebraska, Oklahoma, and Iowa — while 20 states have seen an increase of at least 100%.

Additionally, only two states have seen premiums go up by only single digits: Indiana (the lowest increase at 3.35%) and New Jersey (8.98%).

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