2018 Exchange Plans Could Cover Fewer Hospitals, Doctors, Drugs

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2018 Exchange Plans Could Cover Fewer Hospitals, Doctors, Drugs

By Arielle Levin Becker | CT Mirror

Insurance companies that sell coverage through the state’s health insurance exchange next year will be allowed to cover fewer hospitals, doctors and prescription drugs under changes the exchange’s board approved Tuesday (02/28).

Officials hope those changes could help offset rate increases that would otherwise be required because of the increased price and use of medical care and prescription drugs.

“All the carriers have been saying that these changes will help them offer more competitive plans, so we want to see them do that,” Access Health CT CEO Jim Wadleigh said.

Separately, the board approved changes to plan designs for 2018 that would, in many cases, leave customers with higher out-of-pocket costs. The most popular mid-level silver plan, for example, would see a deductible increase from $4,000 to $5,000 for individual coverage.

It’s not yet clear whether the network and drug coverage changes will translate to lower rates, since insurance companies have not yet proposed rates for plans to sell through the marketplace in 2018. But Paul Lombardo, an actuary at the Connecticut Insurance Department, told the board that allowing insurers to cover fewer providers – and potentially negotiate lower prices with those they cover – could cut premiums by .. FORE READ MORE CLICK HERE



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March 12, 2017

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