Maine insurance co-op hikes out-of-network deductibles over 400%

To encourage policyholders to use in-network services next year, health plan co-op Community Health Options hiked its deductibles for out-of-network care by up to 472 percent, Portland Press Herald reports.

Advertisement

The Lewiston, Maine-based co-op will increase the out-of-network deductible for its gold ACA health plan from $2,500 to $14,300, an increase of 472 percent. For its four most popular silver plans, Community Health Options will hike deductibles from $5,000 to $14,300, up 186 percent, according to the report. 

Community Health Option’s CEO Kevin Lewis told Portland Press Herald the co-op has “gone to great lengths to provide a solid and respectable array of in-network providers. This encourages people to stay in the network.”

The co-op follows similar moves by other insures like Blue Cross of Idaho, which raised its out-of-network deductibles from $4,000 to $50,000.  

More article about payer issues:
To reduce costs, Maine insurance co-op eliminates elective abortion coverage
Colorado AG seeks comment on UnitedHealthcare, Rocky Mountain Health Plans deal
ACA developer wishes for ‘stronger’ individual mandate

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 Compensation Issues

Advertisement

Comments are closed.