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Old 10-21-2013, 10:50 AM
 
12,973 posts, read 15,800,908 times
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Quote:
Originally Posted by InformedConsent View Post
Obama himself called ACA Exchange insurance "group" insurance in his Rose Garden speech today. Straight from the horse's mouth.

The ACA law specifically permits states to merge individual Exchange policies into a group policy.http://www.washingtonpost.com/politi...e_story_1.html
Group has more than one meaning and Obama's usage is quite correct but does not read on the matter. It is a specific let out for a set of "groups" and "group insurers". Nothing more.
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Old 10-21-2013, 10:53 AM
 
Location: the very edge of the continent
88,998 posts, read 44,813,405 times
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Quote:
Originally Posted by lvoc View Post
Group has more than one meaning
Good grief. You're sinking so low that you have to invoke the Clinton defense.


Bill Clinton It Depends on what the meaning of the word is is - YouTube

Obama specifically referred to ACA Exchange plans as GROUP plans on par with that of an employer-provided plan: "...you become part of a big group plan, as if you were working for a big employer."
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Old 10-21-2013, 11:02 AM
 
12,973 posts, read 15,800,908 times
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Quote:
Originally Posted by InformedConsent View Post
Good grief. You're sinking so low that you have to invoke the Clinton defense.



Obama specifically referred to ACA Exchange plans as GROUP plans on par with that of an employer-provided plan: "...you become part of a big group plan, as if you were working for a big employer."
The action under discussion occurred las February in an utterly different context. Obama is also using a simile. You do not become a member of a group plan but similar to one.

I suppose one could hold that all individual insurance policies are part of a "group" but there is little point to it.

The reference is to "group" in the context of those who are or service large groups as an entity.
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Old 10-21-2013, 11:13 AM
 
Location: the very edge of the continent
88,998 posts, read 44,813,405 times
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Quote:
Originally Posted by lvoc View Post
The action under discussion occurred las February in an utterly different context.
Not at all. The issue, and what the insurance carriers specifically told the Obama Admin, is that they do not yet have the resources to aggregate a person's total costs across the different systems that are used for different types of benefits administrations (medical care, prescription service, etc.). Those different systems do not talk to each other. They are not integrated. Insurance carriers requested a year's delay in implementing universal plan out-of-pocket limits because of the absence of such integration, and the Obama Admin granted that request.

You and others wishing it were not so, or wishing to redefine the word "group" to mean something other than it does , are not going to change the fact that insurance companies simply cannot yet aggregate a person's total costs. Hence, the need for the cost limit delay.
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Old 10-21-2013, 11:31 AM
 
20,458 posts, read 12,379,585 times
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Quote:
Originally Posted by Ponderosa View Post
Mine will drop by about 20% and I get co-insurance rate that is 1/2-1/3 of my current employer plan depending on which plan I choose. And that is another thing: I have over 110 plans to choose from versus the one size fits all that my former employer offers retirees. This graphic is just bogus cherry picking of rates. We have been over this a hundred times, but you can't compare a plan that was not worth the paper it was printed on in terms of coverage to even the lowest tier of bronze coverage. Furthermore, it is ironic and hilarious that this chart was produced by the Heritage Foundation which also is the source of the Obamacare model in the first place. People need to quit looking at these politically motivated "comparisons" and go on the exchange or to eheathinsurance and find out what the rate will be for their circumstances and the level of risk they are willing to assume. Also, 85% of workers already have health insurance and these rates do not apply to them unless, like me, they can get a better deal on the exchanges than they can from their employer.
right. Im one of the ones who is already covered. We will keep our coverage and our monthly premium is not going up... .HOWEVER, I now get to pay 20% more up front to help the company absorb the costs of Obamacare.

so yipppie.

snort.
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Old 10-21-2013, 11:34 AM
 
Location: Sonoran Desert
39,077 posts, read 51,224,761 times
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Quote:
Originally Posted by InformedConsent View Post
Obama himself called ACA Exchange insurance "group" insurance in his Rose Garden speech today. Straight from the horse's mouth.

