My freelance work is organized as a single-member LLC. Since the Affordable Care Act, I have been getting insurance coverage directly from a health insurance provider, with rates equal to those on the exchange. Each year in November, my existing provider sends me a letter in one of two forms:
- "We are willing to continue your coverage under your existing plan for $X"
- "We are discontinuing your existing plan, but we are willing to offer you coverage under this other similar plan for $X"
I am reasonably healthy, so all of that has been fine so far. However, I'm over 50, and so the likelihood of chronic health issues climbs with each passing year.
A lot of the ink that has been spilled on the ACA focuses on the insurance rates. My question is about the availability of coverage in the first place.
Suppose I am diagnosed with a chronic medical condition, one needing long-term ongoing treatment and testing:
At the annual renewal time, can my existing health insurance provider simply decline to allow me to renew? I'm focusing here on outright denial of coverage, more than "you can renew but your monthly premium is on par with the GDP of Iceland", which AFAIK is an option that the provider could take.
If yes, how frequently does this occur?
BONUS: Also, if yes, how do the pre-existing condition rules under ACA affect my ability to get insurance from another provider? (UPDATE: HHS states that pre-existing conditions should not block access to insurance, so that's covered)