Preliminary Covered California Rate Increases for 2017
After two years of 4% increases in health insurance premiums, Covered California premiums increased by 13.2% in 2017. Prices for the lowest cost bronze plans however increased only 3.9% (for a three-year average of 3.9%). Prices for the lowest cost silver plans increased 8.1% (for a three year average of 4.8%). Prices for the 2nd lowest cost silver plans (reference plans) increased 8.1% (for a three year average of 4.1%). Prices for the savvy comparison shoppers (i.e. those switching to the lowest priced plan in the metal tier they selected) declined -1.2%.
Source: http://www.coveredca.com/news/pdfs/CoveredCA-2017-rate-booklet.pdf
Clearly there will be lots of financial incentives for Covered CA customers to shop around in the coming year; this report will provide some information for those inclined to do so.
But first, what caused premiums to spike this year after several good years? 1) The expiration of the ACA’s three-year reinsurance assistance, which insulated those health plans experiencing adverse selection. 2) Spikes in the costs of specialty drugs. 3) Gaming of the special enrollment rules. 4) Higher utilization of health services by those newly insured.
What can and should be done? Covered California projects that the expiration of the reinsurance financing increased premiums by 5 to 6 percent and that this is a one-time event not recurring in future years. This feature primarily impacted premiums in open network PPO plans as opposed to the HMOs and narrow network plans. Covered California stated its intent to crack down on those who game or seek to game the special enrollment rules to buy insurance only when they need it. The extraordinarily high pricing of new specialty drugs coming onto the market will need to be addressed by Congress.
Changes in benefit designs: For the coming year, Covered California reduced copays for primary care and urgent care and exempted most outpatient visits from the deductible in silver, gold and platinum plans so that it will be more affordable to see the doctor. The copay for a primary care doctor’s visit will be $75 in bronze plans, $35 in silver plans, $30 in gold plans and $15 in platinum plans. The copay for an urgent care doctor’s visit will be $75 in bronze plans, $35 in silver plans, $30 in gold plans and $15 in platinum plans. For those with low and moderate incomes enrolling in enhanced silver plans, the copay for a primary care doctor’s visit will be $5 for those with incomes up to 150% of FPL, $10 for those with incomes up to 200% of FPL and $30 for those with incomes up to 250% of FPL. It will require all plans to assure that each subscriber has a primary care doctor.
Tax credits insulate many subscribers from rising premiums. Since 90% of Covered California enrollees are receiving tax credits to help pay their premiums and most are also receiving tax credits to reduce their copays and deductibles, the interplay between listed premiums and the tax credits is essential to understanding what subscribers would actually pay. The reference plan or anchor point for calculating these credits or premium assistance is the 2nd lowest priced silver plan. Those choosing the lowest priced silver or the even lower priced bronze get additional savings. The reduced copays and deductibles are only available to those low and moderate-income individuals selecting a silver plan; silver is thus the plan offering greatest financial assistance for those with incomes up to 250% of FPL.
Region 1: North Rural – 56,000+ individuals enrolled of whom 92% receive premium assistance
Premiums for the lowest cost bronze are increasing by 5.9%, for the lowest priced silver by 10.8%. 85% are enrolled in an Anthem EPO whose premiums will increase by 10.5%, 14% are enrolled in a Blue Shield PPO whose premiums will increase by 22%. 1% is enrolled in Kaiser whose premiums will increase by 6%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $2 in 2016; they will increase to $4 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $56 in 2016; they will increase to $66 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $30 in 2016; they will decrease to $12 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $120 in 2016; they will increase to $130 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In this region for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $53 a month while their share of the highest cost silver plan is $192.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $191, the lowest cost bronze plan is $226; the lowest cost silver is $316; the lowest cost gold is $349, and the lowest cost platinum is$404.
