Indiana health insurance exchange
Indiana plan options triple for 2015, rates rise 5 percent
- By Carla Anderson
- healthinsurance.org contributor
- October 13, 2014
When 2015 open enrollment begins Nov. 15, Indiana residents will have many more choices: more insurers are offering more plans. The number of insurers is more than doubling, going from four to nine. And, the number of available plans is jumping from 278 to 975.
Modest increase in 2015 premiums
2015 premiums will rise about five percent on average, according to an Indiana Department of Insurance representative. The predicted increase is much more modest than in the years leading up to the passage of the Affordable Care Act.
According to Atlantic Information Services, nine insurance companies are selling individual health insurance through the Indiana marketplace in 2015. Anthem BCBS, Coordinated Care, and Physicians Health Plan are returning from 2014, and All Savers, Caresource, IU Healthplans, MDwise Marketplace, Southeastern Indiana Health Organization, and Time/Assurant are new for 2015. Note that not all insurers offer plans in all counties.
How many people enrolled in 2014?
During 2014 open enrollment, 132,423 Hoosiers signed up for qualified health plans, according to federal government reports. Eighty-nine percent qualified for financial assistance. In addition, 95,495 people qualified for Medicaid or the Children’s Health Insurance Program (CHIP) under existing eligibility rules (i.e., not through Medicaid expansion).
Medicaid expansion helps more gain coverage
While Indiana did not expand Medicaid through the ACA in 2014, the state did receive a federal waiver to continue its Healthy Indiana Plan, which is a health insurance program for uninsured adults with income at or below the federal poverty level. Participants help pay the first $1,100 of care. However, the program doesn’t cover as much as Medicaid does, and there is a limit on the number of people that can be covered. As of late August, the Healthy Indiana Plan was closed to new enrollment.
In May, Gov. Pence announced a plan to seek another waiver that would effectively expand Medicaid through the Healthy Indiana Plan. Pence’s plan, according to a Washington Post article, would remove Healthy Indiana’s enrollment caps and open the program to those making less than 138 percent of the federal poverty level (FPL). The modified Healthy Indiana Plan —called HIP 2.0 — would have two levels of coverage. Those earning less than FPL could make modest monthly contributions or be enrolled in a limited plan that doesn’t include vision or dental. Those with earnings above the FPL would have to make monthly contributions or be locked out of the program for six months. The federal government rejected the state’s first proposal, and a second proposal is pending. As of Oct. 10, state and federal officials say they haven’t reach an agreement but are continuing discussions.
How Indiana approached exchange implementation
Indiana is among the 26 states that opted to use the federal health insurance marketplace, HealthCare.gov. While former Gov. Mitch Daniels was a critic of the Affordable Care Act, he refrained from making a final decision about the state’s marketplace and asked the three gubernatorial candidates for their opinions. Following the election, then Gov.-elect Mike Pence weighed in and rejected both the state-run and partnership models.
Indiana health insurance exchange links
State Exchange Profile: Indiana
The Henry J. Kaiser Family Foundation overview of Indiana’s progress toward creating a state health insurance exchange.
Indiana Department of Insurance
Assists consumers who have purchased insurance on the individual market or who have insurance through an employer who only does business in Indiana.
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