Consumers’ Choice Health Plan is a new health care coverage option for South Carolinians. We began enrolling members October 1, 2013. The first coverage effective date is January 1, 2014. This date is when health reform laws go into full effect with the Individual Mandate that requires MOST citizens to have health care coverage or health insurance.
Consumers’ Choice is licensed by the South Carolina Department of Insurance and regulated by the US Department of Health and Human Services.
What’s different about Consumers’ Choice?
- Member-governed. Members will have the opportunity to serve on the governing board of directors.
- Non-profit. Saving will be reinvested into the plans to maintain high quality and competitive pricing.
- Prevention-focused. Our operating model is a patient-centered medical home model that focuses on prevention and wellness.
To provide high quality, affordable, consumer-friendly healthcare by promoting active participation with patients and their communities, and provider engagement in the coordination of care
Consumer Operated and Oriented Plan Program
The Affordable Care Act calls for the establishment of the Consumer Operated and Oriented Plan (CO-OP) Program. This program supports the creation of qualified nonprofit health insurance issuers to offer competitive health plans to individual and small businesses. The health CO-OP model was a bi-partisan development of the 2009 Senate Finance Committee, “Gang of Six,“ that became part of the Affordable Care Act legislation. Download White Paper. See Federal Announcement.
HHS CO-OP Advisory Board
The law also requires the Comptroller General to establish a 15-member advisory board to make recommendations to the Secretary of Health and Human Services (HHS) with regard to the award of grants and loans. The board appointments were made by June 23, 2010.
CCIIO works with the advisory board to assist and advise the Secretary and Congress on HHS’s strategy to foster the creation of qualified nonprofit health insurance issuers. Specifically, the advisory board provides advice regarding the awarding of grants and loans related to the CO-OP program. In these matters, the Committee shall consult with all components of the Department, other federal entities and non-federal organizations, as appropriate. It will also examine relevant data sources to assess the grant and loan award strategy to provide recommendations to CCIIO.
Consumers’ Choice Health Insurance Company (Consumers’ Choice Health Plan) is a nonprofit health insurer 501 (c)(29).