Roughly 247,000 remain eligible for private health coverage through Maryland Health Connection

New data show that Maryland Health Connection continues to help more eligible Marylanders get health coverage each year.

Roughly 247,000 individuals remain eligible for private coverage through the state’s health insurance marketplace. An estimated 405,000 people were eligible when Maryland Health Connection opened in 2013.

This is the third year that the Maryland Health Benefit Exchange, which operates Maryland Health Connection, asked the State Health Access Data Assistance Center (SHADAC) to analyze the geographic distribution of Maryland’s remaining eligible population.

Following the 2015 open enrollment, SHADAC estimated that 278,405 Marylanders remained eligible for marketplace coverage. Following the 2016 open enrollment, it estimated 240,696. And after the 2017 open enrollment, with enrollment down 3 percent, it estimates that 247,376 remain eligible for private health coverage (not Medicaid) through Maryland Health Connection.

The group of eligible Marylanders in the data includes non-elderly adults with household incomes above 138 percent of the Federal Poverty Level and children above 322 percent of the poverty level who are uninsured or have non-group coverage. Not included are Marylanders eligible for Medicaid, who earn less than 138 percent of FPL; senior citizens eligible for Medicare; undocumented immigrants or uninsured adults who declined offers of qualified health plans from an employer who are ineligible for financial assistance under the Affordable Care Act.

SHADAC is a program of the Robert Wood Johnson Foundation and a part of the Health Policy and Management Division of the School of Public Health at the University of Minnesota. SHADAC notes that its analysis is a high-level indicator — not an absolute accounting — of the remaining eligible in a given area.

The chart below (or download as PDF) details SHADAC’s breakdown by defined U.S. Census regions of roughly 100,000 people known as PUMAs (Public Use Microdata Areas) of the remaining eligible uninsured population: