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 PacificSource Health Plan's proposal to raise individual health insurance rates

PacificSource Health Plan members with individual health insurance plans will see rate hikes of 42.7% on average, and as high as 60.4%, if the premium rate hike proposed by PacificSource goes forward. PacificSource’s increase is the largest proposed by a major health insurance carrier in Oregon’s individual market since 2010, when new rules heightening scrutiny of health insurance rates were implemented.

> Keep Reading
Report | OSPIRG Foundation | Health Care

Comments on Regence BlueCross BlueShield of Oregon's proposal to raise individual health insurance rates

Regence BlueCross BlueShield’s membership of more than 24,000 Oregonians with individual health insurance plans will see rate hikes of 12.3% on average, if the premium rate hike proposed by Regence goes forward. Some Regence members in transitional plans that will be discontinued at the end of the current year, which do not include the consumer protections of the federal health reform law, may see increases of up to 235% if they stick with Regence.

> Keep Reading
Report | OSPIRG Foundation | Health Care

Comments on LifeWise Health Plan of Oregon's proposal to raise individual health insurance rates

LifeWise Health Plan of Oregon’s 26,405 members with individual health insurance plans will see rate hikes of 37.2%on average, and as high as 45%, if the premium rate hike proposed by LifeWise goes forward.

> Keep Reading
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

Pages

Media Hit | Health Care

Consumers deserve a voice on insurance rate increases

Can Regence justify its rate hike? A public hearing will shine needed light

> Keep Reading
News Release | OSPIRG Foundation | Health Care

Regence Rate Hike Could Hit 25% for Some Businesses

According to a new analysis conducted by OSPIRG Foundation’s Health Insurance Rate Watch project, Regence has more work to do to justify their pending rate hike.

> Keep Reading
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

Pages

Report | OSPIRG Foundation

COVID-19 is putting incredible stress on the U.S. medical system, including the work of hospital biomedical repair technicians, known as biomeds or BMETs. These technicians are essential; hospitals need working equipment to diagnose and treat patients. But in some cases, manufacturers restrict access to what biomeds need.

News Release | OSPIRG Foundation

The coronavirus (COVID-19) pandemic is putting incredible stress on the U.S. medical system, including the equipment that is essential to diagnose and treat patients, such as ventilators. As that equipment is pressed into round-the-clock use, biomedical repair technicians face increasing pressure to maintain and repair all that equipment. However, in too many cases, manufacturers limit access to the essential tools and information these repair experts need. A new report by the OSPIRG Foundation, Hospital Repair Restrictions, details the challenges that medical professionals face as a result of device manufacturers setting up barriers to repair, and outlines steps to take to help hospitals. 

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.

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