California health insurance  -  Health Reform in California  -  Hold on to Grandfathered plans 

Hold On To Your Grandfathered California Health Plans 

 

 

Granted, many things haved changed between 2014 and now but we can see the vague outlines.

 

There are still many people who are on the old grandfathered plans (effective date prior to 3/23/2010) and were getting questions from them regarding what they should do.

 

This is very important as the rates and plans available to them will likely be very different than what they have and once they make a change, their grandfathered status is gone forever.

 

Let's take a look at this situation and how to approach the upcoming changes.

 

You can always run your new ACA health plan quote here:

 

how to quote Covered California plans


Comparing Grandfathered plans and ACA Covered Ca plans

 

These plans (grandfathered health plans in California) are locked which means that no new people can join them other than family members on an existing health plan.

 

Outside of adding family members, any change to the plan will make it no longer an option for you.

 

Usually, locking a plan to new enrollment is the kiss of death for California health plans but this is the rare exception.

 

What makes this so different?


Grandfathered plans not affected by new mandates

 

The old grandfathered plans are not subject to many of the mandates brought about by health reform.

 

Because of this, they can be less expensive in most cases for comparable coverage.

 

Personally, we have an HSA $1000 plan from Anthem Blue Cross and the equivalent plans on the market are much more expensive (50%) every time I run an instant health quote to see what's available.

 

This will probably continue until the old plans are just not viable due a slow loss of members (getting group coverage, etc).

 

In the meantime, making any change to a new plan even now would result in much higher premiums.

 

There are a few very rich older plans which might make sense to compare with currently available plans even if this results in losing our grandfathered status.

 

We're happy to take a look at the market in this situation for you. Just call 800-320-6269.

 

You can access the online application here:

 

How to apply for California obamacare


So what do we see with the new Exchange plans?

 

There are two important considerations here.

 

First will be the actual rates and benefits offered.

 

Each carrier will offer up to four California health plans (the Metallic plans) and a lower priced one for young adults.

 

On average, ACA plans will be richer since they are mandated to cover the Essential Health Benefits.

 

The baseline benefits for these plans have already been picked in California with the Kaiser $30 copay plan as a guideline for all available plans on the individual and Small Group California health insurance market.

 

These plans will likely be quite a bit more expensive than what we've had on the market (I know...it's hard to believe that's possible) but guaranteed issue (regardless of health).

 

On the face of it, it doesn't look promising if you have a grandfathered plan now.

 

Here's the second wrinkle to the equation.

 

 If your income is between 138 and 400% of poverty (grid below), you should receive some subsidy in the Exchange to offset premium cost on a sliding scale.

 

The effects of these subsidies will help to make a decision on whether the grandfathered status is advantageous.

 

 Of course, we're happy to help with this decision.



 

Important Pages:

SImple Tips on Comparing Covered California Plans

 

You can run your New ACA Health Plan Quote here to view rates and plans side by side from the major carriers...Free.

 

Again, there is absolutely no cost to you for our services.  Call 800-320-6269 Today!

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