Region 2: Marin, Napa, Solano and Sonoma – 54,000+ individuals enrolled of whom 87% receive premium assistance
Premiums for the lowest cost bronze are increasing by 7%, for the lowest priced silver by 7%. 18% are enrolled in an Anthem EPO whose premiums will increase by 28%, 19% are enrolled in a Blue Shield PPO whose premiums will increase by 19%. 52% are enrolled in Kaiser whose premiums will increase by 5.8%. 10% are enrolled in Western Health Advantage whose premiums will increase by 5.8%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $2 in 2016; they will increase to $9 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $61 in 2016; they will increase to $80 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $31 in 2016; they will decrease to $30 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $126 in 2016; they will increase to $152 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In this region for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $32 a month while their share of the highest cost silver plan is $173.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $194, the lowest cost bronze plan is $238; the lowest cost silver is $310; the lowest cost gold is $368, and the lowest cost platinum is$404.
Region 3: Sacramento region – 77,000+ individuals enrolled of whom 91% receive premium assistance
Premiums for the lowest cost bronze are increasing by 2.3%, for the lowest priced silver by 7.5%. 29% are enrolled in an Anthem EPO whose premiums will increase by 19%, 20% are enrolled in a Blue Shield PPO whose premiums will increase by 23%. 48% are enrolled in Kaiser whose premiums will increase by 5.8%. 3% are enrolled in Western Health Advantage whose premiums will increase by 8.8%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $2 in 2016; they will increase to $5 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $55 in 2016; they will increase to $70 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $29 in 2016; they will decrease to $22 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $119 in 2016; they will increase to $138 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In this region for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $35 a month while their share of the highest cost silver plan is $339.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $200, the lowest cost bronze plan is $229; the lowest cost silver is $316; the lowest cost gold is $349, and the lowest cost platinum is$404.
Region 4: San Francisco – 38,000+ individuals enrolled of whom 81% receive premium assistance
Premiums for the lowest cost bronze are increasing by 18%, for the lowest priced silver by 15.6%. 10% are enrolled in an Anthem EPO whose premiums will increase by 16.7%, 28% are enrolled in a Blue Shield PPO whose premiums will increase by 24%. 35% are enrolled in Kaiser whose premiums will increase by 5.3%. 26% are enrolled in Chinese Community Health Plan whose premiums will increase by 16.5%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $7 in 2016; they will decrease to $6 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $63 in 2016; they will increase to $68 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $42 in 2016; they will decrease to $21 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $129 in 2016; they will increase to $135 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In this region for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $22 a month while their share of the highest cost silver plan is $159.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $221, the lowest cost bronze plan is $246; the lowest cost silver is $320; the lowest cost gold is $386, and the lowest cost platinum is$435.
Region 5: Contra Costa – 41,000+ individuals enrolled of whom 86% receive premium assistance
Premiums for the lowest cost bronze are increasing by 2.3%, for the lowest priced silver by 11.4%. 4% are enrolled in an Anthem EPO whose premiums will increase by 22.6%, 37% are enrolled in a Blue Shield PPO whose premiums will increase by 24.4%. 57% are enrolled in Kaiser whose premiums will increase by 5.3%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $3 in 2016; they will decrease to $2 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $56 in 2016; they will decrease to $43 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $42 in 2016; they will decrease to $15 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $120 in 2016; they will decrease to $103 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In this region for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $11 a month while their share of the highest cost silver plan is $136.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $200, the lowest cost bronze plan is $229; the lowest cost silver is $316; the lowest cost gold is $349, and the lowest cost platinum is$404.
Region 6: Alameda – 67,000 individuals enrolled of whom 86% receive premium assistance
Premiums for the lowest cost bronze are increasing by 2.3%, for the lowest priced silver by 18.7%. 12% are enrolled in an Anthem EPO whose premiums will increase by 23.7%, 34% are enrolled in a Blue Shield PPO whose premiums will increase by 18.9%. 57% are enrolled in Kaiser whose premiums will increase by 5.6%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $2 in 2016; they will decrease to $7 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $56 in 2016; they will increase to $68 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $39 in 2016; they will decrease to $30 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $120 in 2016; they will increase to $135 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In this region for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $57 a month while their share of the highest cost silver plan is $173.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $205, the lowest cost bronze plan is $235; the lowest cost silver is $324; the lowest cost gold is $359, and the lowest cost platinum is$414.
