Insurers Allowed to Raise Rates for Children with Pre-Existing Conditions

In reaction to major health insurers leaving the children’s insurance market, the Obama administration has somewhat softened its stance on requiring insurers to accept children with pre-existing conditions, according to a report by the New York Times.

Advertisement

In an interpretation of the healthcare reform law, HHS officials said insurers could charge higher premiums for children with pre-existing conditions outside open-enrollment periods, as long as state law allows it.

The reform law’s ban on rejecting children with pre-existing conditions was implemented in September. Just before implementation, UnitedHealthcare, Aetna, WellPoint, Cigna and several other major carriers announced they wouldn’t sell new child-only policies because the ban would allow families to buy coverage at the last minute, when children were already ill.

Read the New York Times report on pre-existing conditions.

Read more coverage on pre-existing conditions:

– Three Insurers to Stop Offering New Children’s Policies, Citing Reform Law

– Citing Pre-Existing Conditions, Large Health Insurers Denied Coverage to 651,000 Applicants in Individual Market

– 5 Ways Recent Insurance Changes Will Affect Medical Staffing

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Advertisement

Next Up in Legal & Regulatory Issues

Advertisement

Comments are closed.