The new $10 billion plan to save Maryland’s goosehead insurance coverage
The new health care law allows Maryland to take a hit on its insurer market share by selling a smaller pool of policyholders and eliminating a requirement that companies offer coverage to all enrollees, in exchange for a premium tax credit that would increase in 2018 to help offset the loss of coverage.
“Maryland is on a path to meet its 2020 goal to have an insured population of at least 10 million people, a goal we will be able to achieve by 2020,” said Dr. Jason Burt, MD, chief medical officer of the Maryland Department of Insurance.
The new plan will also include a cap on the number of people eligible for Medicaid.
The new insurance law, which takes effect July 1, will allow people to buy policies in any state that offers coverage at no cost to them, regardless of their income.
Maryland currently has no plans to offer coverage, but its insurance exchange, Maryland HealthCare Exchange, is set to launch its first open enrollment period on July 31.
Maryland HealthCare says it will be the first state to offer insurance to everyone who is not on Medicaid.
The state has been one of the most aggressive in implementing the health care reform law, setting up the state’s own exchange to sell policies to all Maryland residents, and expanding coverage to those who work in private or government jobs, including part-time employees and part-timers.
The plan includes a cap of $10,000 on premium payments to insurers for 2017, which will be reduced to $5,000 in 2018, and $2,000 for 2018.
The state also is set for a $3,000 premium increase in 2019, and a $5 increase in 2020.
The plan will provide an additional $2.5 million in 2019 to pay for the cost-sharing subsidies for low-income people who don’t buy insurance on the exchange.
Marylanders who work at least 40 hours per week and earn $150,000 a year can apply for the premium tax credits.
Marylands’ insurance company, Humana, has said it plans to continue offering coverage through 2019.