Region 7: Santa Clara – 62,000 individuals enrolled of whom 86% receive premium assistance
Premiums for the lowest cost bronze are increasing by 0.7%, for the lowest priced silver by 0.8%. 46% are enrolled in an Anthem EPO whose premiums will increase by 8.4%, 12% are enrolled in a Blue Shield PPO whose premiums will increase by 22.3%. 37% are enrolled in Kaiser whose premiums will increase by 5.6%. 2% are enrolled in Valley Health Plan whose premiums increased 0.7%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $4 in 2016; they will increase to $7 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $70 in 2016; they will increase to $75 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $41 in 2016; they will decrease to $18 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $137 in 2016; they will increase to $144 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In this region for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $18 a month while their share of the highest cost silver plan is $171.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $176, the lowest cost bronze plan is $218; the lowest cost silver is $289; the lowest cost gold is $336, and the lowest cost platinum is$378.
Region 8: San Mateo – 26,000 individuals enrolled of whom 84% receive premium assistance
Premiums for the lowest cost bronze are increasing by 12.4%, for the lowest priced silver by 16.8%. 17% are enrolled in an Anthem EPO whose premiums will increase by 20%, 18% are enrolled in a Blue Shield PPO whose premiums will increase by 16.8%. 53% are enrolled in Kaiser whose premiums will increase by 5.9%. 9% are enrolled in Chinese Community Health Plan whose premiums increased 18.2%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $5 in 2016; they will increase to $9 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $66 in 2016; they will increase to $85 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $30 in 2016; they will decrease to $29 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $133 in 2016; they will increase to $157 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In this region for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $58 a month while their share of the highest cost silver plan is $198.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $221, the lowest cost bronze plan is $253; the lowest cost silver is $349; the lowest cost gold is $386, and the lowest cost platinum is$446.
Region 9: San Benito and Santa Cruz – 32,000 individuals enrolled of whom 89% receive premium assistance
Premiums for the lowest cost bronze are decreasing by -5.1%, for the lowest priced silver increasing by 0.2%. 64% are enrolled in an Anthem EPO whose premiums will increase by 31%, 32% are enrolled in a Blue Shield PPO whose premiums will increase by 24.3%. Kaiser has just entered the market in this region and will offer a substantial reduction in premiums compared to the premiums of the two Blues.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $4 in 2016; they will increase to $52 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $62 in 2016; they will increase to $165 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $28 in 2016; they will increase to $116 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $127 in 2016; they will increase to $259 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In this region for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $59 a month while their share of the highest cost silver plan is $205.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $205, the lowest cost bronze plan is $235; the lowest cost silver is $324; the lowest cost gold is $359, and the lowest cost platinum is$414.
Region 10: San Joaquin, Stanislaus, Merced and Tulare – 66,000 individuals enrolled of whom 94% receive premium assistance
Premiums for the lowest cost bronze are increasing by 2.8%, for the lowest priced silver by 9.3%. 68% are enrolled in an Anthem PPO whose premiums will increase by 8%, 8% are enrolled in a Blue Shield PPO whose premiums will increase by 18.5%. 24% are enrolled in Kaiser whose premiums will increase by 6%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $3 in 2016; they will increase to $4 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $54 in 2016; they will increase to $61 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $37 in 2016; they will decrease to $22 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $118 in 2016; they will increase to $127 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In this region for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $50 a month while their share of the highest cost silver plan is $199
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $164, the lowest cost bronze plan is $194; the lowest cost silver is $276; the lowest cost gold is $313, and the lowest cost platinum is $361.
Region 11: Fresno, Kings, and Madera – 31,000 individuals enrolled of whom 94% receive premium assistance
Premiums for the lowest cost bronze are increasing by 4.2%, for the lowest priced silver by 16.6%. 35% are enrolled in an Anthem PPO whose premiums will increase by 8.2%, 38% are enrolled in a Blue Shield PPO whose premiums will increase by 16.4%. 26% are enrolled in Kaiser whose premiums will increase by 6%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $1 in 2016; they will increase to $2 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $54 in 2016; they will increase to $56 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $50 in 2016; they will decrease to $37 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $118 in 2016; they will increase to $121 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In this region for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $41 a month while their share of the highest cost silver plan is $164.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $167, the lowest cost bronze plan is $195; the lowest cost silver is $255; the lowest cost gold is $298, and the lowest cost platinum is $344.
