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Update: Rate Decreases for Individual Health Plans

Jul 31, 2020
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Community Health Options has filed proposed rates decreases ranging from -24.7% to -4.3% for all individual and family health plans (as opposed to those health plans purchased through your employer).  These rates are subject to regulatory approval and not yet final. If approved, they would go into effect January 1, 2021.

Following Maine Bureau of Insurance requirements to allow for timely notice and feedback, all individual health plan subscribers will soon receive this information by mail.  Once the rates are approved, Health Options will send another letter with each subscriber’s estimated rate decrease.

Click here for a sample summary of the proposed 2021 rate decreases. Please be aware that rates will vary based on a Member’s age, tobacco usage, and region of residence (also known as a “rating area”). Also note that the summary does not include any Advance Premium Tax Credit (APTC) subsidy information. If you enrolled through the Marketplace and continue to qualify for APTC, premiums continue to be capped at a percentage of your income (and based on the second lowest Silver plan premium).

We have been able to propose these reduced rates through our ongoing and consistent efforts to achieve greater efficiencies and cost reductions. As always, we endeavor to provide you with the greatest benefit and service for your premium dollar. 

Please contact Health Options Member Services at (855) 624-6463, Monday through Friday, 8 a.m. to 6 p.m. with any  questions or concerns.

SEE ALSO

We recently improved our homepage navigation as a first step to presenting you—our Members and business partners—with an enhanced website experience.  Our goal is to provide the information you need and clear-cut navigation to get there.

Over the next several months you will see more changes designed to make the site’s content readily accessible. Keep checking back to see what’s new!

Additionally, Health Options is proud to launch PioneerASO, an innovative administrative and service model that helps self-funded employers take control of healthcare costs. 

We hope you find the changes helpful and would appreciate your feedback.