Around the country
Early reviews from various states were mixed. For example:
• Arkansas. In the morning, Arkansas' online exchange was moving at a crawl due to heavy traffic. Mountain Home, Ark., insurance agent Joey Crump said a number of people approached him seeking help with insurance needs but he was not been able to get on. "It' been frustrating," Crump said.
• California. Applications for the Covered California exchange were slowed by website delays and glitches all morning on the main website. Screens were showing blank on apply.coveredca.com. Error messages showed up, but applications did not. Call center lines were ringing busy and wait times of more than 30 minutes were being reported.
Rachel Mansfield, a 30-year-old self-employed esthetician in La Quinta, jumped on the website right at midnight Tuesday to sign up for a new coverage plan. The website kept crashing, she said, so she ended up downloading the application and printing it 10 hours later. But even the frustration that she saw as inevitable couldn't stop her excitement. She went on Twitter to share:" It feels so good to be signing up today. Healthcare coverage that doesn't discriminate-finally!!!"
• Connecticut. Jason Madrak, the spokesman for the state's exchange, said there were initial bugs but the exchange had 11,000 visitors and its first customer at 9:30 a.m. and 24 by noon.
"We're off to the races," Madrak said.
• Florida. Florida Blue Cross and Blue Shield added five bricks-and-mortar sales centers, bringing the statewide total to 16, and doubled the size of its direct sales force. This was done in large part to acquaint people with the company's health exchange products, and to assist those ready to purchase, said Jon Urbanek, its Jacksonville-based senior vice president .
"We're getting better traffic than we expected. And, our expectations were high," Urbanek said.
He added that company company call centers were getting more than double the normal daily call volumes, and that demand was particularly brisk at sales centers in the east coast cities of Miami, Orlando and Jacksonville.
In Estero, in southwest Florida, Florida Blue Center Director Meredith Viskovic estimated morning visitor traffic was up by 3% to 4% percent in the morning, but had tapered off by mid-afternoon.
"Callers were asking about subsidies, and whether they should wait a day or two to come in," Viskovic said.
People who arrived "came in ready to purchase a plan," but Viskovic couldn't estimate what percentage actually did. The government health exchange website "at times, was overwhelmed," Viskovic said.
• Iowa. Problems there went beyond the exchange. Visiting Nurse Services and Planned Parenthood of the Heartland both received federal grants to hire "navigators," who are to help consumers figure out their options on the new online system. Both agencies say they're working to hire and train navigators, and should have them available within a few weeks.
• Kentucky. The state''s Kynect website, which opened after midnight Tuesday, had 24,000 visitors and had processed nearly 1,000 applications by 9:30 a.m. — more than officials expected. But then the registration function went down, keeping many from applying for insurance or seeing personalized rates for various plans. State technicians worked feverishly to fix bugs, but the delay frustrated thousands who went online or came to sign-up events such as one at Jefferson Community & Technical College in Louisville.
Vanessa Anglin, 61, said she'd waited for months after losing her job and her insurance, and had to make appointment with an application counselor for next week. "It's frustrating," said Kelli Cauley, a Kynector, or in-person assistor, who was on campus to help people sign up.
The heavy demand in Kentucky reflected how many of the state's 640,000 uninsured were clamoring for access to affordable coverage, said Bill Wagner, executive director of Louisville's Family Health Centers, which serve many of the city's neighborhoods with high concentrations of uninsured residents. "When we opened this morning, we had people standing outside waiting to make an application," he said. The state's health exchange call center had taken more than 2,500 calls by early afternoon, officials said.
• Maryland. Dr. Joshua Sharfstein, the state's secretary of health, said the state delayed its opening by four hours to work on some connectivity issues with the agency's partner organizations. But when its exchange opened at noon, an "unexpected bottleneck" made it impossible for people to create accounts. At one point, more than 1,000 people were trying to do so, he says. Maryland Health Benefit Exchange spokeswoman Danielle Davis said about 90,000 people visited the site and crashed it.
"It's really as a result of the tremendous interest," Sharfstein said of the glitch. "But our system should be able to handle that."
• Michigan. After the signup website stopped functioning, long lines formed early in the day at Dearborn-based Access, a non-profit social service agency that is helping people navigate the new law. Rick Murdock, of the Michigan Association of Health Plans that represents Michigan insurers, said technical glitches aren't unexpected and "will take care of itself."
Just after the Detroit-based Thea Bowman Community Health Center opened today at 8 a.m., a patient in for a regular check-up at 9:30 asked about his options on the marketplace, triggering a call from his doctor to Jamie Jackson. Jackson is one of four community health guides for Advantage Health Centers, which operates several clinics that provide free and low-cost care to the homeless and poor. Jackson said she wasn't surprised at the call and she was able to discuss options for the patient. Despite plenty of news about federal health reform and the stalemate in Congress, consumers are still working out the details for themselves, she said. "I don't necessarily think that people will be clamoring to sign up today," Jackson said, "but I do think that the questions will start today."
• Mississippi. At 9 a.m., HealthCare.gov would not show Mississippi's exchange. Instead, it displayed a message saying visitors would be directed to the login site as soon as traffic allowed. After several minutes, a message appeared saying the system was down. Several attempts to log in yielded the same result.
• New Jersey. Scott Hartung of Shore Benefits Brokerage in Allenhurst, N.J., said the phone was ringing off the hook, and described the first day that residents could sign up for healthcare plans as "frenetic pandemonium."
• New Mexico. The state's SHOP site for small businesses enrolled 29 businesses within the first 45 minutes the exchange was open. By noon, they had more than 100 businesses, said Mike Nuñez, interim CEO for New Mexico Health Insurance Exchange.
"I'm just really excited," he said. The first few employers were rural , and that's icing on the cake for us to know that we're reaching out to rural employers."
But the rest of the day proved more difficult as people had long waiting times to the federal call center and federal exchange.
• New York. Traffic apparently overwhelmed its website in the morning. Reports on Twitter cited 2 million visitors in the first 90 minutes that nystateofhealth.ny.gov was open for business. A spokesman at the Department of Health at 8:30 a.m. said the site was working fine, but already there were delays, locked screens and error messages. By mid-morning, the site was much slower. While the home page came up on Internet Explorer, Firefox and Chrome web browsers, server error messages were common when clicking on the individual and small business links.
Reporters trying to ask questions about the website were equally out of luck Tuesday. The Chicago-based Department of Health and Human Services staff bounced back emails stating they were furloughed and unable to answer press inquiries due to the federal government shutdown.
HHS Secretary Kathleen Sebelius said 52% of her staff is working despite the federal shutdown that started at midnight Tuesday.
Those who don't get through today can still rest easy. If you want coverage to start Jan. 1, you need to enroll by Dec. 15. Otherwise, enrollment for 2014 remains open through March.