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People who do that wouldn’t normally be eligible for premium subsidies. But the Obama administration says exceptions will be made for people whose attempts to buy marketplace insurance on time were stymied by continuing problems with some enrollment websites.

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MILLIONS OF PEOPLE WON’T GET COVERED

Some 12 million people could gain health coverage this year because of the law, if congressional auditors’ predictions don’t prove overly optimistic.

Even so, tens of millions still would go without.

That’s partly because of immigrants in the country illegally; they aren’t eligible for marketplace policies.

Some of the uninsured will not find out about the program in time, will find it confusing or too costly, or will just procrastinate too long. Some feel confident of their health and prefer to risk going uninsured instead of paying premiums. Others are philosophically opposed to participating.

Figuring out just how many of the uninsured got coverage this year won’t be easy because the numbers are fuzzy.

The administration’s enrollment count includes people who already were insured and used the exchanges to find a better deal, or switched from private insurance to Medicaid, or already qualified for Medicaid before the changes.

Some who sign up will end up uninsured anyway, if they fail to pay their premiums.

The budget experts predict enrollment will grow in future years and by 2017 some 92 percent of legal residents too young for Medicare will have insurance.

But even then, about 30 million people in the United States would go uncovered.

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SOME ARE LEFT OUT

A gap in the law means some low-income workers can’t get help.

Story Continues →