Pittsburgh Post-Gazette

Obamacare premium hikes confirmed

Consumers will have fewer choices

- By Ricardo Alonso-Zaldivar

WASHINGTON — Premiums will go up sharply next year under President Barack Obama’s health care law, and many consumers will be down to just one insurer, the administra­tion confirmed Monday. That’s expected to stoke another “Obamacare” controvers­y days before a presidenti­al election.

Before taxpayer-provided subsidies, premiums for a midlevel benchmark plan will increase an average of 25 percent across the 39 states served by the federally run online market, according to a report from the Department of Health and Human Services. Some states will see much bigger jumps, others less.

Moreover, about 1 in 5 consumers will only have plans from a single insurer to pick from, after major national carriers such as UnitedHeal­th Group, Humana and Aetna scaled back their roles.

“Consumers will be faced this year with not only big premium increases but also with a declining number of insurers participat­ing, and that will lead to a tumultuous open enrollment period,” said Larry Levitt, who tracks the health care law for the nonpartisa­n Kaiser Family Foundation.

Republican­s pounced on the numbers as a warning that insurance markets created by the 2010 health overhaul are teetering toward a “death spiral.” Sign-up season starts Nov. 1, about a week before national elections in which the GOP remains committed to a full repeal.

HHS essentiall­y confirmed state-by-state reports that have been coming in for months. Window shopping for plans and premiums is already available through HealthCare.gov.

Administra­tion officials are stressing that subsidies provided under the law, which are designed to rise alongside premiums, will insulate most customers from sticker shock. They add that consumers who are willing to switch to cheaper plans will still be able to find bargains.

The vast majority of the more than 10 million customers who purchase through HealthCare.gov and its state-run counterpar­ts do receive generous financial assistance.

But an estimated 5 million to 7 million people are either not eligible for the income-based assistance, or they buy individual policies outside of the health law’s markets, where the subsidies are not available. The administra­tion is urging the latter group to check out HealthCare.gov. The spike in premiums generally does not affect the employer-provided plans that cover most workers and their families.

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