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Posted by on Sep 24, 2013 in New Hampshire | 0 comments

New Hampshire’s Single-Carrier Exchange

New Hampshire’s Exchange to See Narrow Network

What is the website for the partnership exchange that New Hampshire consumers will use to compare health plans, apply for subsidies, and enroll in coverage?

On June 18, 2012, Governor John Lynch signed HB 1297 into law, prohibiting the state from participating in or enabling a state-based health insurance exchange. However, HB 1297 allows for state agencies or departments to “operate specific functions of a federally-facilitated exchange.”

On February 13, 2013, newly-elected Governor Margaret Hassan declared the state’s intent to pursue a federal-state partnership health benefit exchange. The state will retain control over plan management and consumer assistance functions. Consumers in New Hampshire may use the federal website, HealthCare.gov, to apply for coverage, compare health insurance plan options and enroll in coverage.

Will premiums be the same statewide?

Many states are divided into multiple geographic rating areas, with consumers seeing variations in premiums across the state. However, New Hampshire has only one rating area; premiums will be the same across all regions of the state.

Which company is offering coverage through the exchange?

Anthem Blue Cross and Blue Shield in New Hampshire is the only carrier that has chosen to take part in the new health care exchange in 2014. In a September 5, 2013  Press Release, Anthem issued a statement regarding the company’s participation in the state’s health insurance exchange. Anthem will be offering a ‘select provider network’ called Pathway.

“All individuals that purchase health plans on or off the exchange as well as small groups that chose to purchase coverage on the SHOP exchange will utilize this new Pathway network.”

The network includes:

  • 74% of PCPs
  • 85% of Specialists, Allied, and Other Professional Providers
  • 83% of Ambulatory Surgery Providers
  • 98% of the current Ancillary network (e.g. lab, DME, Ambulance, Home Care)
  • All Essential Community Providers (ECPs)
  • 16 of New Hampshire’s Acute Care General Hospitals plus one Massachusetts tertiary hospital

In a September 17, 2013 Press Release, Anthem’s Exchange Plans Receive Federal Approval, the company announced that the submitted health plans received approval from the NH Department of Insurance and the Centers for Medicare and Medicaid Services.

New information is being released every day. Follow this blog to receive updates as new information is released in New Hampshire.

Jillian Carlile
Research Analyst & Health Exchange know-it-all
Strenuus
jcarlile@strenuus.com

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