The major provisions of the Affordable Care Act are right around the corner. The way premiums are rated will be a major factor in reshaping the health insurance market.
As one example, health insurers in the Individual and Small Group markets must treat the entire market as a single risk pool when setting rates.
In addition, differences in premiums based on health status are not allowed. Insurers must rate sick people and healthy people the same based on specific rating factors.
Health plans under reform can vary premiums based on the following four allowable rating factors:
Health Net has opted against rating for tobacco, so we will not be factoring that into our rates.
* Rating methodology varies by state. For example, in California, the three oldest dependents under age 21 are rated for individual and family plans.
Help your clients understand all their plan options through Health Net and Covered California™.
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To provide you with the most accurate plans and information in your area, we need to know your location. Please enter a ZIP code for Arizona, California, Oregon, Washington.
To provide you with the most accurate plans and information in your area, we need to know your location. Please enter a ZIP code for Arizona, California, Oregon, or Washington.