LEWISTON — Officials from Maine Community Health Options and Anthem Blue Cross and Blue Shield say their companies have both won final approval from the federal government to post health insurance plans on the upcoming Affordable Care Act marketplace.
MCHO, based in Lewiston, is the state’s first health insurance co-op, a nonprofit governed for and by members. Anthem is the state’s largest insurance company and it has partnered with MaineHealth, the state’s largest health-care organization, to offer its plans.
Any individual or small group can buy from the marketplace, also known as an exchange. However, individuals who have federal subsidies can only use them in the marketplace and some small businesses will only get a tax break if they buy through the marketplace.
The Maine Bureau of Insurance approved both MCHO and Anthem for the marketplace in July. Anthem’s plans were controversial because they featured a narrow network that strictly limits which doctors and hospitals patients can use. Anthem has since asked to install a similar narrow network for individual insurance plans sold outside the marketplace as well.
The Centers for Medicare and Medicaid Services must give final approval before plans can be listed on the upcoming marketplace.
The Maine Bureau of Insurance could not confirm federal approval late Monday. A CMS spokesperson said the federal agency has not yet released which plans have been OK’d for the marketplace.
But MCHO and Anthem officials both said Monday that their companies have received approval.
About 124,500 Mainers now have individual or small-group health insurance plans, and another 133,000 have no insurance. Those 257,500 people are the ones most likely to be affected by the marketplace, by choosing it for themselves or working for an employer who chooses it. However, Maine Bureau of Insurance officials believe far fewer people than that will go through the marketplace.
The marketplace is slated to start open enrollment Oct. 1. Insurance plans will go into effect Jan. 1, 2014.
You have lots of questions about the Affordable Care Act, aka Obamacare. The Sun Journal and the Bangor Daily News want to help you understand what the ACA will mean for you and your family.
- Free breast pumps! And other little-known features buried in the ACA
- Free preventive care? It’s one of the benefits (and controversies) of the ACA
- The list: Free preventative care
- Affordable Care Act 101: We break down the ACA, what it does and what it requires you to do.
- Just the FAQs ma’am: Frequently asked questions and helpful answers
- An ACA Timeline: How health care coverage has evolved.
- Where to get assistance and more info: There are more sources of information and help understanding how the Affordable Care Act affects you.
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