2022 Rate Change Justification

The Centers for Medicare & Medicaid Services require Qualified Health Plans, such as Aspirus Health Plan, to post a notification online explaining the necessity of rate changes.

At Aspirus Health Plan, we do our best to control costs and provide our members with the best value for their money. To continue providing top-quality health plans, rate adjustments are needed from time to time. The Centers for Medicare & Medicaid Services require Qualified Health Plans, such as Aspirus Health Plan, to post a notification online explaining the necessity of rate changes.

The primary factors impacting Aspirus Health Plan’s premium rate changes are:

  • The continued increases in the cost of medical care and prescription drugs.
  • An increase in health care service use by consumers.
  • Aspirus Health Plan is establishing premiums for 2022 assuming the Cost Share Reduction benefit subsidies are not funded and therefore need to be included somewhere in our overall pricing and premium development. The rate impact that was included last year will remain for 2022.

Rate adjustments were made to the renewing health plans and the individual HMO and POS products as a whole. Primary changes in cost sharing were only made to maintain benefit offerings within the prescribed metal tiers.