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Government Watch

Blue Cross, Aetna, United, Humana Flee Obamacare Exchanges

By Elizabeth Harrington – (CNSNews.com) – Major health insurance companies–Blue Cross, Aetna, United, Humana–have decided not to participate in various states in the Obamacare health-insurance exchanges that will be the only place Americans will be able to buy a health insurance plan using the federal subsidies authorized under the Obamacare law.

Under the Patient Protection and Affordable Care Act (AKA Obamacare), every American must buy a health insurance plan that meets minimum government specifications. If a person does not get health insurance through their employer, and is not on Medicaid, they can buy insurance through their home state’s insurance exchange (which, depending on the state, will be run by either the state or federal government).

States will also operate exchanges where small businesses can buy health-insurance plans.

Individuals and families making up to 400 percent of the federal poverty level will qualify for a federal subsidy to help them buy their government-mandated insurance–but only if they buy their insurance on the government-run exchange.

Also under Obamacare, insurance companies are required to take customers with pre-existing health problems and to provide certain services mandated either by the law itself or by regulations issued under the law by the Obama administration–thus driving up the insurance companies’ costs.

Aetna, a fortune 100 company with $34.2 billion in revenue, has pulled out of the government-run exchanges in three states, including the state of Connecticut, where it is based.

Founded in Hartford, Conn., in 1850, Aetna withdrew its application to participate in that state on Monday, the Hartford Courant reported. The company said it was withdrawing from there and in Georgia and Maryland because limitations the state governments would impose on their rates would not allow them to make money.

“We have spent considerable time identifying those states in which we can be competitive and add the most value to the market,” Aetna said in a statement.  “As a result of our analysis, we have reluctantly concluded that we will withdraw certain Individual Exchange filings for 2014, including filings in Connecticut, Georgia and Maryland.”

“This is not a step taken lightly, and was made as part of a national review of our Exchange strategy,” the company said.  “Unfortunately, we believe the modifications to the rates filed by Aetna will not allow us to collect enough premiums to cover the cost of the plans and meet the service expectations of our customers.”

California

Aetna will also not participate in California’s exchange, and a spokesperson told CNSNews.com that the company never intended to do so.

(AP Photo)

“We did not withdraw exchange plans in California, as we never planned participation nor filed [Qualified Health Plans] QHPs to participate in the California exchange,” a spokesperson said.

Anthem Blue Cross has withdrawn its bid to participate in the California’s government-run Obamacare exchange marketing insurance to small businesses.

United Health Group, the largest health insurer in the United States, has taken a pass on California’s individual health insurance exchange.

Aetna will stop selling health insurance policies to individuals in California all together, leaving nearly 50,000 existing individual policyholders to find new coverage by January. The company will continue to directly sell health insurance to employers in California–outside of the government exchange system.

‘If You Like Your Doctor,’ Hope Your Insurer Is Participating in the Exchange

“No matter how we reform health care, we will keep this promise: If you like your doctor, you will be able to keep your doctor, period,” Obama said on June 15, 2009.

“If you like your health care plan, you will be able to keep your health care plan. Period,” he said.  “No one will take it away. No matter what.”

That promise, however, has been revised by the Department of Health and Human Services (HHS), which now says, “you may be able to keep your current doctor” in the health insurance marketplace.

“Most health insurance plans offered in the Marketplace have networks of hospitals, doctors, specialists, pharmacies, and other health care providers,” HHS said on its website for the health reform law.  “Networks include health care providers that the plan contracts with to take care of the plan’s members.”

“Depending on the type of policy you buy, care may be covered only when you get it from a network provider,” they said.

President Barack Obama signs the Affordable Care Act (Obamacare) into law on Mar. 23, 2010. (AP)

With insurers opting out of state-run health insurance exchanges, individuals are left with fewer options.

Following Aetna’s departure, only three companies remain in Connecticut’s “Access Health CT” exchange.

Similarly, only five insurers are participating in the exchange in Georgia, after Aetna and Coventry Health Insurance dropped out last week.

The Savannah Morning News noted that this will “leave residents of some parts of the state with limited choice.”

Two of the three largest health insurers in Wisconsin will also not participate in the state’s Obamacare exchange.

Though they will not participate in at least four state-run exchanges, Aetna said they “appreciate” the opportunity to work with state regulators on complying with the ACA.

“We have appreciated the chance to work with the regulators in each state for the past months on a variety of key issues regarding ACA implementation,” Aetna said in a statement.  “We will continue to work with them, and various Exchange leadership teams, as we evaluate exchange participation in future years.”

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Bob Cash

some additional information the exit of Insurance Companies > http://www.us1.me/120812

Julianette

I cannot cease being amazed how things have gone downhill the past few years. Everyone should see the video documentary “Dreams of My Real Father” and realize that the Obama has been a lie from the beginning, and should never have been allowed to run for President. Congress and the Senate are mainly to blame. Why have we allowed them to get so far out of hand? They are not being accountable to the people, as supposed, but go about giving themselves a big salary for life, automatic bonuses every year, etc. etc. The whole set-up needs changing drastically: way too many servants to guard all past presidents, and families, spouses to continue to receive their salary after death. We can no longer afford such generosity, especially since they are getting younger and younger when elected. For way too long we have said we know it is wrong, but what… Read more »

jerry

cant get rid of assholes soon enough

JimS

Dump Obama and all his cohorts… Impeach?? Recall? whatever it takes get him out of office along with his minions who do his bidding. Blow out all these “executive orders”, run them through Congress, ground his plane (might save a bil/year)
And dump all his foreign policy programs, Obamacare and anything associate with it. Along with him recall or impeach everyone of the senators who voted for it. Esp. Ms. Nancy and Mr. Reid! The other jerk is leaving on his own.

