Plan Filings Show Cover Oregon Will Be Competitive Online Marketplace

The following press release was sent out today via Cover Oregon.

For immediate release: May 9, 2013

Durham, OR – Today, Cover Oregon announced that 12 health insurance carriers have filed plans to sell on its online marketplace opening this fall.  All 12 have indicated they will participate in the individual market and eight carriers will offer plans in the small group market.

“We believe the carriers that will be offering plans through Cover Oregon are committed to transforming the Oregon health delivery system for individuals and small employers,” said Howard “Rocky” King, the executive director for Cover Oregon. “We are pleased to partner with these carriers to give Oregonians coverage options with a focus on quality and value.”

The plans were filed last week with the Oregon Department of Consumer and Business Services Insurance Division. The division will now review the rates – through a stringent public process – and make sure the plans meet requirements that are new in 2014, including expanded benefits and limits on out-of-pocket costs. Cover Oregon also must certify the plans as “Qualified Health Plans” before they are offered on the marketplace. Plans purchased through Cover Oregon will be effective January 1, 2014.

“Although there are still many steps in the process, we believe Oregonians will have a broad choice of plans through Cover Oregon – and an easy way to compare and enroll in them starting this fall,” King said.

In addition to making it easier to shop for coverage, Cover Oregon will offer financial help. More than 400,000 Oregonians could qualify for financial assistance through Cover Oregon to help them pay their premiums, according to a recent study by Families USA. For example, an individual earning up to $45,900 and families of four earning up to $92,400 would be eligible for a tax credit to help pay for their coverage. The tax credit is based on income and can be taken monthly or when taxes are filed. Some individuals and families also may be able to receive help paying out-of-pocket costs such as co-pays and deductibles.

Click here for some tools to help you estimate what insurance coverage may cost with financial assistance.

In addition to those already covered by the Oregon Health Plan and Healthy Kids, approximately 200,000 residents may qualify for no-cost health coverage through the public programs, which will also be available through Cover Oregon.

For small employers, Cover Oregon will provide the opportunity to offer more choice to their employees. Employers can set a defined contribution toward premiums and let their employees choose from virtually all the small employer carriers and plans offered through Cover Oregon – this is not available in the small group market today and will not be available in states running federal exchanges.

Starting in 2014, all health plans will be guaranteed issue, even if a person has a pre-existing health condition, and will be required to cover essential benefits in 10 categories. These services include: prevention and wellness; primary care, hospitalizations; ambulatory services; rehabilitative and habilitative services and devices; emergency services; prescription drugs; laboratory services; maternity and newborn care; pediatric oral and vision care; and mental and behavioral health.

To participate in Cover Oregon, carriers must meet several state and federal laws, such as being licensed and in good standing with the state, offering a standard bronze, silver and gold plan as well as cost-sharing variations of silver plans, and ensuring network adequacy. They also had to provide information to Cover Oregon about transparency, quality, and the use of medical homes.

Individual Market Carriers in Cover Oregon

  • ATRIO Health Plans
  • BridgeSpan Health Company
  • Oregon’s Health CO-OP
  • FamilyCare Health Plans
  • Freelancer’s CO-OP
  • Health Net
  • Kaiser Permanente
  • LifeWise Health Plan of Oregon
  • MODA (ODS)
  • PacificSource Health Plans
  • Providence Health Plans
  • Trillium Community Health Plan

Small Employer Market Carriers in Cover Oregon

  • ATRIO Health Plans
  • Oregon’s Health CO-OP
  • Freelancer’s CO-OP
  • Kaiser Permanente
  • MODA (ODS)
  • PacificSource Health Plans
  • Providence Health Plans
  • Trillium Community Health Plans

Media Inquiries: Lisa Morawski, 503-508-9989, email: lmorawski@coveroregon.com, website: coveroregon.com

ABOUT COVER OREGON
Cover Oregon is a new online marketplace where Oregonians can compare and enroll in health insurance that fits their needs and budget, and also access financial help. More Oregonians can now get health insurance, even if they already have a health condition, and also access financial help. Cover Oregon will provide clear information on a range of insurance plans so individuals, families and small business owners can make side-by-side comparisons and choose the right plan for them. It will include plans from public companies and state plans like Healthy Kids and Oregon Health Plan. Enrollment begins in October. Learn more, check eligibility for financial help and sign up for updates at www.coveroregon.com, or call 1-800-CoverOR (1-800-268-3767) to talk to a trained specialist on the phone or in-person.