Overview of 2023 health insurance plans at CoverME.gov – Knox County VillageSoup

AUGUSTA — The Maine Department of Health and Human Services Office of the Health Insurance Marketplace announced Oct. 17 that Maine residents can now visit CoverME.gov, Maine’s official health insurance marketplace, to view affordable health plans for 2023 .during a “window dressing” period before open enrollment, which begins on November 1.

During both the shopping period and open enrollment, users can use the Compare Plans tool to evaluate available private health plans and calculate their costs without having to sign up for an account or to complete a complete application.

The tool also allows users to check if their preferred health care providers are in each plan’s network and see information about coverage and out-of-pocket costs for prescription drugs.

“We encourage all Maine people who need health insurance to visit CoverME.gov to explore affordable health plan options,” DHHS Commissioner Jeanne Lambrew said in a news release. “Even if you didn’t qualify for financial aid in previous years, it’s worth checking again because coverage is more affordable than ever and there are new options for families.”

CoverME.gov was created as Maine’s state marketplace as a result of the Made for Maine Health Coverage Act, which Governor Mills signed into law in 2020 following its unanimous passage by the Maine Legislature. During CoverME.gov’s first open enrollment in 2021-22, more than 66,000 Maine people signed up for 2022 coverage, an increase of more than 10% over 2021 and a reversal of the decline in choice on market plans since 2017.

Next year, thousands of Maine residents will save an average of hundreds of dollars on their CoverME.gov health care premiums thanks to enhanced premium tax credits extended through 2025 as part of the Inflation Reduction Act passed by Congress and signed into law in August.

In addition to increasing financial access for people already eligible for financial assistance, the new law allows those with incomes above 400% of the poverty level to qualify for financial assistance if coverage would otherwise be unaffordable for them.

This provision particularly benefits older Mainers and those in rural areas, who often face higher premiums. In the 2022 coverage year, more than 80 percent of consumers received financial assistance through CoverME.gov, with an average upfront premium tax credit of $470, according to the DHHS press release.

In addition, President Joe Biden announced last week that his administration had finalized a rule to fix the so-called “family problem” that would extend health insurance to about 200,000 uninsured Americans, including 34,000 people in Maine.

As a result of the prior interpretation of the policy, employer-based health insurance is considered “affordable” if the plan is available to the employee even when their family members cannot afford it—making those family members financially ineligible for the Act for affordable care assistance. Under the recent federal change, family members can access financial assistance to enroll in a 2023 coverage plan through CoverME.gov if they don’t have a source of affordable coverage.

Also new in 2023, a new insurance carrier, Taro Health, will join Anthem, Community Health Options and Harvard Pilgrim Health Care in providing health plans through CoverME.gov. Taro Health will only offer plans to consumers in Cumberland County, while the other three carriers will continue to offer plans to consumers in all Maine counties. A total of 118 health plans will be offered across the country.

Through CoverME.gov, Maine residents can compare qualified health insurance plans that include a comprehensive set of benefits and apply for help to lower the cost of coverage. Open enrollment runs from November 1 to January 15, 2023. The enrollment deadline for coverage that begins on January 1, 2023 is December 15. Users who enroll between December 16 and January 15, 2023 will have coverage beginning February 1, 2023.

As in previous years, those who already have a plan through CoverME.gov will be automatically re-enrolled in their current plan or the closest offering from their health insurance carrier. OHIM still encourages consumers to update their information on CoverME.gov and review their options to make sure they choose the plan that best fits their needs and budget.

People who apply through CoverME.gov and are eligible for MaineCare will have their application sent to MaineCare for review. Eligible Maine people can enroll in MaineCare at any time of the year.


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