MENU

Where Does My Health Insurance Premium Really Go?

Wednesday, April 23rd, 2014

Posted April 14, 2014 – Blue Cross Blue Shield- Health Care Reform Blogbigstockphoto_colored_calculator_1756282

By: James LaCorte

Where does my health insurance premium really go? Health insurance customers often ask a simple question about the premium they pay every month:

Where does my premium dollar go? They’re usually not asking for a quick tutorial on how insurance works: Most people understand that everyone pays into a pool, and only those who need medical care take money out in the form of health care claims. What many of these folks really are asking is how much of that money actually pays for health care and how much goes toward running an insurance company — or toward profits.  Fair question.  Blue Cross and Blue Shield of North Carolina (BCBSNC) paid $5 billion in claims in 2013. Recently we announced that we spent almost 86 cents of every premium dollar paying for our customers’ health care – doctor visits, surgery, tests, medicine, eyeglasses, etc.

Our non-medical spending largely goes toward customer service and technology. We are also a full-taxed company. In 2013, we paid out more than $100 million in local, state and federal taxes.

(more…)

Wall Street Journal Previews ACA Rate Impact

Wednesday, July 31st, 2013
Posted by BCBSNC Date: 03/22/2013 A version of this article appeared March 22, 2013, on page A1 in the U.S. edition of The Wall Street Journal, with the headline: Health Insurers Warn on Premiums.

The Wall Street Journal has published a story that focuses on insurers’ efforts to educate brokers about the impact of the Affordable Care Act on premiums. BCBSNC is one of several health plans mentioned in the story.

Key Points About This

It’s important to remember that any numbers being thrown around are speculation – we have not finalized rates for the products we will sell on the Exchange yet.

The ACA has some good goals – covering more people and providing more benefits – and paying for these things will mean higher premiums.

The ACA requires health insurers to cover 10 new categories of essential health benefits – this adds cost.

There are also 8 new taxes and fees that will directly impact premiums.

And we’ll be adding many new customers – many of them sicker than our current customers. We expect this to mean higher medical expenses.

All of this means premiums that are higher than what we see today. Subsidies will offset these costs for some, but many customers will still pay more than they do today.

This summer, we will have tools available to help our customers evaluate their specific circumstances and determine whether they are better off keeping their current plan or shopping on the Exchange for a new plan. (more…)

 
Individual & Family Plans
Medicare Plans
Dental & Vision Plans
Short-term Plans