Health insurance premiums for plans sold through the federal online exchanges will increase an average of 25 percent, significantly higher than the increase in previous years, the U.S. Department of Health and Human Services reported Monday.
The price increases are being driven by more people than expected buying the plans and using more services than insurers expected. The increase in expense from “sick” consumers using more health services cut into profits, causing many companies across the country to pull out of the exchanges.
Consumers saw a 2 percent increase in 2015 and a 7.5 percent increase in 2016, far less than the increases expected for 2017 plans.
HHS officials say most people shopping for insurance through the exchanges will have three or four companies offering 30 or 40 plans to choose from, but many could be selecting products from just one or two companies.
In a data brief, HHS officials predict more than 11.4 million people will buy plans through the health insurance exchanges, an increase of about one million people over 2016, many of whom could find they are eligible for help paying for insurance where previously they were not.
“Even in places with high rate increases this year, consumers will be protected,” said Kathryn Martin, acting assistant secretary for planning and evaluation at HHS.
HHS reports the average increase for a policy in states where the federal government runs the health exchange, the average increase is expected to 25 percent, while states running their own marketplaces will see rates go up by 22 percent.
The agency also says “most” marketplace consumers will receive financial assistance, noting that 84 percent of consumers qualified for tax credits during last year’s open enrollment period and about 78 percent are likely to be eligible this year.
HHS says 77 percent of consumers will be able to find a plan, when considering rebates, that costs less than $100 per month and 72 percent will be able to find one for $75 per month or less. Within the categories of plans, about 76 percent of “bronze” plans cost $100 or less, 63 percent of “silver” plans are $100 or less and 13 percent of “gold” plans come in under $100.
Even with the increases, though, agency officials are pointing out the availability of health insurance and assistance available through tax rebates mean most people will find health insurance that does not drain their bank accounts.
“Before the ACA, many consumers were unable to get health coverage at all, and the individual market offered no easy way to shop and compare plans,” Kevin Counihan, CEO of the Health Insurance Marketplace, said in a press release. “Because of the Marketplace, consumers can shop around to find coverage that fits their needs and get tax credits to help pay for it. Thanks to shopping and financial assistance, consumers will continue to have robust options for quality, affordable coverage for 2017, even in places where premium increases are high.”