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Home Illinois News

IL Dept of Insurance warns of double digit health care increase in 2017

Illinois Review by Illinois Review
August 24, 2016
in Illinois News
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CHICAGO – The Illinois Department of Insurance said Wednesday that Illinois families' can expect a double digit increase in health insurance premiums next year.

Congressman Peter Roskam (IL-06) said the news confirms what Illinois families already know.

“Obamacare is a failure. Illinois families are paying more money for fewer and fewer benefits. Now, they can expect a double digit increase in their health insurance premiums for 2017.  The Administration continues to tout the success of the President’s signature healthcare law, but the facts are the facts," Roskam said in a statement.

"Average premiums in job-based coverage increased by $3,775. Co-ops are failing. Just last month, the Land of Lincoln became the 16th co-op to collapse, leaving 49,000 Illinoisans without healthcare coverage.” 

Roskam supports the Republican House Caucus' alternative plan called a "Better Way." 

"The House GOP healthcare plan creates more choices and lowers costs for everyone. We want real protections and peace of mind for families as they make the best decisions for their own individual circumstances," Roskam said. "We want to clear the way for the development of cutting-edge cures and treatments. We want to protect Medicare for today’s seniors and strengthen the program for the future."

Earlier Wednesday, the Illinois Department of Insurance (DOI) submitted to the Centers for Medicare and Medicaid Services (CMS) health care rate filings received from Illinois insurers for the 2017 on-exchange marketplace. In Illinois and nationwide, 2017 premium rates are increasing for consumers, and in many cases, these increases are significant.

The DOI's press release in its entirety: 

The DOI has submitted the 2017 rate filings to federal CMS; however, these rates will not be finalized by federal CMS until October. In addition, network and specific premium information will not be available until October.

“Washington’s failure to fulfill its financial obligations to payers under the Affordable Care Act limited the Department’s ability to fulfill its mandate of protecting families buying insurance on the exchange while fostering a competitive and financially sound marketplace for health consumers in Illinois” said Acting Director AnneMelissa Dowling.

“The Department is releasing this rate information in order to provide consumers as much information as possible, as early as possible, so they can better make decisions for their families’ healthcare needs. The amount of financial help individuals qualify for depends on the cost of the plans available in their service area, as well as their ability to pay. While these rate approvals result in a very difficult outcome for consumers, they were necessary to ensure that all Illinois consumers actually have an option for coverage when the 2017 Open Enrollment begins on November 1, 2016.”

The nationwide and Illinois premium increases are due to several factors, including the absence of payments promised by the federal government as part of the Affordable Care Act and an overall increase in medical and pharmaceutical costs.

Additionally, in 2013, the prior administration chose to permit policyholders to keep non-ACA compliant plans through 2017, which continues to impact ACA compliant plans’ risk pool and contribute to the upward pressure on costs. These factors also forced several carriers to entirely withdraw their on-exchange plans in Illinois and other states. It is important to note that the Department cannot reject or modify rates under the Affordable Care Act as long as the proposed changes, including significant rate increases, are actuarially sound.

The DOI will continue to work with consumers to assist with obtaining coverage. It is important for those who are reenrolling in coverage to look at any options that may be available to them on the Marketplace starting on November 1, 2016. There will be some new plans available and they may offer better coverage at a lower cost.

DOI reminds consumers that cost should not be the only factor in selecting coverage. Consumers should also consider matching their plan with a preferred provider. We encourage consumers to pay close attention to any options available and work with an in-person assister who can help them find a plan for them and their family.

Consumers are encouraged to visit our Get Covered Illinois website (https://getcovered.illinois.gov/) for further information and assistance. The Get Covered Connector lets consumers search by ZIP code to find local, free application help and is available in Spanish as well as English.

Consumers can also use this tool to schedule in-person assistance appointments with navigators and certified application counselors. Consumers can also call 866-311-1119 to get assistance in choosing a plan and also can visit Healthcare.gov.

The rates will be published on the Illinois Department of Insurance’s website under the ‘latest feed’ tab. Off-exchange rates are not yet published as their review is being completed by DOI. DOI will publish them once review is complete.

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