Question: I have a Blue Shield grandfathered health plan with a very high rate, especially in that it is rated higher because of a health condition upon initial application and approval (can’t get lower tier now either). I am looking at my health plan options to lower my premiums. Should I decide to keep my grandfathered plan come Jan 2014, will the Tier rating rate-up automatically be eliminated (and therefore my rate reduced), or can Blue Shield still keep the higher rating in place regardless of the ACA mandate to not rate on health or medical conditions?
Answer: Grandfathered benefit plans (benefits have not changed since March 23, 2010) are not required to meet ACA standard benefits, I believe that would include the premium rate-up for preexisting conditions. That means your current premium will not be reduced in 2014. You will probably want to change to a ACA compliant plan.