Narrow HMO-Style Plans May Populate Insurance Marketplaces

Limited network plans, which typically offer cheaper premiums for a smaller range of medical providers, may feature heavily on the online health insurance marketplaces, formerly called exchanges, outlined in the federal health law, according to a joint report by Kaiser Health News and USA Today.

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A few decades ago, consumers lost interest in the restrictive range of options embedded within the HMO plans, but with the coverage mandate for individuals and many businesses taking effect next year, HMOs are likely to make a comeback for healthier individuals looking for inexpensive plans, according to the report.

Customers with more complex medical needs are less likely to buy this type of plan because they’re more likely to need a range of specialty care that a small network may not be able to provide. State and federal regulators control what plans are offered on the marketplaces and can reject plans that don’t feature a wide enough span of services, but some say networks may have too few or unspecialized physicians for certain services.

More Articles on Health Insurance Marketplaces:

House Members Bring Back Public Option Legislation
HHS Rebranding Exchanges as ‘Marketplaces’
Health Insurers Project Exchange Participation

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