Anthem announced on Wednesday that it will reduce its individual insurance plans in Wisconsin and Indiana, citing its inability to cope with the cost of sicker Americans that sign up for health insurance on the Obamacare market.

Anthem will sell health plans in one county in Wisconsin and five counties in Indiana. However, Americans who purchase those plans cannot use Obamacare’s subsidies to lower their costs.

Anthem said in a statement,

A stable insurance market is dependent on products that create value for consumers through the broad spreading of risk and a known set of conditions upon which rates can be developed. Today, planning and pricing for ACA-compliant health plans has become increasingly difficult due to a shrinking and deteriorating individual market, as well as continual changes and uncertainty in federal operations, rules and guidance, including cost sharing reduction subsidies and the restoration of taxes on fully insured coverage.

President Donald Trump has threatened in the past to remove the Obamacare subsidies that many health providers use to defray the costs of covering more expensive patients and lower-income Americans.

Anthem announced earlier this month that it will withdraw from the Obamacare market in Ohio
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