What You Need to Know About High-Risk Insurance Pools

What You Need to Know About High-Risk Insurance Pools
AP Photo/J. Scott Applewhite, File

Here is what you need to know, from pre-existing conditions to who they benefit the most.

High-risk health insurance pools are back in the news after it was reportedHouse Republicans are considering making them a component of their plan to repeal and replace the Affordable Care Act.

The GOP is toying with the idea of allowing states to seek a waiver to the ACA's prohibition on charging sick people higher premiums if the states set up high-risk pools. Insurers would still be prohibited from denying people coverage outright, but they would be able to jack up premiums for people with a range of conditions and illnesses, effectively pricing them out of the individual market. Instead, people with pre-existing conditions—which ran the gamut, from cancer to high blood pressure, in the pre-ACA days—would be segregated into "high-risk pools."



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