State Insurance Restraints on Health Insurance Providers

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State insurance restraints on health insurance vary depending on the state where you live. Find out about state insurance restraints on health insurance with help from an experienced insurance professional in this free video clip.

Part of the Video Series: Insurance Questions
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Video Transcript

My name is Susan Combs, and today we're going to talk about insurance restraints on health insurance providers. So with the Affordable Care Act there's a lot of restraints that are coming into play for health insurance providers. So there's different rules and regulations that they're having to play by that they've never had to play by before. So when the Affordable Care Act is going to be in 100% full swing in 2014 there's a lot of states, so there's 37 states that have actually be going through medical underwriting. So they've determined the rates, they've determined if they were going to cover somebody or not cover somebody. As of 2014 there's going to be restraints on these providers because they're no longer going to be able to say no to anybody. They're going to have to take everybody regardless of their health. They're not going to be able to provide cancellation notices because of health. They're also going to have what's called the 10 Essential Benefits that are going to have to be built into the plans that they offer to the public. So there's a lot of new restraints that have come into play that are actually making the insurance premiums go up by quite a bit because now they're having all these other restrictions. What a lot of the providers are doing to combat these restrictions is you might notice that if you look at, say the Health Insurance Exchange, you might notice a lot of you know, new, different carriers or maybe the carriers that you thought you knew before but then when you go to do a doctor search you find your doctor's not in the network for them. So a lot of these carriers are offering much smaller networks because then they can try to contain the costs as much as possible. So like I said, there's a lot of different restraints on the carriers now because the ballgame's just completely changed as of 2014.


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