Health Insurance Reform
Cost of Healthcare Reform
A recent report that was released by the office of the chief Medicare actuary claims that healthcare reform will have a negligible effect on total national health care spending over the next decade. The report counters both the argument that reform will lead to explosive cost increases and the argument that it will slow these […]
Healthcare Reform Changes and the Impact on Grandfathered Plans
Grandfathered plans are required to meet some, but not all, of the health insurance reform changes as described in the Patient Protection and Affordable Care Act. A “Grandfathered Health Plan” is defined as a group health plan or health insurance coverage in which an individual was enrolled on or before March 23, 2010. To learn […]
Recent Healthcare Reform Changes!
On September 23, 2010 new laws regarding health insurance were enacted as a result of the healthcare reform bill. Since then the following changes have been implemented:
Lifetime limits: Health insurance plans may not impose dollar limits on essential health benefits.
Rescissions: No rescissions are permitted, except in cases of fraud or misrepresentation.
Coverage for adult children: Children […]
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 […]
Health Insurance for Ohio Children - Post Reform
The Ohio Department of Insurance plans in the next few days to issue an emergency rule that officials hope will entice health insurers to reverse decisions to stop offering policies for Ohio children on the individual market to avoid federal health reform requirements, Columbus Business First reported.
Several of the state’s […]
Medicare Part D Premiums Could Increase 10% For Some Seniors In 2011
Did you know that millions of seniors face double-digit hikes in their Medicare prescription premiums next year unless they shop for cheaper coverage. Premiums will go up an average of 10 percent among the top 10 drug plans that have signed up about 70 percent of seniors, according to an analysis of Medicare data by […]
Anthem to Suspend Sale of Child Only Policies
Effective September 23, 2010, Anthem Blue Cross & Blue Shield will suspend the sale of child only policies in all states, except those states that are required by law to offer such policies. As a result of the Patient Protection and Affordability Care Act (PPACA), insurers are facing a lot of uncertainty regarding how the […]
Health Reform Already Effecting Health Insurance Premiums
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We are now seeing health insurance premiums increase by up to 9% solely due to the early provisions of health reform which include:
Allowing children to remain on their parent’s policies to age 26
Guaranteed issue for dependent children
The creation of high risk pools
That being said, many of the provisions do not go into […]
Medical Mutual of Ohio: High Risk Pool
As of August 1st, 2010, Medical Mutual of Ohio has been accepting applications for the Ohio High Risk Pool. The High Risk Pool is a result of the Patient Protection and Affordable Care Act (PPACA), or health care reform, which was approved by President Obama on March 23, 2010. The purpose of the […]
Health Care Reform Update: Removing lifetime & dollar limits for essential health benefits
As a result of the Patient Protection and Affordable Care Act (PPACA), or Health Care Reform Bill, health insurance carriers must remove lifetime limits and annual dollar limits on covered services that are determined to be “essential health benefits”. These essential health benefits are determined by the US Department of Health and Human Services (HHS). […]
