Wisconsin Health Insurance Option Report Released

Contact: Kevin Kane, 414 550 8280, kevin.kane@citizenactionwi.org

                                                                    

New Wisconsin Health Coverage Option Report

Report ranks Metro Regions based on insurance options available in new marketplace created by health reform, lists options in every county

 

Statewide: On a media call Thursday August 22nd, Citizen Action of Wisconsin released “The Wisconsin Health Coverage Option Report” (audio here). The full report tracks the number of insurance companies competing for consumers’ business in all 72 counties. Common Ground Healthcare Cooperative, a new option on the health marketplace, joined the call as one of the new options. The report reveals a list of company service area, number of competitors on the marketplace for each county and the percent of the Wisconsin population that has multiple options on the new health marketplace as part of the Affordable Care Act, and can be downloaded here.

 

This report finds a wide selection of insurers available for the vast majority of the Wisconsin public, which has positive ramifications for cost, access and availability. 100% of Wisconsin citizens will have access to at least 2 insurance companies to choose from on the competitive health marketplace starting October 1st, and multiple plan options. 98.9% of Wisconsin citizens will have 3 or more insurance companies to choose from, and 68.6% of Wisconsin citizens will have 4 or more insurer choices available.

 

Additionally, the amount of plans to choose from will be wide. Every Wisconsin citizen will have a minimum of 4 options on the competitive health marketplace, 98.9% having at least 6 options available. These options are characterised as “Silver” or “Gold” plans, and do not even include “Bronze” plans, “Platinum” plans, Catastrophic plans or multiple plans from an insurer of the same precious metal. Meaning additional plans are highly likely.

 

“The array of options for the vast majority of Wisconsin citizens is good news for those concerned about quality affordable healthcare for all,” said Kevin Kane, Healthcare Organizer and report author. “The results show we as a society can step in and fix a broken insurance market. We can provide greater opportunity, freedom and choice to our citizens; as well as offer protections to consumers from the threat of pre-existing condition discrimination and other insurance abuses.”

 

Key Findings

  • 100% of all Wisconsin citizens will have at least 2 insurance company options available to them on the individual health marketplace, as determined by county breakdown of insurance company service area.
  • 98.9% of all Wisconsin citizens will have 3 or more insurance company options available to them on the individual health marketplace to choose from.
  • 68.6% of all Wisconsin citizens will have 4 or more insurance company options available to them on the individual health marketplace to choose from.
  • This level of market competition is achieved even without United Healthcare and Humana, both companies who declined to participate in the new marketplace in 2014 but have both announced intention to join in 2015. If these companies join the marketplace, the new results would be 99.6% of Wisconsin residents having 3 or more options, 94.2% of Wisconsin residents having 4 or more options.
  • Options in front of consumers are numerous. 98.9% of Wisconsin consumers will have at minimum 6 insurance plans to choose from.
  • Of the major metro areas of Wisconsin, Madison and Fond du Lac have the most insurers competing on the health marketplace (6 insurers), followed by Manitowoc, Janesville, Appleton and Green Bay tied with 5 insurers. Tied for least insurers competing on the marketplace are the metro regions of Superior, La Crosse, Milwaukee and Rhinelander with 3 insurers.

WI Metro Areas Ranked By Number Of Insurers

  1. Madison              6 insurers            Minimum 12 options on Marketplace
  2. Fond du Lac        6 insurers            Minimum 12 options on Marketplace
  3. Janesville             5 insurers            Minimum 10 options on Marketplace
  4. Appleton             5 insurers            Minimum 10 options on Marketplace
  5. Manitowoc         5 insurers            Minimum 10 options on Marketplace
  6. Green Bay           5 insurers            Minimum 10 options on Marketplace
  7. Waukesha           4 insurers            Minimum 8 options on Marketplace
  8. Racine                   4 insurers            Minimum 8 options on Marketplace
  9. Kenosha              4 insurers            Minimum 8 options on Marketplace
  10. Sheboygan         4 insurers            Minimum 8 options on Marketplace
  11. Eau Claire            4 insurers            Minimum 8 options on Marketplace
  12. Wausau                4 insurers            Minimum 8 options on Marketplace
  13. Superior               3 insurers            Minimum 6 options on Marketplace
  14. Milwaukee         3 insurers            Minimum 6 options on Marketplace
  15. La Crosse             3 insurers            Minimum 6 options on Marketplace
  16. Rhinelander       3 insurers            Minimum 6 options on Marketplace

 

Starting on October 1st the federal government will launch a new competitive health insurance marketplace for the individual and small group markets under the terms of the Affordable Care Act.  The report finds that every Wisconsin citizen will be able to choose from multiple options on this marketplace, and the vast majority of citizens will have a wide range of insurance options to choose from.

 

Additional data is available in the full report , which can be downloaded here

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-Blue denotes 4 or more insurers
-Green denotes 3 insurers
-Yellow denotes 2 insurers

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