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This is great news for those with pre-existing conditions or for those who have been denied coverage for Ohio individual health insurance. You can’t be turned down AND they have placed caps on how much the insurance company can charge you for your coverage! A good sign as to what we can expect from the federal health reform initiatives.
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STATE OF OHIO
DEPARTMENT OF INSURANCE
COMMUNICATIONS OFFICE
New state reform measure estimated to cover 52,000 more Ohioans
COLUMBUS – Ohio Department of Insurance Director Mary Jo Hudson today announced the adoption of a rule that outlines the requirements insurance companies are to follow to inform Ohioans of the new rate-cap changes in the Open Enrollment Health Insurance Program. The next open enrollment period begins January 1, 2010 for the state-mandated program that allows all Ohioans who cannot otherwise obtain health insurance to get basic coverage through private insurers.
Ohio Governor Ted Strickland signed an executive order implementing the Open Enrollment Program rule, which will allow Ohioans to retrieve the information needed to make timely, informed decisions about their health care coverage.
Following a phased-in approach, a cap on rates will eventually be 1 1/2 times the lowest rate charged to a person of similar age and gender. This change is eventually expected to reduce open enrollment premiums by at least 50 percent.
Insurers will be limited in how much they can charge people with diabetes, cancer and other pre-existing or chronic conditions who purchase individual health policies through open enrollment.
Open enrollment was one of several health coverage reform measures contained in the state’s recently enacted state budget bill. The new requirements could help 109,000 now uninsured adult Ohioans obtain coverage, including an estimated 52,000 Ohioans now likely able to purchase health insurance through open enrollment.
“The new open enrollment program will expand coverage options to Ohioans who are currently unable to obtain coverage because of pre-existing conditions,” Ohio Department of Insurance Director Mary Jo Hudson said.
The Ohio Revised Code authorizes the Governor, on request of an agency, to suspend the normal rule-making procedures with respect to a specific rule when an emergency exists necessitating the immediate adoption, amendment or rescission of the rule. When such a determination is made, the agency may immediately adopt, amend, or rescind a rule, but the rule is valid only for 90 days. The Open Enrollment Emergency Rule (3901-8-12) was filed on October 20, 2009.
More information about the state’s health reform efforts is available on the Department’s web site at www.insurance.ohio.gov . People with questions about insurance can call the Department’s consumer hotline at 1-800-686-1526.
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