Iowa could have no in­sur­ers sell­ing on ex­changes for 2018

Modern Healthcare - - REGIONAL NEWS - — Maria Castel­lucci

Med­ica last week said it may pull out from Iowa’s in­di­vid­ual in­sur­ance mar­ket­place, po­ten­tially leav­ing no al­ter­na­tive in­sur­ance op­tion for most res­i­dents on the ex­changes next year.

The Min­netonka, Minn.-based in­surer, which of­fers ex­change plans for 12,645 mem­bers in Iowa, has a rel­a­tively small pres­ence in the mar­ket but the re­cent ex­its of other big in­sur­ers—Aetna and Well­mark Blue Cross and Blue Shield—makes Med­ica just one of two in­sur­ers sell­ing plans on the ex­changes for 2018.

In a state­ment, Med­ica said its abil­ity to of­fer mar­ket­place plans in Iowa “is in ques­tion at this point” given the un­cer­tainty in the state’s ex­changes.

Med­ica and Gun­der­sen Health Plan are the only two health plans ex­pected to sell in­di­vid­ual health plans on the ex­changes next year. But Gun­der­sen, which of­fers plans in just four Iowa coun­ties, is also weigh­ing whether or not to of­fer plans for next year.

If both in­sur­ers exit, about 51,600 peo­ple en­rolled in Iowa’s in­sur­ance mar­ket­place would have no in­sur­ance op­tion next year.

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