CO-OP stands for Consumer Oriented and Operated Plan. It’s a nonprofit insurance company operated by the people it serves. CO-OP members must be a majority of the board of directors, ensuring that it will always meet the needs of the members at large.
The Affordable Care Act established CO-OPs to foster competition among health plans by providing a nonprofit alternative to current health insurance companies. Ultimately, the goal of a CO-OP is to help lower health insurance costs for individuals and families, create more competition in each state-based health insurance exchange, and expand insurance choices in markets dominated by a few insurance companies.
Mountain Health CO-OP is an expansion of Montana Health CO-OP, one of the original CO-OPs funded on February 21, 2012, as a result of the Affordable Care Act. Through a loan from the Department of Health and Human Services, we established a consumer-oriented and operated (CO-OP) health insurance company in Idaho. Today, we are focused on providing affordable health insurance plans for individuals and families throughout the state. Open Enrollment for our 2018 plans begins in November 1, 2017 and coverage starts on January 1, 2018. Open Enrollment ends on December 15, 2017.
CO-OPs will help manage increasing healthcare costs in three main ways:
- Cost savings through prevention, disease management, screening, appropriate pharmacy benefits and use of high-value providers
- Enhance competition in the state health insurance exchange, which is especially important in areas currently dominated by a few insurance companies
- Greater primary care access and care coordination for members
About 15 percent of Idaho’s population does not have insurance – around 240,000 people. We are working hard to provide options that are more affordable. But we will not focus solely on the state’s uninsured population. We are a more affordable option for any small business, individual or family that currently has insurance in Idaho.