The ACA law specifically permits states to merge individual Exchange policies into a group policy.Transcript: President Obama’s Oct. 21 remarks on problems with the Obamacare rollout - The Washington Post
Yeah, he should have said "risk pool" but we all got what he means. No cigar.
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Old 10-21-2013, 11:45 AM
 
Location: the very edge of the continent
88,998 posts, read 44,813,405 times
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Quote:
Originally Posted by Ponderosa View Post
Yeah, he should have said "risk pool" but we all got what he means. No cigar.
Sorry, but what you wish were true and what IS true are very different things.

Again, the insurance carriers specifically told the Obama Admin that they do not yet have the resources to aggregate a person's total costs across the different systems that are used for different types of benefits administrations (medical care, prescription service, etc.). Those different systems do not talk to each other. They are not integrated. Nothing you wish or can do can change that. Obama himself can't change that. The out-of-pocket cost caps have been delayed because the insurance companies simply have no way yet of integrating data across incompatible platforms.
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Old 10-21-2013, 12:17 PM
 
12,973 posts, read 15,800,908 times
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Quote:
Originally Posted by InformedConsent View Post
Not at all. The issue, and what the insurance carriers specifically told the Obama Admin, is that they do not yet have the resources to aggregate a person's total costs across the different systems that are used for different types of benefits administrations (medical care, prescription service, etc.). Those different systems do not talk to each other. They are not integrated. Insurance carriers requested a year's delay in implementing universal plan out-of-pocket limits because of the absence of such integration, and the Obama Admin granted that request.

You and others wishing it were not so, or wishing to redefine the word "group" to mean something other than it does , are not going to change the fact that insurance companies simply cannot yet aggregate a person's total costs. Hence, the need for the cost limit delay.
The individual policies are developed from scratch. They have no existing split. Given they are integrated from day one no split is required. Therefore they need no out.
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Old 10-21-2013, 12:22 PM
 
Location: Long Island, NY
19,792 posts, read 13,947,200 times
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Obamacare: 5 things that have happened since the launch - CNN.com

Quote:
The Manhattan Institute has released an online map showing insurance premiums before and after Obamacare based on age and sex. The law's impact varies widely state to state. In Oregon, for example, rates for 40-year-old men have increased 24%. In Ohio, they have dropped 22%.

The White House says that once tax credits are factored in, about 6 in 10 individuals will be able to find insurance for less than $100 a month.

"In some states, insurance markets were already regulated to not allow insurers to discriminate against the sick. In those states, premiums will fall, like in New York, where premiums will fall by as much as 50%," said MIT economist Jonathan Gruber, who helped design the law. "In other states insurers were freely allowed to discriminate against the sick. In those states, by ending the discrimination, we're going to raise premiums in states like Wisconsin, or some of the Southern states."

Overall, Gruber said, rates are going up for the young and healthy, and down for older people and people who are sick.
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Old 10-21-2013, 01:16 PM
 
34,278 posts, read 19,368,360 times
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So heres my experience.

I was laid off in 2012, continuing my health insurance was $1380 a month I believe. And the insurance company sucked. REALLY badly. I did continue it for a couple months, but then...no more insurance.

Was out of work for 10 days. New job is a contract job with no insurance. Been on contract for a year now. I make about 100K this year (120 last year). Take home is about 65,000 after all the taxes etc. But I do overpay a bit to avoid owing taxes. Trying to run a business on the side with the wife-its losing money so far. Plus mortgage, feeding kids, etc etc...I just couldn't afford the insurance. Keep in mind im in the top 20-30% of income earners..the other 70% are REALLY hosed.

Obamacare....presents me with some interesting choices. I am all for it, but feel it needs some tweeks, unfortunately the derpiness of our government means those probably wont happen. Specifically:
at 94K I think...I would get a decent subsidy on my insurance, anything over that and I wont. So...I might take two weeks off unpaid in December. Nice Christmas with the family. This is bad for our economy, but i am probably one of the few in this position.

Now the insurance....I paid $1,380 before....its 900 I think for the platinum plan. YES! Thank you Obama.

State is Oregon.

PLUS....I get to know all the other truly poor have medicare or affordable insurance. And....that could be me if something went horribly wrong. I really do like this.
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