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Map: Counties at risk of having no Exchange insurers in 2018
It's not as bad as the right claims.
Note that it's just 48 rural counties affecting about 35,000 policy holders, concentrated in northwest Missouri, southeast Ohio, and a county in Washington state.
All are rural counties where insurers can't make money because expenses & claims are higher than premiums.
Anyone know if there are unique contributing lifestyle, demographic, industry, or health issues in these areas?
Where we cannot offer in-network services at a reasonable cost, we will exit the service area. Beginning in January 2017, our individual market reach will be reduced from 38 to 24 counties. This change will impact only individual plan members who represent less than 2 percent of Premera's 900,000 customers statewide.
Why are you exiting those counties?
This change will impact less than 2 percent of Premera's 900,000 customers statewide, most of whom are insured through Medicare or group plans through their employer. If we chose to continue to offer Individual coverage in those counties, we would have to significantly raise rates for members in other counties, which would adversely impact all individual members across the state.
All healthcare insurance is Geo Rated. This was true long before the ACA and will remain true.
The state of Florida has, for example, 69 Geo Rated areas. This means the same plan sold by the same insurer will likely have a different premium, dependent on area.
Factors that influence e Geo Ratings include:
The health of the local population as measured by the number of and type of claims, and
The ratio of healthcare providers and hospital beds vs the local population, and
The number of healthcare networks within the area, and
The number of insurers , the competition, operating in the area.
A very small percentage of the population is covered by an Individual Plan.
Insurers have been abandoning the Individual Plan market for more than 25 years.
Pre ACA, states tended to scramble. Some chose to subsidize the Individual Plan market. Some made the insurers ability to write large group plans and Medicare supplimental plans contingent upon maintaining some semblance of insurance for the Individual Plan market. Those same states now throw up their hands and blame it on Obamacare.
The US consumer continues to assume all insurance is alike.
no I admit that they've been brutally murdered by the GOP. Just like tens of thousands will die if they get their way.
The only good thing is that once adults take charge again we will probably just g to single payer.
Sounds like the same argument that Hillary lost the election due to Russians.
Obamacare is the law of the land. It has not been changed since Obama was in office.
It failed.
Voters stung Democrats with YUGE losses as a result.
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