What states use Obamacare the most?

Asked by: Emmanuel Zboncak  |  Last update: June 6, 2025
Score: 4.7/5 (30 votes)

By the numbers: States with the largest year-over-year increase in sign-ups include West Virginia (80.2%), Louisiana (75.9%), Ohio (62.2%), Indiana (59.6%) and Tennessee (59.5%), according to data from the Centers for Medicare and Medicaid Services, which oversees the marketplaces.

What states refuse Obamacare?

The Affordable Care Act, also known as Obamacare, was enacted in 2010, but 10 states have not expanded Medicaid, the federal-state program that provides health care for low-income people. They are Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin and Wyoming.

Which states benefit the most from Obamacare?

Southern States Have the Most Preexisting Conditions: West Virginia, Kentucky, Mississippi, Ohio, and Alabama have the largest population segments with preexisting conditions and therefore stand to benefit the most from the ACA's prohibition against health care coverage denial as a result of a preexisting condition.

Is Obamacare available in all states?

The Affordable Care Act (ACA) requires every state to have a health insurance exchange or marketplace. These exchanges allow individuals and small businesses to purchase their own health insurance coverage or get financial assistance through Medicaid, CHIP, or premium tax credits.

Is Obamacare accepted everywhere?

Just like any other health plan, your Marketplace plan may not be accepted by every doctor, hospital, or provider. Many Marketplace insurance plans have limited or “narrow” networks of doctors and hospitals that agree to accept these lower negotiated prices.

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What are the hardest states to get Medicaid?

The 10 most deficient state programs have overall scores ranging from between 317.8 and 379.1 of the total 1000 points. The worst, in order from 50th to 41st, are in Mississippi, Idaho, Texas, Oklahoma, South Dakota, Indiana, South Carolina, Colorado, Alabama, and Missouri.

What insurance is accepted in all 50 states?

Medicare is run by the federal government, which is why Original Medicare coverage is the same in every state and includes nationwide access to providers.

What is the biggest problem with the Affordable Care Act?

Impact on Individual Insurance

It was also known that consumers would face a very different health insurance world under the ACA, with some people seeing their premiums go down and some seeing them go up, and the majority of Americans seeing higher deductibles, higher copays, and a smaller pool of providers.

What US state has the best HealthCare?

  • Hawaii. #1 in Health Care. #34 in Best States Overall. ...
  • Massachusetts. #2 in Health Care. #10 in Best States Overall. ...
  • Connecticut. #3 in Health Care. #20 in Best States Overall. ...
  • New Jersey. #4 in Health Care. ...
  • Rhode Island. #5 in Health Care. ...
  • California. #6 in Health Care. ...
  • Maryland. #7 in Health Care. ...
  • New York. #8 in Health Care.

What do Republicans believe about HealthCare?

Republicans' alternative solution focuses on lowering health care premiums for families and small businesses, increasing access to affordable, high-quality care, and promoting healthier lifestyles – without adding to the crushing debt Washington has placed on our children and grandchildren.

What states offer free health insurance?

  • California. State offers public health coverage to all adults regardless of immigration status.
  • Colorado. State offers private health coverage with state subsidies to all adults regardless of immigration status.
  • Illinois. ...
  • Minnesota. ...
  • New york. ...
  • Oregon. ...
  • Washington. ...
  • District of columbia.

Is there an alternative to Obamacare?

There are some alternatives to consider, including short-term medical, private health insurance, zero deductible plans or fixed indemnity plans, and faith-based plans.

Which state has the lowest uninsured rate?

  • US Value: 8.0%
  • Top State(s): Massachusetts: 2.4%
  • Bottom State(s): Texas: 16.6%
  • Definition: Percentage of population not covered by private or public health insurance.
  • Data Source and Years(s): U.S. Census Bureau, American Community Survey, 2022.

Who actually pays for Obamacare?

The federal government covers 90% of the cost of Medicaid expansion. Individual Mandate: The ACA also originally included an “individual mandate” or requirement for most people to maintain health insurance.

What is the best HealthCare insurance?

Investopedia's analysis ranks Kaiser Permanente as the best health insurance company for 2025 because of its blend of affordability and low customer complaints. UnitedHealthcare and Aetna also earned top marks. We evaluated nine insurers using dozens of criteria, such as customer satisfaction, plan types, and costs.

Who is not eligible for Obamacare?

Must live in the United States. Must be a U.S. citizen or national (or be lawfully present). Learn about eligible immigration statuses. Cannot be incarcerated in prison or jail.

What is the best state for free healthcare?

The top five states for healthcare access are:
  • Hawaii.
  • Massachusetts.
  • Connecticut.
  • Rhode Island.
  • Vermont.

What is the best state to live in for low income?

Oklahoma consistently ranks as one of the states with the most affordable housing costs. The state also has a number of financial assistance programs through staples like SNAP and WIC, as well as local nonprofit Bethel Foundation for single mothers and young children.

What state has the best doctors?

Montana. Montana is the best state for doctors, and it has one of the top hospital systems in the country, with 82.5% of patients giving their hospital a score of 9 or 10 out of 10. Montana doctors also receive high wages.

Can I refuse health insurance from my employer and get Obamacare?

Obamacare is available to everyone, whether or not their employers offer insurance. From a practical standpoint, though, there are financial consequences to doing this. Often, an employer subsidizes part or all of their employees' coverage.

Does social security count as income for Obamacare?

Include both taxable and non-taxable Social Security income. Enter the full amount before any deductions. Include all unemployment compensation that you get from your state.

What disqualifies you from the premium tax credit?

For tax years other than 2021 and 2022, if your household income on your tax return is more than 400 percent of the federal poverty line for your family size, you are not allowed a premium tax credit and will have to repay all of the advance credit payments made on behalf of you and your tax family members.