There's no simple answer - it depends on your insurance status and how much care you need. For some, the cost of health insurance will rise while others may see a decrease in their premiums. Whether or not an individual's plan is grandfathered will play a big factor in 2014.
We believe that the price of insurance on average will increase, especially plans for individuals and small businesses, as a result of certain provisions in the reform legislation. These provisions guarantee richer levels of benefits than most consumers buy today.
Insufficient discounts for the young and healthy will encourage many of them to forgo coverage and pay the penalty instead. New fees and taxes mandated by the new law will also likely increase the cost of premiums as they are phased in. For the millions of individuals and small employers who qualify for subsidies, what they actually pay for insurance themselves may not increase.
Some of the factors driving health insurance premiums:
Changing the way medical care is paid for by insurers and government programs is considered to be the most effective way to address these factors.
While the new law establishes a few new programs aimed at these cost factors, the law doesn't aggressively attempt to control rising health care costs. How do medical costs affect what people pay for health insurance?
Most health insurance carriers offer policies tailored to individual purchasers and families.
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If you have been denied coverage because of a medical condition, in the short term, you may be eligible to buy health insurance through a state or federally subsidized high-risk pool. Beginning in 2014, individuals will have the opportunity to buy insurance through state-run exchanges as well as from insurers directly or through insurance agents as they do today.
For health insurance to work properly everyone must be in the system. This allows risk - and costs - to be spread across the sick and the healthy, the young and the old. The individual mandate is thought to be the easiest way for this to happen.
When people without insurance get sick or hurt, the cost of their care is paid by other users of the health care system and society in general. For example, emergency rooms can't turn away people who are unable pay, so everyone else ends up sharing the cost of this 'uncompensated care.' When the individual mandate is enacted, millions more people will pay into the system, so there will be more money available to pay for care when people need it.
The insurance industry has long supported an individual mandate. Our biggest concern is that this individual mandate isn't strong enough. The new law calls for an annual penalty of the greater of $695 per person (up to a maximum of $2,085 per family), or 2.5 percent of household income. And it will be three years before the penalty reaches even that level. At that rate, we think millions of Americans will choose to pay that penalty instead of their premiums.
© 2012 Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.