Wiscontext

Wisconsinites Looking For Health Insurance On Marketplace Have Fewer Options This Year

The Wisconsin Office of the Commissioner of Insurance is holding town halls to talk toWisconsinites buying health insurance on the federal marketplace. Peoplehave fewer choices this year because several insurers have pulled out of the exchangedue to low profits.

October 19, 2016

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WisContext

People in Wisconsinbuying health insurance on the federal marketplace known as Healthcare.govwillhave fewer choices this year because several insurers have pulled out of the exchangedue to low profits.

The Wisconsin Office of the Commissioner of Insurance estimates more than 37,000 people will no longer be able to keep their old health plan because it’s no longer offered on the marketplace.

Deputy Insurance Commissioner J.P. Wieske saidthose impacted will automatically be enrolled in another plan if they don’t choose one themselves.

“The most important thing you can do is shop around, look for the best deal, look for the best coverage you can get on the exchange if you’re eligible for a subsidy,” Wieske said.”If you’re not eligible for a subsidy, look both on exchange and off exchange.”

To help people know their options, the insurance commissioner has comeout with a map showing what insurersare offeringpolices on themarketplace.

Individual coverage sold off the exchange provides an option for those customers who can’t find a plan on Healthcare.gov.

But Citizen Action of Wisconsin is concerned aboutbig national insurerspulling out of the marketplace.

“Because it does reduce consumer choice, and because it increases our concern that these big insurance companies are gaming the system again with a new form of pre-existing condition discrimination where they seek healthy customers in places outside of the Affordable Care Act marketplace and simply pull out of the marketplace,” saidRobert Kraig, Citizen Action of Wisconsin’sexecutive director.

The Office of the Commissioner of Insurance will hold informational town hall sessions around the state to talk about this year’s ACAenrollment, which starts Nov. 1.

Its important to alert consumers to the auto-enrollment provision and how they can opt out if they choose to do so,Wieske said.

Kraigwelcomes the town halls, he said, andhas urged the insurance commissioner to be more transparent with ACAinformation.

“They did not do much last year,” Kraig said.”In fact, we were one of only 50 states that refused to publicly release the insurance rates before they were public (by the federal government), and it was a very low increase last year. So one does suspect they’re pushing it out more because there’s bad news for the Affordable Care Act.”

Premiums for exchange plans are expected to rise an average ofnearly 16 percent. Federal health officials have saidmany consumers in Wisconsin will get subsidies to help pay for coverage.

The first town hall is from 10:30 a.m. to noon Tuesday at the Eau Claire Public Library, 400 Eau Claire St.


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