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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.

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As confirmed cases of COVID-19 continue to be reported, you may be wondering what you can do to avoid exposure to the virus. Until a vaccine is developed, healthcare authorities recommend following the same steps you would take to prevent the spread of other respiratory viruses. That includes:

  • cleaning your hands regularly and thoroughly with an alcohol-based hand rub or washing them with soap and water.
  • Maintaining at least three feet of distance between yourself and anyone who is coughing or sneezing.
  • Refraining from touching your eyes, nose and mouth, where the virus can be transmitted into your body.
  • covering your mouth and nose with your bent elbow or tissue when you cough or sneeze, then disposing of the used tissue immediately.

To avoid misinformation about COVID-19, look to trustworthy sources, such as the CDC, the World Health Organization, and local health departments websites to stay informed.