By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    improving patient experience
    6 Ways to Improve Patient Satisfaction Within Hospitals
    December 1, 2021
    degree for healthcare job
    What Are The Health Benefits Of Having A Degree?
    March 9, 2022
    custom software development is changing healthcare
    Digital Customer Journey Mapping and its Importance for Healthcare
    July 21, 2022
    Latest News
    Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
    May 16, 2025
    Learn how to Renew your Medical Card in West Virginia
    May 16, 2025
    Choosing the Right Supplement Manufacturer for Your Brand
    May 1, 2025
    Engineering Temporary Hospitals for Extreme Weather
    April 24, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    Can Thinking Younger Make You Live Longer?
    April 20, 2011
    Image
    Obesity’s Outlook Unchanged
    June 13, 2011
    When It’s An Emergency Elderly Not Treated As Well in Hospitals
    July 16, 2011
    Latest News
    Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
    May 18, 2025
    The Critical Role of Healthcare in Personal Injury Recovery: A Comprehensive Guide for Victims
    May 14, 2025
    The Backbone of Successful Trials: Clinical Data Management
    April 28, 2025
    Advancing Your Healthcare Career through Education and Specialization
    April 16, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Health Insurance Under the Exchanges: What Will You Pay?
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Policy & Law > Health Reform > Health Insurance Under the Exchanges: What Will You Pay?
Health ReformPolicy & LawPublic Health

Health Insurance Under the Exchanges: What Will You Pay?

Linda Ringquist
Last updated: June 11, 2013 8:10 am
Linda Ringquist
Share
5 Min Read
health cost
SHARE

Summary:  What will you pay for individual health insurance as of 2014? What factors will contribute to your individual health costpremium?

Summary:  What will you pay for individual health insurance as of 2014? What factors will contribute to your individual health costpremium?

The health insurance exchanges are coming. The exchanges will basically be marketplaces in which individuals can shop for health insurance. The exchanges will provide one central place to research the plans available, premiums to be paid, and features and options available. Individual states have the option to setup their own marketplaces, become part of the federal marketplaces, or form a joint exchange between federal and state.

So, what will you pay for individual insurance though the exchanges in 2014? Well, you can pretty much assume you will pay more – how much is another issue. Health insurance premiums will be calculated using several factors.

More Read

Medical Negligence
The Impact of Medical Negligence: How Claims Can Help You Move Forward
Why do sick people quit their Medicare Advantage plans?
Second Annual DEA Drug Take Back Day–Saturday April 30, 2011
One More Way ObamaCare May Lead to Single Payer
Will State Health Information Exchanges Cross State Lines?

Health insurance premium factors:

  1. Are you currently insured? If you are not, it is guaranteed that you will have a 100% increase in premiums since your premiums have been $0.
  2. Mental and nervous coverage and maternity will now be essential elements in insurance coverage. Adding these into coverage will increase premiums as you are receiving greater benefits.
  3. Health insurance will now be influenced by a person’s income level. Subsidies will be available to individuals and families whose incomes are up to 400% of the poverty level. Individuals will have to provide validation of income in order to be covered. A caveat needs to be inserted here. If you earn more than was estimated, you might have to return part of the subsidy given. An estimated 57% of the population will be eligible for these subsidies.
  4. Age will certainly be a factor. Older Americans in general tend to be sicker and they might actually see their premiums go down slightly because younger healthier Americans will be added to their risk class. Currently older Americans can be charged up to 5 times the amounthealth insurance of younger individuals and this limit is being reduced to 3 times. Therefore, this class just might see a reduction in their premiums.
  5. Gender was previously included in the health insurance premium and this has now been removed.  Previously females (all things being equal) paid higher premiums than males as males tend to visit the doctor less often. With males having lower premiums to start with and the playing field being leveled based on gender, it is likely males will receive a higher premium increase in 2014.
  6. Where you live will influence your premiums as well. Each state has the option to set up their own exchange (and therefore influence the premiums) or join the federal exchange which will have the same plan choices/premiums to choose from regardless of the state in which they reside. What happens when someone moves and is part of the exchange system? They will have to find out what options are available from their state and will have to choose new plans and insurers (unless moving from state to state which are both covered under the federal program).
  7. Pre-existing conditions can no longer affect premiums or be a condition not to insure. This is great news for those with major conditions such as cancer or heart disease. They will see either a reduction or a less severe increase in their premiums. The health individuals however will now be paying the same premiums as those with major conditions.

Basically, the exchanges will provide additional coverage not previously found in individual plans. There will be many factors which will influence what premium you pay from where you live, to your income, to your chosen plan/provider, to your age. Health insurance as we know it is heading for big changes. Be sure to check with your individual state to see what options exist. Do your research and be prepared for increases in premiums. Maybe you will be one of the few with a less drastic increase.

TAGGED:health exchangeshealth insuranceinsurance premiums
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

Clinical Expertise
Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
Health care
May 18, 2025
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Health
May 15, 2025
Learn how to Renew your Medical Card in West Virginia
Learn how to Renew your Medical Card in West Virginia
Health
May 15, 2025
Dr. Klaus Rentrop Shares Acute Myocardial Infarction heart treatment
Dr. Klaus Rentrop Shares Acute Myocardial Infarction
Cardiology
May 13, 2025

You Might also Like

Chronic Illness Prevention and Treatment: Vaccines

November 4, 2011
rising drug costs
Pharmaceuticals

Reasons That Drug Prices Are Rising to Unsustainable Levels

September 8, 2023

Contract Renewal May Result in Loss of Business for Florida Hospital

September 28, 2015
jeopardy clue tile
Policy & Law

Jeopardy: “I’ll Take Medical Errors For $100,000, Alex!”

December 25, 2012
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?