Written answers

Tuesday, 24 March 2015

Department of Health

Health Insurance Community Rating

Photo of Michael McCarthyMichael McCarthy (Cork South West, Labour)
Link to this: Individually | In context | Oireachtas source

659. To ask the Minister for Health his views on correspondence (details supplied) regarding the introduction of the lifetime community rating from May 2015; and if he will make a statement on the matter. [11734/15]

Photo of Noel HarringtonNoel Harrington (Cork South West, Fine Gael)
Link to this: Individually | In context | Oireachtas source

669. To ask the Minister for Health his views on correspondence (details supplied) regarding community rating for health insurance; and if he will make a statement on the matter. [11772/15]

Photo of Leo VaradkarLeo Varadkar (Dublin West, Fine Gael)
Link to this: Individually | In context | Oireachtas source

I propose to take Questions Nos. 659 and 669 together.

The Health Act 1970 (as amended) provides for two categories of eligibility for all persons ordinarily resident in the country, i.e. full eligibility or limited eligibility for health services. Persons with full eligibility (medical card holders) are entitled to a range of services including general practitioner services, prescribed drugs and medicines, all in-patient public hospital services in public wards including consultant services, all out-patient public hospital services including consultant services, dental, ophthalmic and aural services and appliances and maternity and infant care services. People with limited eligibility (non-medical card holders) are entitled, subject to certain charges, to all in-patient public hospital services in public wards including consultant services and out-patient pubic hospital services including consultant services.

Separate to the public health system, my Department oversees the maintenance of a competitive and sustainable private health insurance market, under the provisions of the Health Insurance Acts 1994 to 2014, and monitors developments on an ongoing basis to ensure that the market is regulated appropriately. The policy objective of introducing Lifetime Community Rating (LCR) to the health insurance market is to encourage people to purchase health insurance at a younger age, as community-rated markets depend on a continuing influx of younger people to help spread the costs of older and less healthy people across the market and helping to support affordable community-rated premiums for everyone who wishes to purchase insurance.

It is important to note that the purchase of private health insurance is optional. The regulatory framework governing health insurance, such as late entry loadings under LCR and the application of waiting periods for new health insurance customers, applies to all persons choosing to purchase health insurance and is not related to a persons eligibility, or previous eligibility, for public health services. Therefore, I do not consider there to be any anomaly in treatment.

On the issue of waiting periods specifically, I recently signed amending Regulations to standardise the waiting periods for everyone taking out private health insurance. The revised maximum waiting periods to be served for all persons, irrespective of age, will be 26 weeks for the initial waiting period and 5 years for pre-existing conditions. The Regulations will apply to all health insurance contracts entered into on or after 1 May 2015 and will include contracts that are 'renewed' after this date.

Comments

No comments

Log in or join to post a public comment.