Update On Health Insurance Marketplace In Missouri


Individuals who want to enroll in a health insurance plan through the Health Insurance Marketplace can do so now through January 31. Here are some interesting facts about Missouri’s health care exchange and some ansers to some questions we have received since the recent election.

Missouri uses the federally-facilitated marketplace, which means residents enroll through Healthcare.gov if they want a plan through the exchange. More than a quarter of a million people had effectuated coverage through the Missouri exchange as of March 2016.

Donald Trump’s election win has created a great deal of uncertainty around the future of the Affordable Care Act. For the time being, however, nothing has changed. And nothing is likely to change in 2017 in terms of the coverage and subsidies available through the exchanges. Open enrollment ends on January 31.

At the end of 2016, Aetna (Coventry) and UnitedHealthcare (All Savers) will exit the exchange in Missouri, and their plans are not available for 2017. Aetna is continuing to offer off-exchange plans, but United is exiting the entire individual market in the state.

Four carriers are offering plans in the exchange in Missouri for 2017, but carrier participation tends to be localized. The majority of Missouri’s counties only have one carrier offering plans in the exchange in 2017. And while some counties have two carriers offering exchange plans, there are no counties with three or more participating carriers.

In the Saint Louis area, plans are available from Anthem BCBS and Cigna (ten counties). In the Kansas City area, plans are available from BCBS of Kansas City, Cigna (five counties), and Humana. But in Columbia, Anthem is the only carrier offering plans in the exchange.

2017 rates and carriers

The four carriers that will continue to offer plans through the Missouri exchange have the following average rate increases for 2017:

  • Blue Cross Blue Shield of Kansas City (Blue KC): 40.7 percent (increase would have been even higher, but hospitals agreed to lower payments in 2017 as part of their contract negotiations)
  • Cigna: 9.1 percent
  • Healthy Alliance Life (Anthem BCBS): 20.13 percent
  • Humana: 34.9 percent

Details about the rate changes for Missouri’s individual market for 2017 are available on Healthcare.gov’s rate review tool.

Source: https://www.healthinsurance.org/missouri-state-health-insurance-exchange/
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