In 2019, the Legislature established Cascade Care and created the first-ever public option, known as Cascade Select. The goals of Cascade Care are to increase the availability of quality, affordable health coverage in the individual market.
Cascade Care plans have a standard benefit design that emphasizes lower deductibles and provides access to services before having to pay a deductible. Customers can make apples-to-apples comparisons across different insurance carriers because the benefits are the same. Cascade Select plans have the same standard benefit design, along with additional quality and value requirements.
Cascade Select is a multi-agency effort involving the Washington Health Benefit Exchange (HBE), Office of the Insurance Commissioner (OIC), and Health Care Authority (HCA).
- HBE is the lead agency for the Cascade Care program and responsible for developing the Cascade Care standard plan design. The HBE Board certifies Cascade Care plans and makes Cascade Select plans available through Washington Healthplanfinder.
- HCA is responsible for procuring and contracting with Cascade Select plans.
- OIC is responsible for reviewing and approving the health plan filings, including rates, essential health benefits, and network access standards.
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