Colorado Health Insurance Exchange Explained

By Andrea Davidson


Connect for Health Colorado is the official name of the Colorado Health Insurance Exchange. It is a marketplace where an individual or small business without coverage will be able to find and enroll into affordable plans. Enrollments are scheduled to commence in October 2013, with plans set to become active no later than the 1st of January, 2014.

The marketplace was established as required under the federal Patient Protection and Affordable Care Act (PPACA), better known as the health reform act. As per the requirements of this new law, all U. S. Citizens and legal residents must have healthcare coverage starting Jan 1, 2014. Many states are setting up their own exchanges as the main mechanism through which this law will be implemented.

CHC is expected to provide access to coverage for 500,000 additional adults in the state. This means a vast majority of approximately 750,000 uninsured people in Colorado will be able to enroll into affordable plans. Those who already have insurance can also find a new plan if they think it will save them money and provide better coverage.

CHC currently has two core components or areas of operation. One is the marketplace that is to be used by individuals, and the other one is for small businesses that have less than 100 employees. The latter platform, called SHOP, may be opened up to larger businesses with more than 100 workers after 2017, subject to the state approving implementation of this second phase too.

Colorado expects healthcare premiums to drop by 14 to 20 percent due to the reform measures. Some of it is attributed to the influx of new customers, coupled with the establishment of the exchange where providers are going to be forced to compete for customers. Forecasts show that the premium amount paid by a family in the state will drop by anywhere in between $1,510 to $2,160 per year.

Another advantage of this marketplace is that it eliminates some of the worst excesses under the old system. Among the biggest changes is the fact that providers will no longer be able to turn down applications from people with preexisting conditions. They won't be able to charge higher premiums, or refuse to cover a preexisting condition while allowing the applicant to enroll in a plan that covers said condition for others.

The establishment of CHC and all the administrative and operational costs are being borne by the federal government until 2016. The state will be required to pay five percent of costs starting from 2017, and the state's share of expenses will go up to 20 percent from 2020 onwards. Colorado will get more than $12 billion in additional federal funding to deal with the implementation and operational costs of this marketplace.

The Colorado Health Insurance Exchange is the biggest change in federal and state assistance for ordinary people and small business owners since the New Deal. The debate over what is being billed as the socialization of healthcare continues, and business associations don't like the additional costs it will impose on them. The implementation of CHC and similar exchanges in other states is likely to face a few bumps as the confusion over the changes is sorted out. However, this cost and hassle pales in comparison to the undeniable fact that most people in the state will end up having access to health insurance.




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