kathleen sebelius in her opening statement. now we are in the question period of this. let s drop in and see where we are. approximately 364,000 americans have selected a plan through a state or federal exchange, is that correct? yes, sir. of these 364,000 americans, do you know how many of those individuals will actually have coverage in effect on january 1, 2014? once they pay their premium they will be coverage in effect. so you don t know? these are the ones who just selected a plan but haven t paid their first payment. some may have paid, some may not. we are giving you have the enrollment numbers. this is a critical statistic. it s clear houston, hhhs knows e number of americans who put a plan in their shopping cart.
in effect they could be in effect. if not, the consumer protections that are available through the affordable care act could come into the plan. could some small group plans being canceled because they do not comply with the aca. they change plans every year, that s part of the market strategy. decreases, some will see increases, yes? well, mr. pitts, i think that the president talked about health care costs going down for americans. i think that we have adequately documented that health care costs indeed have gone down based on a trajectory we would
this most critical stat, the number of americans who will actually have coverage january 1. do you have an estimate. sir, i think 365,000 through the end of november have enrolled in coverage and we are dealing with the issuers to confirm their actual payment. would you define enrollment. we are giving you the number of individuals who have chosen a plan. but not actually paid. through the end of november. the payment isn t due until mid-december in order to be fully covered. so ween we don covered. so we don t have those numbers. you can t guarantee the actual number of constituents who have coverage. not until they pay their premium. in october the ap reported a
is accelerating and i wanted to ask you about enrollment. the numbers released today, are impressive and i want to get broader context from you how enrollment is progressing. we always expected enrollment to be slow in the early months. that is what happened in massachusetts when they implemented health care reform. in the first month, only .03% of people in massachusetts ultimately signed up actually enrolled but the clear trend in the report released today and reports from the states that enrollment is surging. in november there were four times more enrollments in private plans than october. more than 1.2 million enrolled in private plans were found eligible for medicaid and more than 1.9 million people are eligible for marketplace coverage and poised to enroll as soon as they select a plan. 3.7 million have applied for coverage but the most important fact is the trend. the pace of enrollments at the end of the month was double the pace at start of the month and that trend appears to
september 14 memo listed monthly enrollment tarring test and this memo indicates the target enrollment number for the end of december is 3.3 million. bases on hhs s release this morning your department is more than 3 million off their target numbers, isn t that correct? through the end of november, that is correct. some news reports indicated 5.6 million individuals have had their policy canceled. isn t it the case january 1 more americans will have their coverage canceled than will have enrolled in an exchange. i don t know where the 5 million number comes from. i know people have been told their health plan doesn t necessarily match the aca compliance plans. they are not in grandfather plan and a number of those individuals are reenlisted and enrolled in plans. losing coverage and notified the plan they had doesn t exist