Why Buying Health Insurance across State Lines might Not be a Good Idea
Recent proposals about buying health insurance across state lines have sent many of us scrambling to check policies, and wondering whether such changes might mean it’s time to find a new insurer. After all, wouldn’t such a change open up the market and make it possible to get cheaper coverage?
Unfortunately, it’s by no means certain that such a change would be largely beneficial. In fact, it’s actually possible that the end result might be more expensive insurance overall, and that over time, more Americans would find health insurance too expensive.
What Does Buying Insurance Across State Lines Entail?
So what does selling coverage across state lines actually mean? Simply that an insurer could sell their product to any person in any state. Theoretically, this would mean consumers have a much greater range of insurers from which to choose, meaning increased competition and lower premium costs. However, there are some wider implications.
The fact is, such a change may end up benefiting only those who are young, fit, and healthy – people who are low-risk in the eyes of insurers, and who can have their pick of policies. Anyone who is moderate or high risk will eventually find that getting affordable insurance, or perhaps even any insurance at all, becomes much harder.
This may seem counter-intuitive. After all, surely opening up the market will mean everyone has a better shot at getting affordable insurance. The problem is, however, to an insurance company risk is still risk. The perceived risk of an individual who is fifty years old, overweight, and a smoker won’t decrease just because that individual can buy insurance anywhere in the country.
And if an insurance company can offer cheap premiums to entice low-risk people from all over the country, they’re that much less likely to continue offering any type of insurance to higher-risk individuals.
What this means is, it’s more likely that insurers will be encouraged to underwrite more and more aggressively, with cheaper premiums for those who qualify as low-risk. But those cheaper policies will provide increasingly skimpy coverage, meaning that people who prefer more comprehensive policies – as well as high-risk individuals – will find fewer companies are willing to offer the insurance they need.
Does this mean across-state-lines insurance can’t work? Not necessarily, but more thought is needed to produce a workable solution. Federal regulation of insurance companies might be a good start – and in fact, if insurance companies are allowed to sell across state lines, this might seem to be the most appropriate and logical solution.
http://www.individual-health-plans.com/blog/insurance-across-state-lines/