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Lower PCIP Rates

Kathy RobertsonSenior Staff Writer

For The Sacramento Business Journal reports:

A subsidized state health insurance program for individuals with preexisting conditions has lowered premiums an average of 18 percent, effective immediately.

That means a 40-year-old Sacramento resident with heart disease will pay $289 per month instead of $332. A 60-year-old with a preexisting health condition will pay $530 instead of $620; younger forks, ages 19 to 29, $118 instead of $138.

Low enrollment in the program nationwide prompted the U.S. Department of Health and Human Services U.S. Department of Health and Human Services Latest from The Business Journals BCFS expands to Phoenix with new international children’s officeArizona gets .16M grant for nurse developmentFuture of health care exchanges in New Mexico still murky Follow this company to revise guidelines in May to allow states to use a greater portion of their federal subsidy to offset premium costs. California has $761 million in federal money to run the program until 2104, but only 3,532 people had signed up as of July 27. Initial projections showed the money could support average annual enrollment of 25,000.

There are currently a total of only 168 individuals in the Sacramento region enrolled in the program. This includes eight in Yolo County, 14 in El Dorado, 30 in Placer and 116 in Sacramento County.

Authorized by the Affordable Care Act, the Pre-existing Health Insurance Program is designed to serve individuals who have been denied coverage or offered options they could not afford. The program is considered a bridge to 2014, when federal health reform will prohibit insurance companies from denying insurance to adults with preexisting conditions — or charging them more for coverage.

Premium reductions range from 8.2 percent to 24.3 percent, depending on subscriber age and geographic region. Rates for individuals in Placer, El Dorado and Yolo counties are a few dollars higher per month than Sacramento rates.

The premium cut will be reflected in billing statements starting Oct. 1, but there will be rate adjustments retroactive to Aug. 1, according to Janette Casillas, executive director of the Managed Risk Medical Insurance Board that runs the program in California.
http://www.bizjournals.com/sacramento/news/2011/08/02/calif-subsidized-pre-existing-insurance.html?ed=2011-08-02&s=article_du&ana=e_du_pub

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