Region 12: San Luis Obispo, Santa Barbara, and Ventura – 31,000 individuals enrolled of whom 94% receive premium assistance
Premiums for the lowest cost bronze are increasing by 2.3%, for the lowest priced silver by 1.3%. 42% are enrolled in an Anthem PPO whose premiums will increase by 13.8%, 47% are enrolled in a Blue Shield PPO whose premiums will increase by 20%. 11% are enrolled in Kaiser whose premiums will increase by 5.5%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $1 in 2016; they will increase to $4 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $52 in 2016; they will increase to $74 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $45 in 2016; they will increase to $48 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $114 in 2016; they will increase to $144 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In this region for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $2 a month while their share of the highest cost silver plan is $111.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $192, the lowest cost bronze plan is $219; the lowest cost silver is $258; the lowest cost gold is $312, and the lowest cost platinum is $386.
Region 13: Mono, Inyo, and Imperial – 9,500 individuals enrolled of whom 96% receive premium assistance
Premiums for the lowest cost bronze are increasing by 9.9%, for the lowest priced silver by 13.5%. 42% are enrolled in an Anthem PPO whose premiums will increase by 33%, 47% are enrolled in a Blue Shield PPO whose premiums will increase by 19%. 46% are enrolled in Molina whose premiums will increase by 12%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $40 in 2016; they will decrease to $35 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $114 in 2016; they will decrease to $99 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $100 in 2016; they will decrease to $86 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $194 in 2016; they will decrease to $175 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In this region for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $4 a month while their share of the highest cost silver plan is $184.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $185, the lowest cost bronze plan is $191; the lowest cost silver is $244; the lowest cost gold is $273, and the lowest cost platinum is $316.
Region 14: Kern – 18,800 individuals enrolled of whom 93% receive premium assistance
Premiums for the lowest cost bronze are increasing by 3.4%, for the lowest priced silver by 4.0%. 37% are enrolled in an Anthem PPO whose premiums will increase by 7.6%, 46% are enrolled in a Blue Shield PPO whose premiums will increase by 18%. 16% are enrolled in Kaiser whose premiums will increase by 6%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $16 in 2016; they will decrease to $4 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $69 in 2016; they will decrease to $62 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $69 in 2016; they will decrease to $38 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $137 in 2016; they will decrease to $128 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In Kern for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $18 a month while their share of the highest cost silver plan is $96.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $174, the lowest cost bronze plan is $192; the lowest cost silver is $234; the lowest cost gold is $295, and the lowest cost platinum is $327.
Region 15: Los Angeles North East – 175,000 individuals enrolled of whom 90% receive premium assistance
Premiums for the lowest cost bronze are decreasing by -4.1%, increasing for the lowest priced silver by 3.3%. 10% are enrolled in an Anthem PPO whose premiums will increase by 27%, 46% are enrolled in a Blue Shield PPO whose premiums will increase by 21%. 12% are enrolled in Kaiser whose premiums will increase by 5.7%. 26% are enrolled in Health Net whose premiums will increase 12%. 3% are enrolled in LA Care whose premiums will increase by 3.7%
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $38 in 2016; they will increase to $47 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $64 in 2016; they will increase to $86 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $97 in 2016; they will increase to $108 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $131 in 2016; they will increase to $159 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In Los Angeles for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $52 a month while their share of the highest cost silver plan is $164.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $150, the lowest cost bronze plan is $154; the lowest cost silver is $197; the lowest cost gold is $221, and the lowest cost platinum is $255.
Region 16: Los Angeles South West – 218,000 individuals enrolled of whom 85% receive premium assistance
Premiums for the lowest cost bronze are increasing by 5.3%, increasing for the lowest priced silver by 8.8%. 13% are enrolled in an Anthem EPO whose premiums will increase by 26%, 21% are enrolled in a Blue Shield PPO whose premiums will increase by 19.5%. 17% are enrolled in Kaiser whose premiums will increase by 5.4%. 26% are enrolled in Health Net whose premiums will increase 14.6%. 4% are enrolled in LA Care whose premiums will increase by 3.8%. 12% are enrolled in Molina whose premiums will increase by 7.1%. 1% is enrolled in Oscar whose premiums will increase 12.8%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $42 in 2016; they will increase to $43 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $81 in 2016; they will increase to $104 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $102 in 2016; they will increase to $104 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $152 in 2016; they will increase to $181 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In Los Angeles for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $45 a month while their share of the highest cost silver plan is $210.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $153, the lowest cost bronze plan is $158; the lowest cost silver is $201; the lowest cost gold is $226, and the lowest cost platinum is $261.
