Monday, January 24, 2022

Affordable Care Act

Individual Market Open Enrollment for 2021 Plans
November 1 – December 15, 2020
**Plans sold during open enrollment start January 1, 2021**
2021 QHPs Available in the Health Insurance Marketplace (Healthcare.gov)
1. Absolute Total Care is writing in 30 counties: Abbeville, Aiken, Allendale, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun, Charleston, Chester, Chesterfield, Clarendon, Colleton, Darlington, Dillon, Dorchester, Edgefield, Florence, Georgetown, Greenwood, Hampton, Horry, Jasper, Lancaster, McCormick, Marion, Marlboro, Orangeburg, Williamsburg, and York . BlueCross BlueShield of South Carolina is writing in all 46 counties Molina Healthcare is writing in 33 counties: Aiken, Allendale, Bamberg, Barnwell, Berkeley, Calhoun, Charleston, Clarendon, Colleton, Dillon, Dorchester, Edgefield, Fairfield, Florence, Greenville, Greenwood, Horry, Kershaw, Laurens, Lee, Lexington, McCormick, Marion, Marlboro, Newberry, Orangeburg, Richland, Saluda, Spartanburg, Sumter, Union, and Williamsburg . Bright Health is writing in six counties: Anderson, Cherokee, Greenville, Pickens, Spartanburg, Union View County Availability Chart and Map by clicking here.

Sample Rate Scenarios for Individual Market Coverage Available in the Federal Health Insurance Marketplace
Premium comparisons are provided for self-only coverage purchased in Charleston, Greenville, Horry, Richland, or York County meeting the following criteria: Maximum, Minimum & Overall Average Rate Changes
Consumer Justification Narratives for Rate Increases
South Carolina requires all health insurance issuers offering ACA plans in the individual or small group markets to submit a simple and brief narrative describing the reasons for a rate increase. Copies of those narratives are available in the publicly available rate filings (see instructions on how to access them here) but are also provided below for the public to review.

Individual Market
Small Group Market
(All plans are sold strictly through the private market)

You can contact the Federally-facilitated Health Insurance Marketplace by visiting Healthcare.gov or by calling 1 (800) . Find Local Help hereat localhelp.healthcare.gov
Other Useful Resources
Public Information on Rate Reviews
* Website: ratereview.healthcare.gov
Under the ACA, every premium rate increase of 10% or more for non-grandfathered coverage in the individual and small group markets must be reviewed and made publicly available. This federal website allows consumers to search for rate requests that meet or exceed the 10% threshold by state.

Kaiser Family Foundation
* This website includes helpful information for consumers and employers regarding the Affordable Care Act.

Center for Consumer Information and Insurance Oversight (CCIIO)
* CCIIO is a part of the U.S. Department of Health and Human Services and oversees the implementation of the ACA’s provisions relating to private health insurance.

READ ALSO

NAIC Special Section: PPACA and State Insurance Regulation
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