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Monday, April 7, 2014

The Copper Plan: Another Possible Healthcare Plan?



Last week, with only four days left for those who were uninsured to enroll in the new healthcare marketplace, lawmakers were getting closer to creating a whole new level of healthcare options that would meet less than what was minimally acceptable by the Affordable Care Acts original intention. 

‘Copper Plans,’ would be a whole new option for insurance seekers who wouldn’t mind pay more out-of-pocket costs for a smaller monthly premium. This type of insurance plan was originally deemed illegal by the Affordable Care Act because they lacked the minimum coverage required by the law, and millions of individuals lost their coverage because insurance companies began dropping them.

The reason why these ‘Copper Plans’ will be cheaper is the fact that they will hold a much smaller actuarial value than their Platinum, Gold and Silver plan counterparts. That is to say, that the healthcare consumer is expected to pay a much higher amount of their expected healthcare costs over the course of the coverage.
The Walls Street Journal had this to say; “Now, some insurers and a pair of Senate Democrats are trying to change the law permanently so that individuals and small businesses can buy so-called copper plans. The plans likely would have lower premiums, but purchasers would pay more of their ordinary health costs upfront. Greater coverage would kick in for serious, unforeseen health episodes that would require, for example, a hospital stay.”


Another reason why Senate Democrats might be feeling the pressure to create such a plan, is the fact that one of the several promises of the Affordable Care Act was that this legislation would reduce premiums for the majority of Americans. However, now that less risky healthcare consumers are subsidizing more risky healthcare consumers, and the fact that these less risky consumers are only allowed to have reduced plans by a 3:1 ratio compared to the most risky consumer, the overall cost of premiums has slightly increased. These smaller actuarial plans will allow consumers to take on more of their own healthcare risks, while simultaneously reducing their monthly premiums. 

SHARE YOUR THOUGHTS:
Would you be interested in a Copper Plan? Do you think it a good idea for the consumer? Have you enrolled in an ACA healthcare plan? Did your premiums increase? Do you think healthcare management and health policy is being handled properly?

Sources:
http://si.wsj.net/public/resources/images/OG-AA801_HCProm_D_20140205132038.jpg