One South Florida ZIP Code Leads The Nation In Obamacare Enrollment

In one Hialeah ZIP Code, just outside Miami, where signs selling 鈥淥bamacare鈥 are plastered across storefronts and cover freeway billboards, more people have selected a plan on the Affordable Care Act insurance exchange than in any spot in the country, according to the data release by the U.S. Department of Health and Human Services last week.

Despite the political rancor associated with the health care reform law, residents of Hialeah signed up in record numbers for coverage in 2015. A total of 12,330 people in Hialeah鈥檚 selected a plan or were re-enrolled as of mid-January, the highest number in any ZIP Code in the 37 states that use the Healthcare.gov platform.

The other ZIP Codes in the top five: 33126 in Miami, 33313 in Fort Lauderdale, 33015 in Hialeah and 33165 in Miami, each with enrollment between 8,000 and 9,000.

The streets and stores in Hialeah show how far the Obamacare brand has extended. Consumers can sign up for coverage in a mall, at a discount store, at a shoe store, and even at a barber shop.

Ammer Cabrera, manager at one of two Sunshine Life & Health Advisers storefronts in Westland Mall, helped sign up the flood of consumers who came to his location last year seeking coverage. This year, he said, the market is more competitive with enrollment centers setting up shop just about anywhere.

鈥淢y barber was asking me what I was doing and I told him, and he鈥檚 like, 鈥極h yeah, us too,鈥欌 Cabrera said. 鈥淚鈥檓 like, 鈥楢re you serious? You鈥檝e been cutting hair for 25 years and now you鈥檙e an insurance agent?鈥 That鈥檚 a microcosm of what鈥檚 going on specifically in Miami.鈥

Drive down West 49th Street and you鈥檒l see the signs. In one 12-block stretch, two insurance agencies display Obamacare signs in their windows and a mustard yellow Obamacare sign entices consumers on the front of a Bank of America building.

The saturation seems to be working. Auri Barrios, a cashier at Palm Springs General Hospital in the top enrollment zip code, encouraged her boyfriend, Osdrey Lopez, to sign up for coverage after she was handed a flyer for Tropical Insurance Agency while stopped at a red light. She showed it to Lopez.

鈥淗e got here from Cuba a year ago and he got Medicaid but then after, he didn鈥檛 have anything else,鈥 Barrios, 42, said. 鈥淗e went to apply and it went really well. He got a plan for $20 a month.鈥

Now she refers patients at the hospital to the agency from the flier or to nearby Westland Mall.

While sign-ups in Hispanic-heavy Hialeah are high, Hispanics nationwide are still lagging behind other groups in signing up for coverage.

By the end of 2014, only 8 percent of people who had signed up nationwide were Hispanic, according to the latest federal data.

The numbers are likely to be different in Miami-Dade, where the population is predominantly Hispanic, said Felipe Pinzon, vice president of programs at Hispanic Unity of Florida, a nonprofit social service agency based in Hollywood.

鈥淭here are more uninsured clients eligible in Miami-Dade,鈥 Pinzon said. 鈥淎nd more marketing material. For this kind of service, you have to have more grassroots outreach.鈥

According to the latest U.S. Census data from 2013, Miami-Dade has the second-highest rate of uninsured residents under 65 with 34.4 percent 鈥 behind only Hendry County with 35 percent 鈥 and the highest overall number of uninsured people in the state, at about 744,000. Broward County reported an uninsured rate of 26 percent.

Nicholas Duran, state director for Enroll America, a nonprofit that advocates for people to get coverage, said that healthcare activists know Hialeah has a high proportion of uninsured people and are focusing their activities there.

Duran also said that people who signed up last year have been spreading the word about the availability of affordable coverage.

鈥淚t’s a ripple effect,鈥 he said. 鈥淭hey’re talking to their friends, families, neighbors and churches about their coverage.鈥

As the program rolls into its second year, misconceptions about eligibility and increased awareness on the opportunity for low-priced plans has brought more people out to apply, Pinzon said.

At Sunshine Life & Health Advisers in Hialeah Thursday morning, Martha Hernandez said the marketing efforts pushed her to come in.

Hernandez, a housekeeper in Flagler Street, who didn鈥檛 have health coverage before last year, drove to Hialeah just to re-enroll.

鈥淭hrough the TV, through the radio, I鈥檝e read about it in the newspaper,鈥 Hernandez said. 鈥淚 came here because it was the one they were announcing the most on TV.鈥

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InsuranceAffordable Care ActUninsured

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