“What does the Affordable Care Act (ACA) mean for 1.2 million Americans living with HIV or AIDS?”



LGBT people with incomes between 139% and 200% of the Federal Poverty Level made particularly significant gains: Between 2013 and 2014, uninsurance in this income range dropped by 22 percentage points, from 48% to 26%.

Of all respondents who explored their coverage options during the first open enrollment period,

  • 35% found out they were eligible for Medicaid coverage — of whom 78% enrolled.
  • Among those who were not Medicaid-eligible, 20% purchased a plan through a Health Insurance Marketplace.
  • Almost half of those who purchased coverage were able to select a plan that costs less than $100 per month.

But much work remains to be done to ensure that the ACA effectively addresses uninsurance in LGBT communities. We found that 26% of LGBT people who could potentially get financial help to get covered were uninsured in 2014 — compared to an estimated 20% among the general population in the same income range.

Reasons given for uninsurance included employment discrimination, which traps many LGBT people in poverty and lower-wage jobs that don’t offer benefits, and insurance exclusions targeting transgender individuals and others considered to have pre-existing conditions. Respondents in same-sex relationships also reported persistent barriers to coverage: In both 2013 and 2014, approximately 50% of those who had tried to access coverage for a same-sex spouse or partner reported encountering trouble, and nearly three in four reported feeling discriminated against in the process.

Read the full article here.

Explore posts in the same categories: Commentary, HIV care

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