jonessed
Footballguy
That's absurd. The problem is the cost and the narrow risk pools. Medicare/Medicaid won't change that. If just shifts the burden to the taxpayer.
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Obamacare: Obama just straight up lied to you, in your face (3 Viewers)
- Thread starter tommyboy
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The Commish
Footballguy
Sand
Footballguy
The Commish
Footballguy
Though I am curious how a government plan in the private market is going to affect costs of the entire market. The plan might be "cheaper" in premiums, but it's not going to be any different on the bottom line than the plans that are there unless the costs of services are dealt with. What's the net effect? More burden on the tax system and tax collection.
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cstu
Footballguy
TheMagus
Footballguy
matttyl
Footballguy
The article talks about Cigna and Humana. Maybe you missed the news. Both effectively left the exchanges since that article was written. Oh, and "Wellcare", who I'd not heard of, who only apparently do Medicare and Medicaid stuff - so they aren't part of the exchanges either. So company A, B and C are losing hundreds of millions and going out of business, but it's ok because company D and E are making a profit in a completely different market?
Again, you can't be serious with this.
cstu
Footballguy
matttyl
Footballguy
17 of the original 23 Co-ops as well as Assurant health and other smaller carriers. Many, many other companies have cut all of their exchange based business, or greatly scaled it back due to losses. Blue Cross affiliates have simply walked away from markets altogether.
cstu
Footballguy
Knew you would say that - now tell me which health insurance companies have gone out of business.
shadrap
Footballguy
matttyl
Footballguy
Literally the first sentence. Again - 17 of the original 23 Co-ops as well as Assurant health and other smaller carriers.
cstu
Footballguy
Do you guys honestly believe health insurance companies are that stupid? They knew exactly what they were doing - setting artificially low initial premiums knowing they would be completely wrong and make Obamacare look like a failure.
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matttyl
Footballguy
Setting artificially low rates to lose hundreds of millions (all in BILLIONS)? Seriously? I thought you were at least somewhat educated in this, I guess not.
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Jules Winnfield
Footballguy
Am I missing something here? Didn't he answer this question?
Seriously. Is there something I'm missing?
matttyl
Footballguy
Not a thing. There were other carriers like Moda as well. And really, is there really any difference between a carrier going out of business (and no longer selling on the exchange) and a company simply pulling out (and no longer selling on the exchange)? I mean to the individual and the market, that's no different to them. And that list is much, much longer. I just saw a minute ago that the entire state of South Carolina is down to one carrier (and that carrier getting a 27% increase for 2017). That makes 5 entire states with only a single carrier offering plans next year.
Jules Winnfield
Footballguy
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matttyl
Footballguy
Um, sorry to break it to you - it was higher than that. The weighted approved increase is 56.6%. What's even worse, is that carriers will literally be capping their enrollment next year in Minnesota. Yup, Medica said once they hit 50k enrolled, they are done. Ucare is done at 30k. You better get in line, as once those numbers are hit you're out of luck. That's a dumpster fire of an insurance pool.
Jules Winnfield
Footballguy
matttyl
Footballguy
That would cost extra as well. You understand this would only apply to those in the individual market, not those with group benefits through their employer, right?
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Jules Winnfield
Footballguy
Yes, I do
My current employer does not give me benefits. Looks like I'm looking for a new job since this one pays #### anyway
TheMagus
Footballguy
That "artificially low" initial premium was double the cost of the premium i was paying prior to the ACA going into effect with a deductible that is 150% higher than it was. Do you even know what you are talking about?
matttyl
Footballguy
Then yes, an average increase in your market of 56.6%. Are you eligible for subsidies?
Andy Dufresne
Footballguy
As one of the supposedly 5% of people self-insured in Minnesota, to keep the same level of coverage next year as I have this year will likely cost me at least $600/month MORE than I'm paying now.
My health insurance will be significantly more than my mortgage.
My health insurance will be significantly more than my mortgage.
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matttyl
Footballguy
Are you can buy non-compliant coverage which may actually be better, and far, far cheaper...and get hit with the 2.5% penalty. Your total out of pocket may actually be less.As one of the supposedly 5% of people self-insured in Minnesota, to keep the same level of coverage next year as I have this year will likely cost me at least $600/month MORE than I'm paying now.
cstu
Footballguy
Yes, you are. He named one health insurance company (Assurant). The parent company (Assurant, Inc.) decided to exit the health insurance business and sold off the current business and assets to another company for $14 million:
BeaverCleaver
Footballguy
BeaverCleaver
Footballguy
BeaverCleaver
Footballguy
matttyl
Footballguy
you missed the 17 Co-ops. Assurant effectively went out of business. So did Moda. So did others. What's your point? They didn't purposefully lose billions of dollars on purpose.
Andy Dufresne
Footballguy
matttyl
Footballguy
I'm not an accountant, but I believe it's 2.5% of your "MAGI", which is your modified, adjusted gross income. Remember, all they can do is "bill you" for that 2.5%, they don't have a way to enforce it. They can take it from your tax return (overpayment) if you have any, but that's about it.
shadrap
Footballguy
welcome to my world only the crapstorm of over double my previous premium hit me 2 years ago(triple deductible). I'm still fuming. And I thought government couldn't get much worse.As one of the supposedly 5% of people self-insured in Minnesota, to keep the same level of coverage next year as I have this year will likely cost me at least $600/month MORE than I'm paying now.
