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Wisconsin Health Insurance Marketplace will have significant choice and lower than expected premiums, feds say

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news River Falls, 54022
River Falls Wisconsin 2815 Prairie Drive / P.O. Box 25 54022

A new report released Wednesday, Sept. 25, by the Department of Health and Human Services finds that in Wisconsin, consumers will see increased competition in the Health Insurance Marketplace, leading to new and affordable choices for consumers.

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According to the report, Wisconsin consumers will be able to choose from an average of 97 health plans in the marketplace. Nationally, the vast majority of consumers will have a choice of at least two different health insurance companies - usually more.

Premiums nationwide will also be around 16 percent lower than originally expected, before taking into account financial assistance. About 95 percent of the eligible uninsured live in states with lower than expected premiums, according to HHS.

“We are excited to see that rates in the Wisconsin Marketplace are even lower than originally projected,” said Secretary Kathleen Sebelius. “In the past, consumers were too often denied or priced-out of quality health insurance options, but thanks to the Affordable Care Act consumers will be able to choose from a number of new coverage options at a price that is affordable.”

In less than a week, the new marketplace will be open for business where millions of Americans will be able to shop for and purchase health insurance coverage in one place. Consumers will be able to find out whether they qualify for premium assistance and compare plans side-by-side based on pricing, quality and benefits.

No one can be denied coverage because of a preexisting condition. Oct. 1 marks the beginning of a six-month long open enrollment period that runs through March 2014. Coverage begins as early as Jan. 1, or in as little as 100 days from today.

The report says that individuals in Wisconsin will have an average of 97 qualified health plan choices. Plans in the marketplace will be categorized as either “gold,” “silver” or “bronze.” Young adults will also have the option of purchasing a “catastrophic” plan, increasing their number of choices.

In Wisconsin, the average premium for the lowest-cost silver plan will be $344 and for the lowest cost bronze plan it will be $287. The average premium nationally for the second lowest cost silver plan will be $328 before tax credits, or 16 percent below projections based off of Congressional Budget Office estimates.

About 95 percent of uninsured people eligible for the Marketplace live in a state where their average premium is lower than projections. And states with the lowest premiums have more than twice the number of insurance companies offering plans than states with the highest premiums.

Premium and plan options are broken down by state where information is available. For example, the report shows that a 27-year-old living in Wisconsin who makes $25,000 per year will pay $96 per month for the lowest cost bronze plan and $145 per month for the second lowest cost silver plan, taking into account tax credits.

For a family of four in Wisconsin with an income of $50,000 per year, the lowest bronze plan would cost only $106 per month.

In Milwaukee, a 27-year-old who makes $25,000 per year will pay $86 per month for the lowest cost bronze plan and $145 per month for the second lowest cost silver plan, taking into account tax credits.

For a family of four in Milwaukee, with an income of $50,000 per year, the lowest bronze plan would cost only $70 per month. And Milwaukee consumers will be able to choose from among 84 qualified health plans.

The majority (around six out of 10) of the individuals who are uninsured today will be able to find coverage for $100 or less per month in the marketplace taking into account premium tax credits and Medicaid coverage.

Consumers can get help finding marketplace coverage through a number of different resources. They can get more information through HealthCare.gov, or cuidadodesalud.gov. They can participate in an online web chat, or call 1-800-318-2596 toll free (TTY: 1-855-889-4325) to speak with a trained customer service representative with translation services available in 150 languages.

There will also be people in local communities who can provide in-person help with coverage choices. Those will include navigators and other assisters, community health centers across the country, local libraries, and hundreds of champions for coverage that have signed up to help consumers learn about their options.

To become a Champion for Coverage, visit: http://marketplace.cms.gov/help-us/champion.html.

Follow HHS on Twitter @HHSgov and sign up for HHS email updates. Follow HHS Secretary Kathleen Sebelius on Twitter @Sebelius.

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