Don G

My 3yr cobra run ended this passed April. I signed up with Healthy New York to carry me thru April 2014 which is when I qualify for Medicare. After 6 weeks of coverage I receive a letter from Healthy New York stating that my coverage will end on December 31, because Obamacare which kick in on January 1. I was directed to purchase insurance thru the exchanges in New York. I called the phone number and a prerecoreded message stated that pricing has not yet been established. I am in great health and tempted to ride it out for 4months until Medicare kicks in. What a bunch of garbage. I am fed up with all this.

David

America is DEAD, thanks to all of you apathetic, brainless sheep who wouldn’t stand up for America. It is too late now. We have succumbed to the mass mob society, similar to what happened in France where so-called “Democracy” took over. They fought to get freedom from the ruling elite, but forgot to keep their liberties and decency. We too have become the unwashed masses who are now dependent on a Government that will dispense out freebees to those who help keep them in power and destroy those who would bring the prosperity and Freedom of America back from the abyss….

Welcome ot the United Socialist States of America, where the Constitution is rapidly being shredded for the benefit of the ruling class Liberals and the welfare class.

SHAME, SHAME, SHAME on every one of you who failed to vote out greed and Socialism!

Walt

Please Understand Fellow Citizens (Oops in Wa we can not use such bigoted
Terminology any longer) you no longer live in a Free Society but now serve the
Ruling Class Residing in Washington. Lord Help Us !

MaryAnn

I cannot get a straight answer to this question, only lectures about my foolishness:

I have Medicare Part A because I’m eligible for it. I did not sign up for either Part B or the pharmaceutical program. My question is….does having Medicare Part A cover the minimum requirement, or will I be forced to get more health insurance?

ANNA

WE THE SENIORS MUST LEAD THE YOUNG IN WHAT WE BELIEVE AND THINK UNTIL WE DIE. EITHER YOU STAND UP FOR WH0 YOU ARE OR LAY DOWN AND ROLL OVER. WE MUST TALK TO PEOPLE EVERY CHANCE WE GET AND GET OUT AND VOTE AS WELL. WE MAY BE OLD BUT WE ARE NOT DEAD YET. THE GOVERMENT-OBAMA HOLDS 98% OF THE MORAGES-IS ONE YOURS? HOW SOON WE HE JACK YOUR PAYMENT AND HOW SOON BEFORE YOU ARE OUT ON THE STREET? THIS MAN IS NOT GOD HE IS JUST LIKE YOU AND ME, HE CAN BLEED TO. OUR MONEY IS VERY VERY CLOSE TO BEING NO GOOD EVEN TO US. WHEN THAT HAPPENS WHO WILL FEED OR HELP US-NO ONE. WE MUST COME TOGETHER AND TAKE A STAND AND SAY NO MORE. THINGS ARE PUT INTO PLACE WHEN A WAR IS FOUGHT AND WE BETTER GET THIS STOPED NOW.… Read more »

Robert Henson

Washington,DC. HAS BEEN DRINKING TOO MUCH KOOL AID FOR LONG ENOUGH.GET RIDD OF OBAMA AND CARE…SIMPLE AS THAT,

Ken Cole

Not a thread of honesty in the federal government anymore! The people that force Obamacare on us conveniently exempt themselves and their cronies from this convoluted healthcare system. Our senators lie and sandbag when we request defunding of this albatross. Time for the people to stand up and refuse participation in mass. They can’t put us all in jail or they risk defunding the entire economy. Where would their power go then?

Mark Reif

Obamacare is a monstrosity of a plan – and I still can’t believe it is in place. It needs to be repealed of defunded – those are the last barricades to this plan moving forward. We need to make the uninformed voters aware of what this will do to them as well as the rest of America. Further, I am furious with AARP for promoting it – only because they stood to make more money with their supplement plans when it became law. I, too, cancelled my membership with AARP and will not choose any plan that is sponsored by them. I was upset and remain upset with this health care law – and with the legislators who voted for it – or who don’t vote to defund it.

Gloria Maturi

At least Amac fought against Obamacare whereas AARP supported it when it was being voted on…. one of the reasons I left AARP. Please give us information how members can help rid us of this disaster. I’m actually paying more out of pocket now with this ill conceived program.

Jack Selcovitz

I wish the author would have mentioned which of the above listed companies helped the President push for passage of the “Affordable” health care act. Then members of AMAC living in other states may choose to avoid those companies in the future.

PaulE

We’re well under way towards destroying the private health insurance industry in this country and replacing it with government run single-payer. Then you’ll see the number of deaths from excessive wait times or denial of treatment skyrocket. Elections have consequences and this is one of the consequences of the 2012 elections turning out the way they did. Strap in folks, because it’s going to be a very bumpy ride.

Jeff Barstow

The train wreck is beginning…

Dear Legislators of both parties:
Get rid of this stupid law before it ruins healthcare and the economy of our country!