Region 17: Riverside and San Bernardino – 130,000 individuals enrolled of whom 90% receive premium assistance
Premiums for the lowest cost bronze are increasing by 2.0%, increasing for the lowest priced silver by 5.4%. 8% are enrolled in an Anthem EPO whose premiums will increase by 18%, 31% are enrolled in a Blue Shield PPO whose premiums will increase by 18.4%. 20% are enrolled in Kaiser whose premiums will increase by 5.6%. 23% are enrolled in Health Net whose premiums will increase 4.1%. 15% are enrolled in Molina whose premiums will increase by 3.8%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $32 in 2016; they will increase to $37 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $73 in 2016; they will increase to $90 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $90 in 2016; they will increase to $96 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $141 in 2016; they will increase to $163 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In the Inland Empire for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $48 a month while their share of the highest cost silver plan is $186.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $153, the lowest cost bronze plan is $158; the lowest cost silver is $201; the lowest cost gold is $226, and the lowest cost platinum is $261.
Region 18: Orange– 142,000 individuals enrolled of whom 88% receive premium assistance
Premiums for the lowest cost bronze are increasing by 2.0%, decreasing for the lowest priced silver by 0.2%. 26% are enrolled in an Anthem EPO whose premiums will increase by 21.7%, 40% are enrolled in a Blue Shield PPO whose premiums will increase by 18.1%. 12% are enrolled in Kaiser whose premiums will increase by 5.6%. 21% are enrolled in Health Net whose premiums will increase 4.1%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $14 in 2016; they will increase to $39 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $63 in 2016; they will increase to $96 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $66 in 2016; they will increase to $99 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $129 in 2016; they will increase to $172 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In Orange for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $51 a month while their share of the highest cost silver plan is $133.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $174, the lowest cost bronze plan is $179; the lowest cost silver is $229; the lowest cost gold is $256, and the lowest cost platinum is $296.
Region 19: San Diego– 128,700 individuals enrolled of whom 87% receive premium assistance
Premiums for the lowest cost bronze are increasing by 0.5%, increasing for the lowest priced silver by 3.8%. 9% are enrolled in an Anthem EPO whose premiums will increase by 25.8%, 21% are enrolled in a Blue Shield PPO whose premiums will increase by 18.2%. 23% are enrolled in Kaiser whose premiums will increase by 5.4%. 19% are enrolled in Health Net whose premiums will increase 6.2%. 9% are enrolled in Molina whose premiums will increase 2.4%. 10% are enrolled in Sharp Network 2 whose premiums will increase 4.7%. 8% are enrolled in Sharp Network 1 whose premiums will increase 8.4%.
For an individual 25 years of age with income at 150% of FPL, their premiums for a bronze plan were $33 in 2016; they will decrease to $31 in 2017. For an individual 25 years of age with income at 150% of FPL, their premiums for a silver plan were $81 in 2016; they will increase to $100 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
For an individual 40 years of age with income at 150% of FPL, their premiums for a bronze plan were $90 in 2016; they will decrease to $88 in 2017. For an individual 40 years of age with income at 200% of FPL, their premiums for a silver plan were $151 in 2016; they will increase to $176 in 2017. People choosing more expensive plans pay more and those choosing less costly plans pay less.
It is critically important that individuals with limited means comparison shop. In San Diego for a 40 year-old individual with an income of 150% of FPL, their share of the lowest cost silver plan is $49 a month while their share of the highest cost silver plan is $218.
For a twenty five year old with no premium assistance, the lowest cost catastrophic coverage plan is $158, the lowest cost bronze plan is $182; the lowest cost silver is $233; the lowest cost gold is $261, and the lowest cost platinum is $302.
Prepared by: Lucien Wulsin
Dated: 7/22/16
Source: http://www.coveredca.com/news/pdfs/CoveredCA-2017-rate-booklet.pdf