Obamacare in New Hampshire

Health Insurance

November 1, 2017

The Granite State, America’s fifth-smallest state by area, distinguishes itself on the national political stage in 2017 by having two female senators and two female representatives in the lower chamber. All four of these legislators belong to the Democratic party. New Hampshire voters are famously independent, and the state has a large concentration of registered Libertarians. Still, the state’s electoral votes went to Democratic presidential candidate Barack Obama in 2008 and 2012. In 2016, Democratic candidate Hillary Clinton carried the state by a narrow 0.37 percent margin. New Hampshire legally challenged the Affordable Care in the Supreme Court but did expand Medicaid per the law’s guidelines.

Enrollment Through the Years

Granite Staters use the federal marketplace to enroll in ACA health care plans. Its number of enrollees in the ACA increased slightly from 2015 to 2016 but dropped from 2016 to 2017.

  • 53,005 Granite Staters enrolled in 2015
  • 55,183 Granite Staters enrolled in 2016
  • 53,024 Granite Staters enrolled in 2017

In 2017, there were 13,331 new enrollees from New Hampshire in ACA insurance plans. Re-enrollments from 2016 and 2017 totaled 39,693. New Hampshire’s most-enrolled demographic in 2017 was young adults aged 18-34.

Thanks to Medicaid expansion in the state, about 53,900 people have become eligible and enrolled in New Hampshire’s program.

Cost Assistance

Some New Hampshire enrollees who choose an ACA health care plan are eligible for cost assistance. Those enrollees must earn 100 to 400 percent of the poverty limit set by the federal government. Granite Staters who earn no more than 250 percent of the federal limit and are enrolled in silver-level health care plans might be eligible for additional cost-sharing reductions (CSRs).

In 2017, 91 percent of Granite Staters enrolled in an ACA health plan received cost assistance in the form of a federal subsidy. Subsidies reduce the cost of monthly premiums. Also in 2017, 55 percent of CSR-eligible enrollees took advantage of these savings.

Carrier Participation & Plan Availability

New Hampshire had four participating insurance carriers in the ACA marketplace in 2017. This is scheduled to decrease to three providers for 2018. In 2017, New Hampshire carriers offered 335 different health insurance plans. Plans typically vary from county to county, even within the same state.

Note: The information provided on this page is constantly being updated with the latest statistical data available. Check back soon for updates.