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Indian residents rely on the federally facilitate exchange through Healthcare.gov. There is off exchange enrollment available but this is without any access to subsidies. There are 5 carriers that will be offering plans in the state of Indiana on the exchange for 2017 open enrollment. In IN, almost 169,000 have put into effect coverage in QHPs with the Indiana exchange as of March 2016. And 83% of residents were receiving premium subsidies. Even though nationwide effectuated enrollment is higher in 2016 from 2015; Indiana is an exception to this rule.
Part of this decline in 2016 is most likely because the fact that the Medicaid expansion in Indiana did not take effect until February 2015. The people who were enrolled in Medicaid were then instead enrolled in the heavily subsidized QHPs in early 2015 through the exchange and then transitioned to Medicaid over the past year. In Indiana, Medicaid enrollment was 31 % higher than it was at the end of 2013.
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