Updated
Updated · Las Vegas Review-Journal · Aug 3
Vermont Orders 20% Age-Based Premium Flexibility to Tackle $1,299 Monthly Health Insurance Costs
Updated
Updated · Las Vegas Review-Journal · Aug 3

Vermont Orders 20% Age-Based Premium Flexibility to Tackle $1,299 Monthly Health Insurance Costs

1 articles · Updated · Las Vegas Review-Journal · Aug 3

Summary

  • Gov. Phil Scott ordered Vermont officials to draft rules letting insurers vary premiums by age, capped at 20% above or below the community rate.
  • The change targets a market where younger adults often forgo coverage because they cannot get lower prices reflecting lower medical costs, leaving an older, costlier insurance pool.
  • Vermont’s benchmark silver plan averages $1,299 a month—the highest in the U.S.—while the cheapest tier averages $824 with a nearly $10,000 deductible.
  • The order marks a shift from policies tied to Vermont’s failed 2011 single-payer push, which was abandoned in 2014 after projected financing required an 11.5% payroll tax and higher income taxes.
  • The state’s marketplace now has only two private insurers, compared with four in New Hampshire, eight in Massachusetts and about 12 in New York.

Insights

Will Vermont's desperate pivot to age-based pricing finally save its collapsing insurance market, or just punish older residents?
Can a controversial high-deductible plan realistically solve a state healthcare crisis without leaving patients functionally uninsured?