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Right now, there is no out of network limit with the ACA. That's someone Obama and the Dems know is wrong with the ACA. They just don't want to discuss it.
No Out of network cap. But most insurers cap the out of network limit at 2x the in network rate.
So many families under the ACA will have a $25000 out of network cap.
It is my understanding that out of pocket caps for out of network medical care remains in a speculative state. Has there been a final ruling?
Regardless,
Out of network does not apply to the ER or resulting hospitalization, if required.
Out of network does not apply if a plan or issuer does not have in its network a provider who can provide the particular service, then the plan or issuer must cover the item or service when performed by an out-of-network provider and not impose cost-sharing with respect to the item or service.
That's only true because of ideology. The better plan would be Medicare for all, since Medicare controls costs better than private insurance. However, the insurance lobby is powerful and wouldn't allow that to happen.
Healthcare costs have been increasing since forever. The entire world is challenged by rising healthcare costs. Each nation deals with the challenge differently. There is nothing universal about universal healthcare which ACA is not.
Government, via Medicare, does the best job of controlling costs in the U.S. Despite this, some people believe 20% of Medicare spending is due to fraud by hospitals and medical practices. Those factions who are anti-Medicare use this as rational to end Medicare.
Government, via Medicare, does the best job of controlling costs in the U.S. Despite this, some people believe 20% of Medicare spending is due to fraud by hospitals and medical practices. Those factions who are anti-Medicare use this as rational to end Medicare.
no it does not.. Government via medicare does the best job at not paying "its fair share", and moving those costs onto the rest of society
I've seen $50K hospital stay bills get reinbursed at $2-$3K.
There is NOTHING in medicare to control costs, only the reinbursement rate..
Once again, as it relates toTHIS THREAD... yes it does.. because the government was relying upon these individuals to pay into the government, to support paying the subsidies of others..
Opinions are not facts.
According to the Kaiser Institute calculator, there is an incremental cost for every person added to the policy age 21 and over. This is consistent with my state's BCBS online calculator.
According to the Kaiser Institute calculator, there is an incremental cost for every person added to the policy age 21 and over. This is consistent with my state's BCBS online calculator.
how can the ACA be responsible for reducing the increase beginning in 2010 if it doesnt become law until 2014? If the ACA supporters are saying that the lack of increases was responsible, then why are they running around now pretending that the skyrocketing premiums have always existed and thus its nothing new now that ACA is kicking in?
Did you note that I took no position as to why after a decade of insurance costs rising by 90%, increases suddenly flat lined? I don't buy into either talking point.
So, not only is health care insurance for most people going up dramatically, but so are taxpayer costs for state and federal budgets.
they need to rename the Affordable Care Act to the "How Can We Mess Up the U.S. Health Care, Act"
The naming of this act was an abomination and I say this as someone who would save 35-50% if I needed to buy an individual policy.
The only way anything is affordable to everyone is if it's free and there's no such thing as free.
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