Myth Busting: Do You Need a Credit Check for Obamacare?

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This post comes from Christine DiGangi at partner site Credit.com.

Credit scores have joined the ring of confusion surrounding the Affordable Care Act and the newly opened health insurance exchanges.

While auto and homeowners insurance providers may check your credit score when you apply for coverage, health insurers do not assess applicants’ credit scores as a means to decide health plan costs or whether to grant someone coverage.

Translation: Of all the things people are worrying about as they try to get health insurance through Obamacare, credit history should not be one of them.

A source of some of the confusion is that an ACA navigator recently gave an interview saying that a credit check was required. The navigator later retracted the misinformation.

Credit profiles determine how much consumers pay for certain things, like mortgage rates and auto loans, but not an individual health insurance premium. Credit history is used in other insurance to produce credit-based insurance scores.

“They use it widely in auto insurance premiums and homeowners insurance premiums,” said Gerri Detweiler, Credit.com’s director of consumer education. “It’s understandable that consumers would be worried that their health insurance premiums could be affected by their credit, because it does play a role in the discounts you might get in auto and homeowners insurance.”

According to FICO, which produces the most widely used credit score model, credit checks aren’t a part of the health insurance process.

“Neither credit information nor credit scores are allowed to be used for individual health insurance screening,” said FICO director of public relations Anthony Sprauve in an email to Credit.com.

Experian, one of the three major credit bureaus, has been contracted to verify consumers’ identities as they apply for insurance through the state exchanges, but the verification does not equal a credit check.

When it comes to choosing health insurance and its impact on one’s finances, it’s most important for consumers to understand how the costs add up and which plans best suit their needs.

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  • ponce

    Don’t know about credit checks but went online and just wanted to see what the various plans would cost me without a subsidy. Well, it took half an hour for me to go through the process, provide personal information, set up passwords, set up secret questions, even opt out of providing more extensive financial eligibility information (after all, I was only shopping) only to be told that I was ineligible since I’m on Medicare. Well, at least I’m signed up, but they could have told me I’m ineligible after I told them 1947 was my birth year! For people who actually need to SEE the prices, I suspect providing more personal financial information and making a selection would take quite a bit longer. Where’s the customer service? Oh, I forgot, this is the government we’re talking about, can’t expect customer service. No wonder its a train wreck.