The state choosing California to pursue a role active in negotiating health insurance plans has led to good results for its citizens as individuals across the state have reported relatively smooth transitions of the health group coverage to individual plans in California covered.
success in the California market
[1945012Californie] is covered by insurance the California market. It allows both individuals and small businesses to buy health coverage at rates that are subsidized by the federal government. At the end of the first open enrollment period in 2014, 1.4 million people registered to an individual policy through Covered California greatly exceeds the original target of 815.00 registered.California is one of a minority of states that supported the model "active purchaser," meaning that it plays an active role in negotiating premiums, specifying quality objectives and the development of plans that are offered in the market. In its first two years of operation, it rejected several insurance companies for not complying with the requirements. This approach leads to a simplified market that offers better options for consumers.
NPR reported that, in 2016, covered in California managed to get a copay cap on his plans for prescription drugs. For silver, gold, and platinum plans, patients do not pay more than $ 250 per month. For bronze, patients do not pay more than $ 500 per month. California covered indicates that it is the only exchange in the United States that requires plans to be standardized across the board.
Conversely, the majority of states, including those on the federal market, use an Exchange Model, where all insurers and plans are accepted, provided they are comply with the affordable care Act (ACA).
during negotiations this year, Covered California convinced insurers to reduce premiums by between 1 and 9 percent, leading to $ 0 million in savings, both for individuals to pay premiums and taxpayers. Until now, Californians are buying individual plans on the market covered California seem happy with their choice. This year, only 14 percent of registered who returned switched to another insurer (compared to 43 percent on the federal exchange in 2016).
Covered California Price Policy
For the first two years, California has maintained relatively low, but higher than average premiums is expected in 2017. California covered recently announced that the average premium increase of 13.2 percent. Also according to the Brookings Institution, premiums will continue to be much lower than they would have been without the ACA.
Compared with group coverage, individual health care premiums seem to be more affordable. In 2015, the average premium, including the contribution of the company was $ 573 per month for single coverage. Under California covered, a monthly premium of 2016 to the second lowest cost silver plan for a smoke-free 40 years making $ 30,000 per year is $ 245 per month ($ 206 per month and after credit tax).
How California individual of the market differs from California covered for small businesses
A question often asked is how companies could structure their benefits using the individual market covered California against California covered for small businesses. Covered California for small businesses is a collective defined contribution plan. With a collective defined contribution plan, the company will choose one or two levels and percent contribution. This provides a predictable budget for companies without the burden of selection plans for employees. Companies have the ability to offer multiple shots and get a single monthly bill.
With a plan centered around covered individual exchange of California benefit, the company allows employees to choose and own their insurance policies. Employees choose the policy that best suits their needs, keep coverage regardless of employment status, and the company made a payment of compensation of the monthly premium available for them. Companies can vary the amount of contributions based on the status of the family and classifications employees without maximum or minimum funding required. Companies must not select a group policy for their employees, instead they work with third-party software to manage allocations and check employee expenses.
Conclusion
Although premium prices continue to rise in California covered an excellent example of a state of well-functioning market, supported by a state that is working hard to provide its citizens with quality coverage. Buying individual health insurance has proved to be a good experience for many California with affordable premiums and consumer protection, such as prescription drug co-payment cap won for them by their condition.
Did you buy an individual policy on California Covered? Tell us about your experience in the comment section below.
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