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More than 2.1 million signed up for Obamacare

More than 2.1 million Americans have signed up for private insurance through Obamacare, the administration said Tuesday, a day before coverage on the new marketplaces begins. However, not all enrollees may have immediate access to that coverage, and the administration is taking steps to prepare for that scenario.

Approximately half of the enrollees signed up on state-run Obamacare sites, while the rest signed up on, the federal site serving as the Obamacare portal for 36 states. Anyone who signed up for insurance on by Dec. 24 should have coverage when the marketplaces open Wednesday. On a conference call with reporters, Health and Human Services Secretary Kathleen Sebelius said Wednesday will be “a new day in health care for millions of Americans.”

Along with coverage on the new marketplaces, Sebelius noted that new consumer protections also kick in on Wednesday. “Starting tomorrow being a woman will no longer be a pre-existing condition,” she said. The new rules also bar insurers from denying coverage to anyone with actual pre-existing conditions, and they limit the variation of rates offered to consumers.

While 2.1 million Americans have signed up for insurance plans, it’s unclear exactly how many will be able to access their new coverage starting Wednesday.

In some cases, a technical glitch may have disrupted some consumers’ attempts to enroll online, though administration officials insisted Tuesday that this problem has been resolved.

Earlier in the year, insurers said they were at times receiving incorrect information -- or no information at all - from users who thought they had successfully enrolled in private plans. The administration said earlier this year it fixed the glitch and has been working with insurers to confirm that they have the correct information for all enrollees. On Tuesday, Julie Bataille, a spokeswoman for the Centers for Medicare & Medicaid Services (CMS), said that “meticulous process” is ongoing.

She added, “What’s most important is to know that all of the issuers have all of the data for consumers who have selected a health plan on”

Even if insurers have all the correct information for enrollees, they may not in some cases be finished processing  payments or issuing membership cards. Insurers typically don’t begin coverage until they’ve received a customer’s first payment. Administration officials on Tuesday said they don’t have data for the number of enrollees who have paid their first bill, but the Wall Street Journal reports that a significant portion of new enrollees have yet to do so.

The administration is taking various steps to mitigate any problems that may arise for consumers on Jan. 1. Sebelius on Tuesday published a blog post with tips for Obamacare enrollees. “Consumers who think they’ve signed up for Marketplace health insurance, but haven't heard from their insurance company can get help finding out if they're covered,” Sebelius wrote, adding a link to information on how to get assistance.

The blog post also reminds enrollees to “Get your insurance card or a temporary card with your new plan’s information,” and “Make sure you know when your first premium payment is due and pay it by the due date.”

While the Obamacare marketplace has its own hotline for consumers looking for help, the administration is also working with companies in the health sector to get in front of possible problems. Sebelius reached out to the chief executive officers of the major pharmaceutical companies who have responded with contingency plans. For instance, the CVS pharmacy chain announced it may provide "a transitional supply of a prescription to a patient experiencing a temporary disruption in coverage."

The administration on Tuesday could not say how many of the 2.1 million enrollees were previously uninsured and how many were signing up for a plan to replace their expiring coverage. Millions of Americans have been dropped from insurance plans that no longer meet Obamacare coverage standards, but President Obama earlier this year offered insurers the chance to re-enroll those consumers in their plans for another year. The federal government in mid-December set up a hotline for people who lost their coverage, but the hotline has received only about 2,400 calls to date, Bataille said Tuesday.