Wellmark drops individual PPO plans from Iowa market

Iowa’s largest payer, Wellmark Blue Cross and Blue Shield, will not offer preferred provider organization plans on the state’s individual market for 2017, The Des Moines Register reports.

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Wellmark lost $99 million in Iowa’s individual market over the past two years. The insurer said new policyholders used more healthcare than anticipated.

About 7,000 policyholders with rich-benefit “gold-tier” plans will need to find new plans. A number of current PPO policyholders, however, will be able to keep their plans.  

The insurer will sustain narrow network plans with Des Moines, Iowa-based Mercy Health System and Iowa City-based University of Iowa Health Care. It will continue selling its health maintenance organization plans.  

More articles about payer issues:
BCBS of Texas commits to offering ACA plans for 2017
House will vote on ACA individual mandate exemption bill
Aetna looks toward social programs for healthcare reform

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