SalemNews.com, Salem, MA

Nation/World

December 19, 2013

Insurers allow more time to pay under health law

(Continued)

The move burnishes the industry’s image and has no real downside, said Dan Mendelson, CEO of Avalare Health, a market analysis firm. “It’s useful for the consumer and not a problem for the plans,” he said.

Insurers will still get paid for January. “They can book the revenue, and they don’t need to worry about the cash flow,” Mendelson said.

But the announcement does more than grant extra time. It also reduces the risk that consumers switching plans could suffer an interruption in coverage because of the technology woes encountered by the federal sign-up system, and some state-run websites.

That’s particularly important for at least 4 million people whose existing individual plans were canceled because they did not meet standards under Obama’s law. Disruptions in coverage for those consumers could have major political consequences for Obama and beleaguered HHS Secretary Kathleen Sebelius.

Back in 2009, Obama had promised that people who liked their insurance would be able to keep it under his health overhaul plan. But that guarantee was shredded by the wave of cancellation notices, which crested right around the same time that HealthCare.gov was refusing to function for millions of potential customers. Obama’s poll ratings took a nosedive.

Under the industry announcement, consumers still must select a plan by Dec. 23 — next Monday.

But instead of having to pay their first month’s premium by New Year’s Eve, they now have until Jan. 10. That would let them have coverage retroactive to Jan. 1. Patients who get a pharmacy or medical bill during that period can later submit it to the insurance company for payment.

Insurers have complained that a significant number of the enrollments they have gotten from HealthCare.gov have problems that could prevent a consumer from getting covered on Jan. 1. That includes missing or incomplete information, duplicative entries and garble. The administration says its technical experts are aggressively tackling the problems, and that errors have been cut dramatically. But insurers say useless or corrupted files are still getting through. Government and industry are working together to clean up the records.

Without the extra time granted Wednesday, a consumer who paid in early January would have had to wait until Feb. 1 for coverage.

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