October 26, 2018
Recent Changes Mean that Vermonters Who Take A Few Minutes to Compare Plans Will Find More Choices and More Financial Help Than Ever Before
In preparation for open enrollment, state officials have launched the 2019 version of an online tool that helps Vermonters weigh insurance options and choose the health plan that best fits their needs and budget. The 2019 Plan Comparison Tool (https://vt.checkbookhealth.org/hie/vt/2019) is accessible from VermontHealthConnect.gov and allows individuals and small business employees to easily screen at least 26 health plan options.
As in past years, the tool allows members to compare total costs in an average year or bad year, view doctor directories and drug lists, and much more. New this year, the tool also provides members with the ability to see their total costs in a low-use year (or “good year”) and the likelihood of someone with their age and health status having a good year.
With big changes on the horizon, the tool is an essential five-minute step for all current and prospective members of Vermont's health insurance marketplace.
Three big changes in marketplace
First, it's important to note that most Vermonters who purchase health insurance on their own qualify for financial help to lower the cost of coverage. Due to a complex set of events initiated by recent federal changes, that financial help will go way up in 2019. Subsidized single members will receive over $1,200 more in 2019 than they did in 2018, while couples and families will generally receive over $2,500 more. This means that most members will see significant savings if they explore all options.
A second change is that premiums for silver-level qualified health plans (QHPs) are increasing much more than other metal level plans. This is especially notable because three out of five (60 percent) individuals are currently enrolled in silver plans. It is especially important for these members to actively explore their alternatives.
Finally, to help small business employees and higher income individuals whose incomes are too high to qualify for financial help, Vermont developed "reflective silver" plans. These plans - available only by calling Blue Cross Blue Shield of Vermont (BCBSVT) or MVP Health Care (MVP) directly - give unsubsidized members the opportunity to buy silver plans for closer to the price they paid for similar plans in 2018. Reflective silver plans are displayed on the 2019 Plan Comparison Tool, but only if the tool determines that the user does not qualify for subsidies.
"We want Vermonters to know that there were policy changes at the federal level that could impact the cost of their current plans," said Governor Phil Scott. "I want to thank the members of my Administration, legislature, and stakeholders across the state who came together to respond to these changes with a focus on affordability for Vermonters. The key remaining step is for Vermonters to pick the right plans and, fortunately, the Plan Comparison Tool is here as a resource to help them do just that," Governor Scott added.
Time to Take Action
Current Vermont Health Connect members aren't required to compare health plans or to take any action at all. As long as they continue to pay their bills, members are automatically renewed into the 2019 version of their 2018 plan. In past years, most members have gone this route. Due to this year's changes, however, officials are strongly encouraging members to invest the time needed to be sure they're in the best plan for them.
"This is not the year to auto-renew," said Cory Gustafson, Commissioner of the Department of Vermont Health Access. "Comparison shopping is how Americans try to get the best deal possible for all kinds of consumer choices. That is true for every purchase, every year, but it's especially true for health insurance in 2019. The difference between the 'right plan' and 'wrong plan' could easily be thousands of dollars. Fortunately, the Plan Comparison Tool will help Vermonters identify the right plan."
About the Plan Comparison Tool
The Plan Comparison Tool was developed by the non-profit Consumers' Checkbook and has won the Robert Wood Johnson Foundation's award for best plan choice tool. This is the fourth year that Vermont is using the tool. It has been used in nearly 60,000 sessions over the last twelve months.
After taking a couple minutes to enter age, income, health status, and expected use of medical services, the anonymous tool tells the user if they qualify for financial help to lower the cost of coverage. It also presents the estimated total annual costs (premium minus subsidies plus estimated out-of-pocket) of each of the 26+ qualified health plans. The user then has several options for sorting and screening results, or they can dive into plan details and link to more information on the BCBSVT and MVP websites.
"This kind of resource is very important because a consumer just can't figure out: is a plan with the $200 deductible and a $10,000 out-of-pocket limit better for me than a plan with a $2,000 deductible and $4,000 out-of-pocket limit—and how about differences in co-pays, co-insurance, etc.?" said Robert Krughoff, president of Consumers' Checkbook. "People don't know how much various health services cost or their likelihood of needing different services - and even health insurance experts can be hard-pressed to figure out which plan is best without a helpful tool. Vermont Health Connect is a leader in making this help available."
About 2019 Open Enrollment
Open Enrollment is the time when new applicants can use the marketplace to sign up for health and dental plans for the coming year. It is also an opportunity for existing members to change plans - an option that many more members than usual will want to consider for 2019.
This year's Open Enrollment runs from November 1 to December 15, just like last year. Vermonters who sign up or request a new plan will have a start date of January 1. Those who miss the deadline could have to wait until January 2020 to start health coverage, although residents who qualify for Medicaid can sign up throughout the year and those who qualify for a Special Enrollment Period generally have 60 days to sign up.
Starting November 1, applicants can sign up in one of four ways: online, by phone, by paper, or with an in-person assister. For more information or to get started, visit http://VermontHealthConnect.gov or call 1-855-899-9600.
Source: Department of Vermont Health Access
Last Updated at: October 26, 2018 11:56:09