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Aetna Advantage Plans for Individuals, Families and the Self-Employed
Gender-neutral rating, maternity coverage, Health Care Reform benefits and renewal rate changes for Colorado effective 1/1/11
As a result of recent regulatory changes, Aetna is implementing gender-neutral rating and maternity coverage for members of Aetna Advantage Plans for Individuals, Families and the Self-Employed in Colorado.
The new policy, which takes effect January 1, 2011, means that a person’s gender will no longer be a factor in determining their health insurance premium. Gender-neutral rating applies to all new and existing members.
Also effective January 1, we are enhancing plan benefits in Colorado to meet the requirements of the Federal Patient Protection and Access to Care Act (PPACA).
Important note: Beginning 12/1 you will not be able to run a quote for Colorado for 2011 effective dates. This is due to the implementation of gender-neutral rating and finalization of rates. We expect to open the quoting window in January 2011 and we will communicate the specific start date in a future alert.
How will gender-neutral rating be different?
Currently, a person’s gender is one of many factors that help to determine how much they pay for a plan: other factors include age, where they live, and health status. Because men and women typically use health care services differently at various ages, they are currently charged different premium rates when they purchase individual health plans.
With this new law, gender will no longer be a factor when determining plan rates. This means that some people will pay more than they used to, while other people will pay less.
Member notification
Member letters will be mailed the week of December 2 to Colorado. In addition to the gender-neutral rating, member letters may include information on various topics such as the heath care reform provisions, if the member's plan was grandfathered, renewal premium rates, and the addition of maternity coverage depending on the member's effective date and their specific plan.
Maternity coverage
Effective January 1, 2011, maternity coverage will be provided on all existing Aetna Advantage Plans for in Colorado.
Maternity coverage benefits:
No waiting period
Subject to the same copayments, deductibles and coinsurance as any other benefit.
Resources
For more detailed information, view the fact sheet How your rates are calculated located on Producer World.
Starting 12/6, you can look up specific rate change information for your clients using the Book of Business tool on Producer World.
This information is intended for brokers only. Aetna Advantage Plans for Individuals, Families and the Self-Employed are underwritten by Aetna Life Insurance Company (Aetna) directly and/or through an out-of-state blanket trust or Aetna Health Inc. In some states, individuals may qualify as a business group of one and may be eligible for guaranteed issue, small group health plans. To the extent permitted by law, these plans are medically underwritten and your client may be declined coverage in accordance with their health condition. 12/10
If you no longer wish to receive these emails, please click on the following link: Unsubscribe
Aetna Consumer Segment
PO Box 91507
Arlington, TX 76015
Read the Aetna Web Privacy Policy.
©2010 Aetna Inc.
Gender-neutral rating, maternity coverage, Health Care Reform benefits and renewal rate changes for Colorado effective 1/1/11
As a result of recent regulatory changes, Aetna is implementing gender-neutral rating and maternity coverage for members of Aetna Advantage Plans for Individuals, Families and the Self-Employed in Colorado.
The new policy, which takes effect January 1, 2011, means that a person’s gender will no longer be a factor in determining their health insurance premium. Gender-neutral rating applies to all new and existing members.
Also effective January 1, we are enhancing plan benefits in Colorado to meet the requirements of the Federal Patient Protection and Access to Care Act (PPACA).
Important note: Beginning 12/1 you will not be able to run a quote for Colorado for 2011 effective dates. This is due to the implementation of gender-neutral rating and finalization of rates. We expect to open the quoting window in January 2011 and we will communicate the specific start date in a future alert.
How will gender-neutral rating be different?
Currently, a person’s gender is one of many factors that help to determine how much they pay for a plan: other factors include age, where they live, and health status. Because men and women typically use health care services differently at various ages, they are currently charged different premium rates when they purchase individual health plans.
With this new law, gender will no longer be a factor when determining plan rates. This means that some people will pay more than they used to, while other people will pay less.
Member notification
Member letters will be mailed the week of December 2 to Colorado. In addition to the gender-neutral rating, member letters may include information on various topics such as the heath care reform provisions, if the member's plan was grandfathered, renewal premium rates, and the addition of maternity coverage depending on the member's effective date and their specific plan.
Maternity coverage
Effective January 1, 2011, maternity coverage will be provided on all existing Aetna Advantage Plans for in Colorado.
Maternity coverage benefits:
No waiting period
Subject to the same copayments, deductibles and coinsurance as any other benefit.
Resources
For more detailed information, view the fact sheet How your rates are calculated located on Producer World.
Starting 12/6, you can look up specific rate change information for your clients using the Book of Business tool on Producer World.
This information is intended for brokers only. Aetna Advantage Plans for Individuals, Families and the Self-Employed are underwritten by Aetna Life Insurance Company (Aetna) directly and/or through an out-of-state blanket trust or Aetna Health Inc. In some states, individuals may qualify as a business group of one and may be eligible for guaranteed issue, small group health plans. To the extent permitted by law, these plans are medically underwritten and your client may be declined coverage in accordance with their health condition. 12/10
If you no longer wish to receive these emails, please click on the following link: Unsubscribe
Aetna Consumer Segment
PO Box 91507
Arlington, TX 76015
Read the Aetna Web Privacy Policy.
©2010 Aetna Inc.
