How will health care reform affect Sac County?

… Supervisors choose to leave the door open to revoke current Blue Cross policy with the capability to go back to a previous policy.

SAC CITY, IOWA – OCTOBER 19, 2010

Health care reform basics.


County lost grandfathered status due to changes made to plan.


Changes due to health care reform
- Employee will no longer have to co-pay.
- Smoking cessation will be covered.
- Children covered until age 26 even if married.
- All pre-existing conditions have been eliminated.
- Unlimited lifetime dollar max.
- Unlimited benefits.
- Emergency services don’t change.


Cost of changes due to health care reform.
- Rate increase is estimated to be between one and three percent.
- It’s going to hurt younger groups.


The county can rescind the decision that led to this non-grandfathered status.
- County may have to pay premiums in year 2014 even if they are grandfathered.
- Have to decide by early December to rescind or not.
- What effect does preventative care have on the self fund?
- Wellmark can’t do this without a rate impact.


Some of the things could change because of the elections.
- The self fund has been a really good thing.
- Supervisors make the non-binding decision to look into rescinding current policy.
- The county fell into a very small group of groups that can do this.

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