The Society of Actuaries says insurance companies will face an average increase of 32 percent for medical claims under reform. That could lead to higher premiums. But the White House is hitting back.
How will the Affordable Care Act affect me?
To many Americans, that is a big question, as the Jan. 1, 2014, implementation date approaches for the individual mandate to purchase insurance and other key provisions of "Obamacare."
The answer depends on several things, starting with whether you get your health insurance through your employer or individually. If it’s through your work, chances are not much will change (though you or your employer could still opt to buy insurance on the new online “exchange”). But if you’re uninsured or currently buying insurance on the individual market, changes are in store.
And the changes could vary dramatically, depending on your demographic profile and what your current plan looks like. Some people who have had bare-bones policies may face higher premiums, says Health and Human Services Secretary Kathleen Sebelius, but that’s because they will have better coverage.
“These folks will be moving into a really fully insured product for the first time, and so there may be a higher cost associated with getting into that market,” the secretary told reporters Tuesday, according to the Wall Street Journal. “But we feel pretty strongly that with subsidies available to a lot of that population that they are really going to see much better benefit for the money that they’re spending.”
Some people’s rates will go up and others will go down, because the law restricts how insurance companies factor in gender and age when setting premiums. So, men and younger people are likely to see their rates go up, while women and older people are likely to see them go down. Insurance companies will also be barred from discriminating based on preexisting conditions.
Secretary Sebelius says it’s too soon to talk specifics about premiums until the insurance companies submit their bids this summer. But she predicts that the online exchanges will encourage competition among insurers and bring premium prices down.
From the perspective of insurance companies, implementation of Obamacare will mean an average increase of 32 percent in the cost of medical claims per person by 2017, according to a study released Tuesday by the Society of Actuaries (SOA). But that figure will vary dramatically state by state, depending on how states handle their high-risk pools, which are then folded into the individual market under the reform. The cost of claims drives the price of health-care premiums.