Indiana: December 15th is the last day to secure your Health Insurance coverage. We are here to assist with shopping, enrolling or renewing your 2020/2021 Health Insurance:
If you live in Indiana you can click on this calculator below to figure out your subsidy.
- If you get a subsidy you will need help to process your application.
- Once you determine your subsidy you will have to visit Help Me Get My Health Insurance Plan.
If you are low income, under $230 a week, click here to see some options.*All assistance provided is no cost to you. Purchasing a plan through Obamacare / the Federal Exchange is not the best option for everyone. A Health Insurance Plan Comparison and Consultation will be the best way for individuals and families to find affordable Indiana health insurance and see all their options.
NOTICE: It is important to understand the ACA eliminates medical underwriting. A person’s height and weight or pre-existing conditions do not affect one’s health insurance premium.
A letter was sent to brokers, agents, and navigators regarding the IU Health Plans that were offered during 2016 in the state of Indiana. It is sad day as many Indiana residents will lose their ON-Exchange Marketplace / Obamacare coverage on 12/31/2016. Here are some of the Key Points:
IU Health Plans Exit Exchange
“As an important partner with Indiana University Health Plans we’ve promised you transparency, so we want to ensure you are among the first to know about an important and unexpected change we’re making to our Marketplace strategy for 2017.
In light of impending regulatory deadlines and continued volatility in the Marketplace, an organizational decision was made to change the IU Health Plans level of participation in Indiana’s Marketplace. Effective for 2017 coverage, we will only be offering plans off-exchange, so consumers will only be able to enroll directly through IU Health Plans website to receive coverage. This shift will allow us to re-assess Marketplace dynamics and consider federal response to competitor withdrawals.” Allie Billows
Indiana Residents should know
- IU Health Plans Marketplace insurance coverage will still be available in 62 counties in Indiana off-exchange
- Bronze, silver, and gold member plans will be available
- Consumers will not be able to enroll in IU Health Plans coverage through www.Healthcare.gov
- Medicare Advantage and Commercial coverage will still be available through IU Health Plans and Medicaid coverage will be available through MDwise
Indiana Health Insurance Plans for 2017
The good news is that you can still get Indiana Health Insurance for 2017 through this site. Be sure to visit us between 11/01/2017 and 01/31/2016.
Another Indiana company has decided to Not offer coverage in 2017. Physicians Health Plan of Northern Indiana will be exiting BOTH On and Off Exchange marketplaces for 2017. Members 2016 coverage will not be changed or affected in any way and will remain in effect until Dec. 31, 2016. Members will be notified in September of PHP’s decision advising them to contact their insurance agent or broker for 2017 health insurance options.
PHP Indian Leaves Obamacare
“We are disappointed that we are forced to make this difficult decision,” stated Michael Cahill, President and CEO of PHP, “but we have to keep in mind that we do have a responsibility to the community and the beneficiaries we serve, as a not for profit health insurer. We are committed to supporting our communities over the long term, yet believe that withdrawing from the market and refocusing our efforts on group insurance coverage and administrative health insurance services is a better use of PHP resources. By withdrawing from the individual market today, PHP can redirect the millions of dollars in losses we would incur and invest that money in areas with greater potential outcomes while continuing our mission with our beneficiaries who have relied on us since our founding in 1983.”
A PHP press release states it remains extremely well capitalized and on solid financial ground. However, Three Critical Factors of the Individual Product Decision In 2016, for every premium dollar received, PHP of Indiana estimates it will pay $1.20 for medical expenses. PHP estimate this number would increase to $1.36 in 2017. This loss in premium does not begin to cover operating costs or overhead. The deficiency is attributed to three factors:
- The Risk Adjustment Program, which was intended to move monies between health insurers based on the relative cost of the populations attracted. It did not take many measures into account and was not designed for the commercial Indiana insurance marketplace.
- The Risk Corridor Program, put in place to keep premiums down and make products affordable in the early years, was ultimately not funded by Congress leaving most insurers with large, unexpected medical costs.
- Adverse selection due to certain anomalies between federal mandates and state mandates for Indiana health insurance has left some insurers, including PHP, unprotected in several areas.