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When the Affordable Care Act Indiana was passed as law, Indiana was one of the first three states to be awarded a level one establishment grant for the creation of their state’s exchange. The governor at the time, Mitch Daniels, set up the exchange via an executive order. Daniels, whose term limits ran out in 2012, was not able to see the exchange firmly set up. The current governor of Indiana, Mike Pence, announced in November of 2012 that as soon as he took office the state health insurance exchange would not be implemented. This means that Indiana is running through a federally provided health insurance exchange. Once the law is fully implemented in 2014 and 2015 the ACA looks to control insurance costs and make affordability and access more widespread in the United States.
Each state had the option of making a recommendation to cover certain essential health benefits in their insurance policies. Indiana put forth no recommendations for altering their state’s essential health benefits so this means they will default to largest small group plan in the state. Their essential health benefits will be set by federal standards but will include the following categories: emergency services, laboratory services, rehabilitative and habilitative services, mental health and substance abuse aid, pediatric services, chronic disease management, and preventive disease management.
While Indiana took advantage of healthcare reform early, the state did not set up an exchange for 2014. Indiana residents will be able to access the federal exchange but this means that there are opportunities for group, association, and employers to help fill the void in the Indiana health exchange market.
For more information about setting up a private exchange solution in Indiana, contact a representative at GoHealth today.