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EDUCATING INDIVIDUALS AND FAMILIES ABOUT APPROPRIATE AND AFFORDABLE
MEDICAL / HEALTH INSURANCE OPTIONS

Why are you not able to purchase an individual health insurance policy for children in Ohio (Post Health Care Reform)?

The main reason is that Ohio cannot demand insurers sell the health insurance coverage and the carriers (Anthem, UHC, Aetna, Medical Mutual of Ohio) have been forced to protect themselves against adverse selection.

Carriers are worried consumers will wait until a child is sick before trying to buy insurance.  Under current conditions, those seeking coverage would more often be those who need to consume health-care services immediately for high-cost, known conditions, which would significantly increase the cost of premiumsto all of their other policy holders.

A statement by Anthem cited an “unlevel competitive environment” created when other insurers stopped selling child-only policies. Insurers are leaving in part because the law’s mandate that all Americans buy coverage, which would mitigate risk, doesn’t kick in until 2014, the company said. Anthem’s parent is Indianapolis-based WellPoint Inc. (NYSE:WLP).

Children also can sign up for Ohio’s high-risk pool, set up under federal reform as a stop-gap for coverage to those with pre-existing conditions until 2014, when the individual mandate kicks in and insurers can turn no one away for health status.

The department and Gov. Ted Strickland’s office should be drafting a rule offering more certainty for the plans that could come out in the next few days.

 

If you or someone you know is uninsured and in need of help in finding an affordable health insurance policy, please contact a licensed and unbiased agent at Chaser Insurance Group at (877)775-4321 or email at AF@HealthInsuranceChaser.com.

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