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New IBC products available through health insurance marketplaces
Professional; Facility; Ancillary
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As mandated by the Patient Protection and Affordable Care Act of 2010, each
state is required to establish a health insurance marketplace by January 1,
2014. Health insurance marketplaces are new entities that will be set up for
consumers to buy health insurance. They will offer a choice of different health
plans for those who buy their own individual and/or small group coverage,
certify health plans that participate, and provide information to help
consumers better understand their health coverage options. IBC will participate
in the federally facilitated health insurance marketplace in Pennsylvania by
providing various commercial products that are covered under your current
Agreement and will be reimbursed in accordance with your payment rates for
commercial products.
These commercial products will be available beginning January 1, 2014, and will
include tiered provider network products. These lower-cost tiered network
products will have benefit designs with different member cost-sharing by tier
and will offer members a lower out-of-pocket cost (e.g., copayment) when they
select a provider in the preferred benefit tier.
Look for more information about these new products in future editions of
Partners in Health UpdateSM.