My health insurance will be significantly more than my mortgage.
Tau837
Footballguy
Sand
Footballguy
So, just wondering, have we gotten war reparations out of Germany yet for bombing Pearl Harbor? I figure you're the guy to know this.cstu said:
Andy have you looked at or have available any of the Medishare programs? If you are formally part of a church it may be an option. Very economical compared to other choices.Andy Dufresne said:As one of the supposedly 5% of people self-insured in Minnesota, to keep the same level of coverage next year as I have this year will likely cost me at least $600/month MORE than I'm paying now.
My health insurance will be significantly more than my mortgage.
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BassNBrew
Footballguy
1. That's more or less a pyramid. If they don't take in enough funds they don't pay.
2. Look at the pictures of the BODs and it will probably scare you.
3. They really don't cover much and exclude some weird stuff. Better hope your daughter does get pregnant.
eta - I don't know who managed to get them approved in ACA.
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Sand
Footballguy
MaxThreshold
Footballguy
How long you going to stay willfully ignorant? You seriously can't be this obtuse.cstu said:
BassNBrew
Footballguy
The only people going to pay that will either be huge medical consumers or getting large subsidies. We are ####ed
shadrap
Footballguy
Bottomfeeder Sports 411
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Average ESI deductibles since the passage of ACA have risen slower than they did in the same number of yeasr immediately before the ACA. And based on what people select, average deductibles in the individual market have remained roughly in line with ESI. At least as of last year. However, I suspect that the reality is that deductibles in general continue to raise at about the same rates but with the caps on the maximum deductible being the limiting factor bending the curve down. Also higher growth in deductibles in the ten years or so prior to the ACA implementation are also skewed by the simple fact that high deductible plans linked to HSAs were brand new. Which also brings up one other point which Kaiser noted in the recent ESI survey being that for many employees higher deductibles are offset in part with employer contributions to the HSAs. Of course that doesn't help those that can't fund that HSA - which I think is mentioned in the linked interview about how the high deductible/HSA plans are great for the healthy affluent population but not so much for those that either struggle to make ends meet or would max out the deductibles in most years.BassNBrew said:
BassNBrew
Footballguy
BassNBrew
Footballguy
And the good news keeps on rolling in...
In-office labs and in-office sinus surgery will be covered differently.
Starting in 2017, lab work done in the doctor's office and sinus surgery done in the doctor's office will be covered by your deductible/coinsurance. (Before, it was covered by your copay for the doctor or specialist visit). This means you'll pay the full cost of those expenses if you have not met your deductible. If you have met your deductible, you'll pay a coinsurance percentage of the cost—and BCBSNC will pay the rest.
Visits to the emergency room (ER) will be covered differently.
In 2017, your ER copay will only apply after you've met your deductible. This means you'll pay the full cost of an ER visit if you haven't met your deductible for the year. Keep this in mind, so you'll know how much it will cost if you go to the ER.
Your out-of-pocket limit will be higher for out-of-network services.
In 2017, your out-of-pocket limit for out-of-network services will be four times (4x) what your out-of-pocket limit is for in-network services. (Before, it was 2x your out-of-pocket limit for in-network services). This means you'll pay much more out of your own pocket for services that are not in-network. It's only after you reach your out-of-pocket limit that covered charges are paid at 100% by BCBSNC. That's why it's important to check that a doctor or facility is in-network before making an appointment. Always check that a doctor or facility is in-network before making an appointment; just log into BlueConnectNC.com and click “Find a Doctor.”
In-office labs and in-office sinus surgery will be covered differently.
Starting in 2017, lab work done in the doctor's office and sinus surgery done in the doctor's office will be covered by your deductible/coinsurance. (Before, it was covered by your copay for the doctor or specialist visit). This means you'll pay the full cost of those expenses if you have not met your deductible. If you have met your deductible, you'll pay a coinsurance percentage of the cost—and BCBSNC will pay the rest.
Visits to the emergency room (ER) will be covered differently.
In 2017, your ER copay will only apply after you've met your deductible. This means you'll pay the full cost of an ER visit if you haven't met your deductible for the year. Keep this in mind, so you'll know how much it will cost if you go to the ER.
Your out-of-pocket limit will be higher for out-of-network services.
In 2017, your out-of-pocket limit for out-of-network services will be four times (4x) what your out-of-pocket limit is for in-network services. (Before, it was 2x your out-of-pocket limit for in-network services). This means you'll pay much more out of your own pocket for services that are not in-network. It's only after you reach your out-of-pocket limit that covered charges are paid at 100% by BCBSNC. That's why it's important to check that a doctor or facility is in-network before making an appointment. Always check that a doctor or facility is in-network before making an appointment; just log into BlueConnectNC.com and click “Find a Doctor.”
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MaxThreshold
Footballguy
Yep. Welcome to the club. First time in history you can have insurance without really having insurance - but you're paying premiums like you have THE BEST insurance ever.
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BassNBrew
Footballguy
Maybe us self-employed and small business folks should band together and go steal some TVs.
MaxThreshold
Footballguy
In all reality, Obamacare created the biggest pool of virtually uninsured (insured-but-not-really-insured) people ever.
shadrap
Footballguy
I thought it appropriate to put Bottom Feeder's post in the correct thread rather than the back slapping good old if it's a democratic law it must be great thread. I mean we are talking about a law that effects all & not political posturing. Maybe not for some. Oh well. Would like Mattyl's take on BFS's post.
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