Health Insurance Alert

WE CAN HELP — Our health care policy experts are working to provide you with the resources you need to make the most of new health care consumer protections and tools.

How To Get The Best Deal

Newly uninsured and looking for coverage?  Deciding if your current plan still gives you the best value? Consumers have new options and protections. Know the facts.

1. Check out your options at the Health Insurance Marketplace. The plans include coverage for doctor visits, hospitalizations, maternity care, emergency room care, prescriptions and more.
You can sign up right away, and don’t have to wait until the next open enrollment period if you’ve recently lost coverage, or in other special cases.

Online: HealthCare.gov

Toll free: (800) 318-2596  TTY: (855) 889-4325

2. Find out about financial help. You may qualify for financial help to reduce monthly costs, and could be eligible for free or low-cost coverage. Check your eligibility online at HealthCare.gov or by calling one of the numbers above.

3. Get help comparing options and signing up. Take advantage of expert in-person help at no cost to you. Find a list of people who can help you and make an appointment online.

4. Compare plans. Key considerations include the monthly premium, potential out-of-pocket costs, provider network and independent quality ratings.

5. Don’t take no for an answer. Insurance companies can no longer deny you coverage due to a pre-existing condition.

6. Switch plans if you want to. In the health insurance marketplace, every year at open enrollment you can stick with your current plan, or switch to a new one.

7. Learn more. Check out our detailed Health Insurance 101 guide, So You Need Health Insurance. Now What?

8. Keep in touch. Check for updates on our website, and tell us about your experience. We want to hear what you think so we can spot trends and advocate for ongoing improvements. Contact us.

 

Health Care Consumer Protections

If you have coverage, you should know about your rights under the health care law, including:

  • Children and young adults can stay on their parents’ plan until age 26
  • Free preventive care, including check-ups and vaccinations
  • Insurance companies can’t set a lifetime cap on what they’ll pay if you get sick
  • Rebates if your insurance company spends less than 80% of premiums on care
  • No more annual caps on what your insurer will pay if you get
  • Insurance companies can’t charge women more than men for coverage

See more information about the health care law, the Affordable Care Act

Issue updates

Report | OSPIRG Foundation | Health Care

Comments on Moda Health Plan's proposal to raise individual health insurance rates

Moda Health Plan’s membership of more than 102,000 Oregonians with individual health insurance plans will see rate hikes of 25.6% on average, and as high as 54.12%, if the premium rate hike proposed by Moda goes forward. Moda currently has the largest market share in Oregon’s Individual market. Moda’s increase is the largest proposed by the dominant carrier in the individual market since 2010, when new rules heightening scrutiny of health insurance rates were implemented.

> Keep Reading
Blog Post | Health Care

Tax Season and Health Care: What You Need to Know | Jesse Ellis O'Brien

Tax season is here, and many Oregonians may have questions about new tax forms and provisions, including health premium tax credits and the new requirement to purchase health insurance. Here’s what you need to know.

> Keep Reading
Blog Post | Health Care

Open Enrollment: Here’s What You Need to Know | Jesse Ellis O'Brien

The countdown is on for enrolling in health insurance for 2015. With all of the changes coming to health care in Oregon, it’s more important than ever to get the facts about what’s happening and how you and your family can get coverage that works for you. Here’s our guide to Oregon’s open enrollment period, which starts November 15.

> Keep Reading
News Release | OSPIRG Foundation | Health Care

Over $24 Million in Waste Cut from 2015 Health Insurance Premiums

Close scrutiny of proposed health insurance premiums for 2015 has cut over $24 million in waste and unjustified costs from premiums for Oregon consumers and small businesses, according to a new OSPIRG Foundation report released today. The cuts come after OSPIRG Foundation’s analysis questioned the justifications of four major rate proposals. Taken together with cuts made since new standards were implemented, state officials have required insurers to cut $179 million in waste since 2010.

> Keep Reading
Report | OSPIRG Foundation | Health Care

Accountability in Action: Rate Review Cuts Over $24 Million in Waste from 2015 Health Insurance Premiums

Close scrutiny of proposed health insurance premiums for 2015 has cut over $24 million in waste and unjustified costs from premiums for Oregon consumers and small businesses. This brings the total waste cut by Oregon’s rate review program to over $179 million since 2010.

> Keep Reading

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Media Hit | Health Care

How the Oregon House can help our state's small businesses

I own a small business in Sunriver and have driven to Salem many times over the years to provide state officials with a small-business perspective about Oregon's health insurance exchange. Those trips weren't convenient, but I did it because the exchange is so important to small businesses like mine.

> Keep Reading
News Release | OSPIRG Foundation | Health Care

Effective Health Exchange Key to Lower Costs

Oregon policy-makers can address rising health care costs by implementing an effective health insurance exchange, according to a new policy brief released today by consumer advocacy group OSPIRG.

> Keep Reading
News Release | OSPIRG | Health Care

Plan to Cut Health Care Waste Moves Ahead

This week, state officials advanced a plan to cut needless administrative paperwork -- red tape that wastes doctors’ time and adds to already unaffordable health care costs.

> Keep Reading
Media Hit | Health Care

Oregon approves Regence rate increase of 14.7%

Rates increases exceeded four times the rate of inflation last year for more than 400,000 Oregonians with individual, small group and portable insurance plans, according to a report released this week by the OSPIRG Foundation, an affiliate of the Oregon State Public Interest Research Group.

> Keep Reading

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Report | OSPIRG Foundation

The Center for Disease Control (CDC) estimates that 48 million Americans contract a food borne illness yearly with 128,000 people hospitalized and 3,000 dead as a result of these illnesses. 

The food safety system uses two lines of defense to help prevent this threat. First a series of inspections and enforcement measures identify hazardous products before they make it to store shelves and Americans’ plates. Second, when a foodborne pathogen or other threats are still sold for consumption, the recall system attempts to remove the food from store shelves as quickly as possible and alerts consumers about the hazard. While not all illnesses are connected to a source, removing contaminated food from the market helps protect the public.

News Release | OSPIRG

The Oregon House of Representatives passed a bill this Tuesday banning online and other remote sales of vaping products.

Report | OSPIRG Foundation

People living in the United States have access to some of the best medical care in the world, from life-saving drugs to cutting-edge surgical techniques. But our system is deeply flawed, with spiraling costs forcing many Americans to spend more on care and often receiving poor quality care for all the extra money spent.

News Release | OSPIRG

Oregon's Drug Price Transparency Program has released its first annual report.  The progam found that Oregonians, on average, pay five times the highest international price for prescriptions.  

Blog Post

OSPIRG Health Care Advocate Numi Griffith breaks down how health insurance reduced her medical bills by over $16,000 after a climbing accident.

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OSPIRG Foundation is part of The Public Interest Network, which operates and supports organizations committed to a shared vision of a better world and a strategic approach to getting things done.