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ACA Open Enrollment Changes, What You Need to Know

The Affordable Care Act (ACA), often known as Obamacare, has left an indelible mark on the American healthcare landscape since its introduction in 2010. As of early 2023, more than 40 million Americans had coverage under the Affordable Care Act.

Designed to enhance health insurance coverage for millions of Americans, the ACA also established the critical annual Open Enrollment period, allowing individuals to enroll in or modify their health insurance plans through platforms like or state-based marketplaces.

As we approach the 2024 Open Enrollment, understanding the key changes and updates is crucial for making well-informed decisions about your healthcare coverage.

In the CareTalk episode, “Changes in Obamacare Open Enrollment" John Driscoll and David Williams discuss the Affordable Care Act and changes to open enrollment.

Key ACA Open Enrollment Changes for 2024

For the 2024 plan year, Open Enrollment will run from November 1, 2023, to December 15, 2023. This is a slight extension from the previous year's Open Enrollment period.

In addition to the extended Open Enrollment period, there are a few other notable changes for 2024:

Expanded Eligibility for Premium Subsidies

A significant shift in the income eligibility limits means that more individuals will now be eligible for premium subsidies in 2024. This expansion aims to make healthcare coverage even more accessible and affordable for a broader segment of the population.

New Plans and Options

Emphasizing flexibility, and state-based marketplaces are introducing a diverse range of health insurance plans for 2024. This includes plans with lower premiums and more comprehensive benefits, catering to the varied healthcare needs and financial situations of individuals.

"When you're shopping and looking at these different plans between bronze, silver, gold, and platinum it's not just the premium to look at. It's also to look at what's your complete cost going to be. And it's going to be higher with the bronze plans and lower with those in the higher tier". - David (CareTalk)

Open enrollment form

What You Can Do During Open Enrollment

During the Open Enrollment period, individuals have a range of actions they can take to ensure they have the most suitable healthcare coverage for the upcoming year. The first option is enrolling for the first time, a critical opportunity for those currently without health insurance coverage. This ensures that individuals establish a reliable healthcare plan tailored to their needs, promoting comprehensive coverage and a proactive approach to well-being.

For those who are already covered but find their current plan no longer aligning with their evolving needs, Open Enrollment serves as a valuable window for change. This allows individuals to reassess their healthcare coverage, adapting it to better suit their circumstances and ensuring that their plan remains a relevant and effective safeguard for their health. Recognizing the dynamic nature of household and income circumstances, Open Enrollment also provides a dedicated period for individuals to update their information. This ensures that health insurance plans accurately reflect the current situation of participants, avoiding gaps or discrepancies in coverage that may arise due to changes in personal circumstances.

Open Enrollment also encourages a comparative approach to healthcare planning. The period is an excellent opportunity to evaluate different plans and compare their features and costs. By engaging in this thoughtful comparison, individuals can choose a healthcare plan that not only meets their specific healthcare needs but also fits seamlessly within their budget. This emphasis on choice and informed decision-making empowers individuals to take an active role in selecting healthcare coverage that aligns with their unique circumstances, promoting a healthcare system that is both personalized and accessible.

Open enrollment and what can be done during it

Resources for Open Enrollment:

Accessing resources provided by and state-based marketplaces is essential for making informed decisions during Open Enrollment. These platforms offer comprehensive information about available plans, eligibility criteria, and step-by-step guidance on navigating the enrollment process.

Additionally, individuals can seek assistance by contacting the Call Center at 1-800-318-2596.

"You could just look for Obamacare or health insurance on the web, and you're going to find the marketplace. You can go to healthcare. gov as well to find the federal program or to find your way to your exchange. And you can just navigate from there"- David (CareTalk)

Ready to Enroll?

The 2024 ACA Open Enrollment period represents a pivotal opportunity for individuals to secure healthcare coverage that is both affordable and comprehensive. By staying informed about the changes and leveraging available resources, individuals can make thoughtful decisions aligned with their unique healthcare needs.

Whether enrolling for the first time, modifying an existing plan, or updating information, participating in Open Enrollment ensures that Americans can access the healthcare coverage they deserve, promoting a healthier and more secure future for all.


ABOUT CARETALK CareTalk is the only healthcare podcast that tells it like it is. Join hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they provide an incisive, no B.S. view of the US healthcare industry. FOLLOW CARETALK YouTube Spotify Apple Podcasts CareTalk on LinkedIn


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