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    Home»Insurance»Chattanoogans will see Affordable Care Act costs and subsidies increase in 2023 [Chattanooga Times Free Press, Tenn.] – InsuranceNewsNet
    Insurance

    Chattanoogans will see Affordable Care Act costs and subsidies increase in 2023 [Chattanooga Times Free Press, Tenn.] – InsuranceNewsNet

    November 3, 20226 Mins Read
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    Nov. 2 – Most Chattanoogans who don’t have health insurance through their employer, Medicare, or TennCare will pay higher premiums next year to purchase individual insurance plans through the Marketplace health exchange.

    But as enrollment for 2023 coverage begins this week, consumers will have more options and be more likely to qualify for government assistance with their health plans.

    The Tennessee Department of Commerce and Insurance approved six insurers for individual policies offered through the Affordable Care Act health exchange for 2023, including four in Chattanooga. Glowing Health exit from the individual and family market in Tennessee at the end of the year, while Personalized Care Ascension/US Health and Life joined the Tennessee exchange for 2023.

    On average, insurers have secured rate increases of 8.5% on average for next year, nearly double the 4.4% average approved by state regulators for plans in 2022.

    However, most consumers should be able to offset some or all of the increase by shopping for other plans or taking advantage of additional government assistance.

    During the pandemic, subsidies for plans offered under the Affordable Care Act have been expanded and Congress locked in enhanced subsidies until 2025 under the Inflation Reduction Act. The Medicare and Medicaid Service Centers estimates that four out of five customers Healthcare.gov will be able to come up with a plan for $10 one month or less after the grants.

    The new “family issue” change will allow more people to be eligible for grants that were not eligible in the past. In the past, many Americans were forced to purchase more expensive family or individual plans without any subsidy because their spouse had health insurance through work even though they could not afford to add a spouse or children. to plan. The Urban Institute estimates that by extending subsidies to those unable to pay or access spousal coverage at work, it could help up to 125,000 Tennesseans, or 2.2 percent of the non-elderly population.

    “It’s a change that should help a lot of people,” Bobby Huffakerfounder of the Chattanooga-based at American Exchange, said in a telephone interview. “Rates are rising, but in most cases government subsidies should keep plans relatively affordable.”

    American Exchange helps consumers purchase individual health plans in 47 states. For the 2023 open enrollment period, American Exchange has hired 17 additional workers to help consumers navigate the Affordable Care Act and Medicare open enrollments, which began Tuesday for next year’s coverage. .

    “In 2023, the advanced tax credits that reduce customer premiums are higher due to the extension of the COVID emergency level grants, which have been extended to 2025, so the plans are very affordable in the big Chattanooga Region,” Andre HetzlerCEO of American Exchange, said in an email.

    Consumers will have at least two insurance choices for individual healthcare plans through the exchange program within 95 Tennessee counties. An insurer has also expanded its coverage area for 2023.

    According to research by Kaiser Family Foundation14.5 million Americans, including 273,680 in Tennessee and 701,135 in Georgiahave enrolled in one of the marketplace exchange programs offered under the Affordable Care Act, also known as Obamacare, within the past five years.

    Despite Republican calls in the past to repeal Obamacare, Michele Johnson of the Tenser Justice Center said political opposition to the federal program has waned over time.

    “Obamacare is here to stay because people see how it has helped so many people get needed health care coverage at an affordable rate,” she said in a phone interview.

    Johnson said she was disappointed Tennessee hasn’t expanded its TennCare program to include more Tennesseans like other states have with expanded Medicaid programs.

    In 2021, the number of Americans covered by health insurance through their employer was about 156 million, or 49% of the country’s population. The average annual premium for employer-sponsored health insurance is approximately $7,739 for an individual and $22,221 for a family, according to Kaiser Family Foundation.

    Although the Affordable Care Act requires employers with more than 50 workers to provide health insurance to their employees or pay a penalty to the IRSalmost a third of full-time workers Tennessee are still not covered by health insurance because they work for smaller employers. Only 28.4% of part-time workers have employer-sponsored health insurance Kaiser Family Foundation.

    “Inflation is hitting many families and creating a real need for help paying bills of all types, including health insurance,” Johnson said.

    Tennessee BlueCross BlueShield, the state’s largest health insurer, won approval from state regulators in August for a 6.4% increase in its premium rates for the health trading program. But in ChattanoogaBlueCross has doubled its offerings for 2023 with 16 different plan options, including seven Bronze plans, seven Silver plans, and two Gold plans. This year, BlueCross offered four Bronze plans, three Silver, and one Gold plan.

    “Because some of our new 2023 plans are at lower prices, existing consumers may choose to switch and offset some of the rate change,” BlueCross spokesperson. Alison Sexter said in an emailed statement. “We know affordability is important to our members, so we’re excited to be able to offer more competitive rates next year.”

    Before signing up for a plan, state insurance officials recommend:

    — Review each policy to make sure it covers the services you are looking for or may need in the coming year. Although it may be tempting to sign up for a plan with the lowest premium, consumers should consider other potential costs such as copayments and deductibles.

    — Ask questions and contact carriers about their plans. Consumers can get more details on individual plans and view a map of insurer regions by visiting the website for the Tennessee Department of Commerce and Insurance.

    — Research premiums, deductibles, copayments, and cost sharing while examining each insurance company’s networks for their most accessible and/or preferred providers and hospitals. Consumers should always visit network providers to avoid high costs. The health insurance company can provide you with a list of in-network providers near you.

    More information is available by calling 1-800-318-2596 or visiting Healthcare.gov.

    Contact David Flessner at [email protected] or 423-757-6340. Follow him on Twitter @DFlessner1.

    2023 rate increases

    The five health insurers that are again offering health care coverage in Tennessee next year increase their premiums in 2023 by more than the average increase of 4.4% made a year ago. Insurers offering insurance on Healthcare.gov and their approved rate changes next year are:

    — Tennessee BlueCross BlueShield: increase of 6.43%

    — Cigna: 9.9% increase

    — Celtic/Ambetter: 5.8% increase

    — Oscar: 5.8% increase

    — CSU: increase of 11.35%

    — Health in the United States: New entrant on the market

    Source: Tennessee Department of Commerce and Insurance

    ___

    (c)2022 the Chattanooga Times/Free Press (Chattanooga, Tenn.)

    Visit the Chattanooga Times/Free Press (Chattanooga, TN) at www.timesfreepress.com

    Distributed by Tribune Content Agency, LLC.

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