Weather Forecast


Health insurance will be a few clicks away

ST. PAUL - More than a fifth of Minnesotans will sit down at a computer, or talk to someone using a computer, a year from now answering a series of questions.

It may look like they are on Travelocity planning a vacation, or maybe searching for the right gift.

Instead, they will be buying health care insurance. And if planners get their wish, they should be getting more choices in an easier-to-understand format than they could today in what will be called a health insurance exchange.

"It really should be a process that takes less than an hour to go through," said April Todd-Malmlov, executive director for the Minnesota health insurance exchange.

The exchange concept is a key factor in the 2-year-old federal Affordable Care Act, better known as Obamacare, an overhaul of the country's health-care system shepherded by President Barack Obama. With Obamacare requiring most Americans to carry health insurance, or pay a penalty, insurance exchanges are being established to provide access to policies.

Some states such as Minnesota are building the exchanges to match their residents' needs, while others are letting the federal government do the work. In either case, federal law requires that they be in operation next October.

A court decision and Obama's re-election left no doubt the Affordable Care Act will remain on the books, leaving health insurance exchange planners 10 months to implement their ideas.

Todd-Malmlov said 1.2 million of the 5.3 million Minnesotans are expected to use the exchange once it is fully operational. She said that although it must be running by October, all the "bells and whistles" will not be ready for a couple more years.

Those using the exchange are expected to come from varied backgrounds:

n Those without insurance

n People whose employers opt to give them vouchers to buy their own insurance.

n Working poor on the state-subsidized MinnesotaCare program.

n People who receive Medical Assistance, Minnesota's Medicaid program.

n Small businesses that decide to use the exchange to cover employees.

Obamacare pushes those without insurance to use exchanges by issuing financial penalties for failure to carry insurance.

A website user will be asked what aspect of insurance is most important, things such as deductibles, premium costs and type of coverage. Each answer will narrow the options, and eventually a manageable number of policies will be available for comparison.

Fewer policies will be available when the exchange begins in October because many insurance companies will not have all their plans in place, Todd-Malmlov said. Options will vary across the state, with some insurers selling plans in one part but not another.

Existing insurance companies will offer policies on the exchange, but Todd-Malmlov said some firms not now in Minnesota also are expected to be involved.

The state and federal government will not sell insurance, but will provide a way to buy it.

For those not comfortable with buying insurance via completer, a toll-free telephone number will be available for questions or to set a Minnesotan up with someone who can help make decisions.

State legislators will make decisions next year to answer some of the questions raised in months of planning.

House Majority Leader-elect Erin Murphy, DFL-St. Paul, said she expects action early in the session that begins Jan. 8, so work may be completed in time for the exchange to launch in October.

"In doing that, we will engage Minnesotans in how to best build one best for Minnesota," said Murphy, one of the Legislature's top health-care experts.

Don Davis
Don Davis has been the Forum Communications Minnesota Capitol Bureau chief since 2001, covering state government and politics for two dozen newspapers in the state. Don also blogs at Capital Chatter on Areavoices.