Monthly Archives:October 2017

2018 Adjustments to age ratings

20 Oct , 2017,
jtdickerson
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2018 Age-Rating Adjustment for Individual & Group Health Insurance Plans
For 2018 BlueEssentials and Business BlueEssentials plans, Blue Cross Blue Shield of South Carolina will be implementing an age-rating adjustment as a result of the 2018 Notice of Benefit and Payment Parameters Final Rule, which was passed by the Centers for Medicare and Medicaid Services (CMS).

What’s is Changing for 2018?

Prior to this ruling, CMS required a single age band be applied to the rate for members from birth through age 20. Under the 2018 CMS final rule, beginning on Jan. 1, 2018:
One age-rating band will apply to members from birth through age 14.

Separate, one-year age bands will apply to members ages 15 through 20.

The purpose of this change is to provide a more gradual transition from a child to an adult age rating.

Questions? Feel free to call us directly at 843-882-7062. Or CLICK HERE to shop and enroll in health plans!