NPR : News

Filed Under:

Costlier Insurance For Smokers May Not Come With Quitting Help

Most smokers want to quit. But how to nudge them in that direction is up for debate.

The health law allows new individual and small group health plans to charge smokers up to 50 percent higher premiums next year.

Small group plans (at companies that employ up to 100 people) can boost smokers' rates only in if plans also offer a wellness program aimed at helping people quit. But men and women insured through plans on the individual market don't get the same protection.

In recent years, as medical costs related to obesity, diabetes and other chronic conditions have skyrocketed, more employers have adopted wellness programs to try to stem the increases. About half of employers with 50 or more workers offered a wellness program in 2012, according to a study published earlier this year by Rand Health and conducted for the federal government. Among those that offered lifestyle management programs, more than three-quarters offered one related to smoking cessation.

In the individual market, however, wellness programs are rare. The Affordable Care Act provides for a demonstration project in 10 states to introduce wellness programs in the individual market, but it hasn't been implemented yet.

"In the individual market you don't have a workplace, and so the ability to avoid the [tobacco] rating increase by participating in a wellness program is not an option," says Dick Woodruff, vice president of federal relations for the American Cancer Society Cancer Action Network.

In some states, however, it won't be an issue. Six states and the District of Columbia have opted not to implement the smoking surcharge at all, according to the Department of Health and Human Services. A handful of others will limit the premium differential to less than 50 percent.

Andrews is a reporter with Kaiser Health News, a nonprofit news service.

Copyright 2013 Kaiser Health News. To see more, visit http://www.kaiserhealthnews.org/.

WAMU 88.5

Art Beat With Lauren Landau, Aug. 3, 2015

You can hear female vocalists perform blues and bluegrass at two concerts this week.

WAMU 88.5

Farms, Coasts And Air Conditioning: What Climate Change Means For Virginia

Climate change presents obstacles for just about everywhere in the United States — but rising temperatures are expected to be felt keenly in a number of Virginia's important economic areas.

NPR

Obama To Detail Tougher Plan To Fight Climate Change

President Obama will unveil climate change regulations Monday, expected to set tougher limits on coal than previously proposed. NPR's Scott Horsley previews the announcement with host Rachel Martin.
NPR

Despite Host Controversy, Amazon Takes A Chance On 'Top Gear'

The trio that made Top Gear the world's biggest car show will return to the small screen in a new show for Amazon Prime. The BBC canned one of its hosts last year after a fight with a producer.

Leave a Comment

Help keep the conversation civil. Please refer to our Terms of Use and Code of Conduct before posting your comments.