Texas Health insurance should be easy. Get the help and benefits you deserve today.

Enter Zip:

Some Companies are Leaving the Texas Health Insurance Market Due to Health Care Reform

Health care reform has been an important issue for years. Many politicians would passively discuss the American healthcare system, often seeing problems but offering few solutions. Others claimed that although there are faults within American healthcare, it was up to those in charge of the healthcare companies to correct it. Most healthcare companies agreed, but nothing was done. It was all talk. However, President Obama's decision to overhaul America's healthcare system has politicians and those in the healthcare reeling. Because of changes in health care, many health insurance companies are leaving the health insurance market in Texas.

Texas health insurance premiums have increased by 91.6% since 2000. This is 4.6 times higher than the earnings of insurance suppliers in Texas. There are several factors to blame for this. One is increased spending on healthcare. Nearly half of Americans now suffer chronic conditions such as diabetes costing more than 174 billion dollars a year. A lack of regulation on the insurance industry allows companies to charge more and refuse coverage. In some markets there is little competition, and there is a "hidden health tax" that people with insurance use to help cover the uninsured.

What does all that mean? The insurance market is changing in a way that does not benefit health insurance companies. Instead of only competing with each other, health insurance companies in Texas now have to compete with governmental health care reform. The governmental plan has the advantage of setting payment schedules for doctors and hospitals. The rates, conditions, and supply of insurance companies are set in ways to provide adequate service but at prices that maximize profit.  Usually insurance companies insure those who are relatively healthy and do not have preexisting health conditions. Under the new governmental health care reform, requires insurance companies to provide insurance for everyone, no matter what conditions they have. This hurts insurance companies.

All these factors are contributing to many health insurance providers such as Unicare of Texas and American National to leave the market.(a 2012 update: there has been an additional 4 carriers exit the market) Unicare offered the lowest premiums in Texas until they were forced to raise their prices and change their benefit polices a few years ago.  It can be assumed that all the years Unicare offered low premiums caught up with them. This is why many insurance companies fear reform. They feel it rations insurance and does not promote a free market for insurance companies to thrive in. No matter the opinion, the new health care reform laws are causing companies to leave the market.