BATON ROUGE, La. — Louisiana's largest private health insurer, Blue Cross and Blue Shield of Louisiana, has estimated that two-thirds of its customers who buy their own policies will pay the same premiums or less under the federal health care overhaul.

But that's only if people take advantage of federal subsidies being offered under the law, Blue Cross officials said, outlining the anticipated effects of the Affordable Care Act.

About 76,000 households covered by Blue Cross in Louisiana pay for their own insurance, rather than getting it through their workplace or some other group. Those "individual market" customers could see substantial changes in 2014 when many of the federal insurance changes take effect.

Brian Small, senior vice president and chief actuary for Blue Cross and Blue Shield of Louisiana, said because insurers won't be able to decide rates based on pre-existing health conditions and gender, there will be a reshuffling of how premiums are charged.

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