High Risk Pool

Obviously still not affordable for the unemployed, but it will help at least some people:

Pennsylvania’s Insurance Department announced Wednesday that it had submitted a plan to achieve one of the provisions of the new national health-overhaul legislation: creation of a special insurance program for people who can’t buy insurance because they’re already sick.

People with preexisting conditions such as heart disease, cancer, or major mental illness would be able to buy into the proposed high-risk insurance pool for about what healthy people would pay, up to $5,616 a year.

The problem is that those payments, plus $160 million in federal funding through 2013, can provide insurance for only about 5,100 people in a state where 800,000 are uninsured. State officials do not know how many people can’t buy insurance because of health problems.

“The unfortunate reality is that there are more folks that need the program than what the state can afford to cover,” said Melissa Fox, a spokeswoman for the state Insurance Department.

The U.S. Department of Health and Human Services has said it would decide by July 1 whether to approve the plan, said Shelley Bain, policy director for the department. Bain said the program likely would not begin accepting applications until the fall, although the plan calls for the state to begin taking applications as early as August. Members of the pool will be selected on a first-come, first-served basis.

States had the option of letting the federal government administer their high-risk pools or creating their own programs. Thirty-five states already had high-risk pools.

“We believe that we know more about what the people of Pennsylvania need than the federal government does,” Bain said.

New Jersey submitted a proposal last week. It already requires insurers to offer plans to people with health problems, but said cost was a problem. It suggested modifying its current insurance system to make use of the federal funding. It didn’t specify a proposed cost for people to participate in the program.

Pennsylvania’s proposal calls for charging individuals with incomes below 200 percent of the federal poverty level $168 a month. People who make more would pay $468 a month.

2 thoughts on “High Risk Pool

  1. The cost of the insurance comes in at $468 per month. Who the hell has that much extra cash?

    I live in Pennsylvania. Sigh.

  2. Poor folks at 201% of poverty….

    Actually, I’d jump at $468 a month. A lot less than the $1, 198.50 I have to pay good ol’ Aetna every month. I will shortly be unable to pay it and keep a roof over my head.

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