A function of the health exchange is to facilitate changes in the rules governing how insurance brokers sell health insurance coverage. In most states today, people buying insurance in the non-group market (individual) can be denied coverage or charged a higher premium based on a pre-existing health condition. Health insurers (carriers like Kaiser, Blue Cross, Anthem) are required by federal law to offer health insurance to any small business, but of course health insurance premiums in most states can vary within prescribed limits based on the health status of the workers.
Many health reform proposals would require insurers to accept all applicants without consideration of the applicant’s health, and would further prohibit… or majorly limit premium differences related to health status. Although these types of changes can be implemented simply by changing insurance laws and do not necessarily require the creation of exchanges, some argue that exchanges can make these insurance market reforms more effective by monitoring marketing practices and administering a uniform system for enrolling in a health insurance plan.
As well as offering a choice of health plans, the exchange is meant to provide the normal health insurance consumer with “transparent information” about health insurance plan provisions such as premium costs and covered benefits, as well as a plan’s performance in encouraging health and wellness, managing chronic illnesses, and improving health insurance consumer satisfaction. We’re told that the health exchange could also serve as a customer health assistance function (typical for large employers) to assist buyers who come across billing or other problems with their health insurance plans. This is the sort of group health benefit information we offer on a daily basis.
So give us a call here at Brauer Insurance. We would be happy to look over your insurance plans and find one that fit you. 408-421-5555