Consumer alert: Medical insurance gets pricier as people return to the doctor’s office after pandemic slowdown


After laying aside routine health take care of much of the pandemic, Americans are actually returning to doctors’ offices in big numbers — a trend that’s starting to indicate up in higher insurance rates across the country.

Health insurers in individual marketplaces across 13 states and Washington, D.C., will raise rates a mean of 10% next 12 months, based on a review of rate filings by the Kaiser Family Foundation.

That’s an enormous increase after premiums remained virtually flat for several years throughout the pandemic as insurers seek to recoup costs for more people using their policies, combined with record-high inflation that’s driving up prices for virtually all the pieces, including health care.

The rates review included Indiana, Iowa, Michigan, Minnesota, Georgia, Kentucky, Maryland, Latest York, Oregon, Rhode Island, Texas, Vermont and Washington.

“We’re at some extent within the pandemic where individuals are using health care that they might have delay before,” said Larry Levitt, executive vp for health policy with the Kaiser Family Foundation. “We’ve a double whammy straight away of individuals using more care and inflation throughout the economy.”

In California, state officials announced Tuesday that rates would increase a mean of 6% next 12 months for the 1.7 million individuals who buy coverage through Covered California, the state-operated medical insurance marketplace. That’s an enormous jump after years of record-low increases, when rate increases averaged about 1% up to now three years.

Increased use of health plans was the most important reason for the rise, accounting for 4 percentage points, based on Jessica Altman, executive director of Covered California.

“That is de facto the consistent message that other states are seeing as well, and much more so than California,” Altman said.

About 14.5 million people bought individual health coverage through state marketplaces this 12 months, based on the Kaiser Family Foundation.

That’s a small portion of the full variety of insured Americans, as about 155 million people get their insurance through employer-sponsored coverage. But Kaiser said the filings for the person plans are more detailed and publicly available.

The annual open-enrollment period for when customers can shop for and buy 2023 coverage starts this fall. That’s the essential window annually when people on the person market should purchase coverage or change plans.

How much people can pay for coverage relies on a variety of things, including where they live and which kind of plans they select.

The speed increases come as Congress debates whether to increase financial help for consumers through the American Rescue Plan — the $1.9 trillion economic aid package Congress passed last 12 months to combat the economic impacts of the pandemic.

The American Rescue Plan included significant funding to maintain medical insurance premiums low for individuals who purchase coverage through state marketplaces.

California receives about $1.7 billion a 12 months from that funding to make certain nobody paid greater than 8.5% of their household income on monthly premiums.

If that assistance expires at the tip of this 12 months, about three million Americans — including 220,000 Californians — would likely drop coverage because they may not have the option to afford it, based on an evaluation by Covered California.

Without guidance on whether Congress will extend the help next 12 months, some insurers have reacted by raising rates in anticipation of individuals dropping coverage. The uncertainty accounted for half a percentage point of California’s 6% increase, Altman said.

California officials have lobbied hard for Congress to increase the financial assistance through the American Rescue Plan.

Typically, the worth of medical insurance premiums relies on who’s buying coverage. If it’s mostly sick people, the premiums are costlier. If more healthy people buy them, the premiums are lower.

Altman said California has managed to maintain its rate increases below the national average partly because more healthy individuals are buying coverage through Covered California than happens in most states.

She said that’s partly due to a California law that taxes individuals who refuse to buy health coverage. But she said it’s also due to subsidies that keep premiums low, so more people can afford them.

Altman said not extending the federal financial assistance would price some people out of coverage and “is the core end result to be concerned about here.”

“That might be an enormous step backwards,” she said.


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