Obamacare Excludes Seattle Childrens Hospital
Whoops - Seattle Childrens Hospital was excluded in the state exchange insurance plans by six of the eight insurance companies selling in the exchange. (Here)
The state health insurance exchanges are a big part of Obamacare. Individuals and small businesses can buy health insurance with taxpayer subsidies in the exchanges. Anyone earning up to 400 percent of the federal poverty level ($94,200 for a family of four) will qualify for the subsidies.
Every insurance plan sold in the exchange must include benefits mandated by Obamacare. Plan prices must be approved by the government and must be competitive. Under Obamacare, insurance companies must sell health insurance to anyone regardless of pre-existing conditions (guaranteed issue).
To stay in business, insurance companies must price plans to cover their exposed risk. One way to hold prices down is to limit the provider network offered in the various plans. Childrens' health care can be very expensive. By not including Seattle Childrens Hospital, insurance companies are simply reacting to the government regulations that Obamacare places upon their businesses.