But not all policies have to be sold through the HealthCare Exchange.
• Page 72: All private healthcare plans must conform to government rules to participate in a Healthcare Exchange. True. Private health care plans must conform to government rules to participate in the exchange, and this page begins an explanation of exchange rules. However, the requirement that insurance companies must conform to is also presented much earlier in the bill. We spotted an earlier reference on page 15, Section 101.
• Page 84: All private healthcare plans must participate in the Healthcare Exchange (i.e., total government control of private plans) . Mostly True. Section 203 sets rules saying that plans must offer basic plans before they can offer plans with extra benefits. These extra benefits are defined as enhanced plans and premium plans. (The unstated assumption here is that enhanced and premium plans will be more profitable for the insurance companies.) But this isn't the page number that requires health plans to participate in the exchange. Technically speaking, private insurance plans are not required to participate. Rather, only insurance sold on the exchange will satisfy the mandate that people have health insurance. In effect, private health plans that want to sell to individuals will have to sell through the exchange, under the terms of the bill.
http://www.politifact.com/truth-o-meter/article/2009/jul/30/e-mail-analysis-health-bill-needs-check-/But one of the claims is actually true: "All private healthcare plans must conform to government rules to participate in a Healthcare Exchange."
To explain this one, we will start with an explanation of the overall bill, which was unveiled July 14, 2009. The bill envisions that everyone will be required to have health insurance. People who get health insurance through work satisfy this requirement right off the bat.
People who don't get insurance through work or other groups will go to the health care exchange; it's designed to help people who have to go off on their own to buy health insurance, and for small businesses with few employees. The reason for the exchange is that the government wants to regulate insurers to make sure that health plans clearly explain what they offer, can't refuse people for pre-existing conditions, and must offer basic levels of service.http://www.politifact.com/truth-o-meter/statements/2009/jul/30/chain-email/health-care-exchange-governments-way-regulating-in/