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by timr
4638 days ago
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No, high-deductible plans are not "illegal" under the ACA. The ACA marketplaces offer high-deductible plans. If all you want to do is pay for catastrophic coverage, you can do that. What's happening is that some existing catastrophic plans don't meet the requirements of the ACA with regards to coverage, cost-sharing, annual spending caps, and other metrics. Some of these plans are closing rather than conform to the law. But there is no blanket provision against high-deductible plans. There are some suspiciously similar stories floating around the conserv-o-sphere involving vaguely specified elderly couples who are just spitting mad about having to give up their cheap, crappy, high-deductible plan because of the ACA. These stories smell very much like astro-turf propaganda, and should be treated with high levels of skepticism. |
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The net effect is that exchange-listed plans -- because of the two forms of subsidy -- have lower per member acquisition costs than traditional individual plans, meaning that for any given premium level, they can provide more profit and/or more coverage. These plans can expect to lose lots of their existing customers to exchange plans in the short-term, and its not really worth the effort to replace them -- so, for the insurer, it makes sense (especially since if they are also offering exchange listed plans) to just cancel the no-longer-viable non-exchange individual plans rather than continue to bear the fixed overhead of operating them when their sales prospects aren't good.