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Old 11-04-2013, 03:49 PM
 
6,993 posts, read 6,326,146 times
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Quote:
Originally Posted by Ed from California View Post
Color me surprised he lied to our faces about that too:

A Stage-4 Gallblader Cancer Survivor Says: I Am One of ObamaCare's Losers - WSJ.com
Insurance companies pull out of states all the time. Nowhere in this article did it state that her insurance company left California because of the ACA.

I feel very bad for this lady, but at least she is still able to get health insurance, albeit not the insurance she had. Before the ACA, her insurance company could have pulled out of CA and, because of a pre-existing condition, she'd have been uninsurable.
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Old 11-04-2013, 03:53 PM
 
11,768 posts, read 10,239,242 times
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Quote:
Originally Posted by southbel View Post
I don't think it is. I think it has a different political philosophy than that of progressive states but that hardly makes it antiquated. We've been attracting businesses and new residents through our lower taxes and business friendly regulations. But, as it pertains to Obamacare, what could SC have done to change a situation like mine? It was a Federal mandate. The only thing SC had control over was not expanding Medicaid. Since that was never open to me as an option anyway, it had no impact on my issue.

Here's the thing - my situation is not unique to SC. There have been a multitude of articles which have laid out one case after another that are similar to my own. The issue is the Federal mandate which had created this fiasco. There were less invasive and more consumer friendly ways to solve the uninsured and underinsured issues that previously existed. For those of us with perfectly adequate insurance, we are getting penalized so these small groups could benefit. How, in any world, is that fair?
I do think it might have something to do with your state. Grand Rapids, MN has 20 plans offered and they only have 12,000 people living there. Des Moines, IA has 24 plans available, but they only have 200K people there. Carroll, IA has 10,000 people and they have 20 plans offered. Atlanta has 450K people and they have 47 plans. Paris, TX has 18 plans and 25,000 people.

So cities with larger and smaller populations still have more choices than you, but I don't know why that is. Maybe the SC Dept of Insurance is giving the insurers a hard time, maybe it wasn't profitable to do business in SC, but something is going on in SC that is unique.
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Old 11-04-2013, 04:02 PM
 
6,993 posts, read 6,326,146 times
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Quote:
Originally Posted by Travelassie View Post
If you read the article, the patient states that he's losing good coverage now with United Health Care PPO has decided to pull out of the individual insurance market in CA, in response to the demands of Obamacare and his choice of new coverage which would allow him to keep his doctors and healthcare providers is a PPO plan with another insurance company with premium rates and out of pocket expenses that would bankrupt him. His only other choice is to find another insurance company with rates and expenses he finds more affordable but does not cover his current doctors or healthcare facilities, and limits where he can go for his care.

The point is, this patient HAD good coverage which took care of his many healthcare needs until Obamacare came along.....

Less for more, in this guy's case. And we have family members in the same boat.
Where, exactly, did it say that?
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Old 11-04-2013, 04:03 PM
 
5,365 posts, read 6,319,444 times
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Quote:
Originally Posted by saxondale351 View Post
You can't stand there with a strait face and say that knocking down these junk insurance scam policies is a bad thing. If you do you have absolutely no credibility. The policies that the AHCA knocks down are scam policies that cover little to nothing. They are more dangerous than having no insurance because you have no insurance and yet think you do. Its a scam. Slant head Hannity and others are so desperate that this is their last hope to knock this law down. Its over and done. Suck it up get used to it. In a few years they will look like the idiots they are.
EXACTLY! There are so many millions of people who so blindly spout nonsense about this reform that they just don't know a damn thing about. The policies that are canceled are being canceled because they deliver sub-standard care to their recipients. Maybe some of these policies satisfied the needs of those who owned them, but millions are actually being scammed and ripped off.
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Old 11-04-2013, 04:06 PM
 
6,993 posts, read 6,326,146 times
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Quote:
Originally Posted by brentwoodgirl View Post
Her "junk insurance" paid $1.2 million to keep her alive. That's hardly junk insurance.

My daughter has a brain tumor and has seen the same specialists since she was a baby. I can't imagine the emotional impact of having to change from the specialists we have seen for more than 10 years because of some poorly though out law. Not to mention the possible health consequences of someone who wasn't as familiar with her history and treatment plan.

I'm praying we are not one of the private insurance customers who gets thrown off next year when the employer mandate starts.
One of my children has a chronic disease. I had to change specialists for her multiple times during her childhood, due to doctors dropping in/out of my PPO plan, or my employer changing insurance companies. We survived, so would you.
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Old 11-04-2013, 05:36 PM
 
46,217 posts, read 26,980,998 times
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Quote:
Originally Posted by Weichert View Post
Doctors in/out of plans happens. It is common. Lots of doctors (even hospitals) have refused some health insurance companies. And some insurance companies drop doctors. Especially in HMOs.
Then provide some links....if it is that common....

Not aying it does not happen, but the way you talk, it's an everyday occurrence....and, if it is, how are drs making money? If they are changing on a daily basis?
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Old 11-04-2013, 05:49 PM
 
Location: Chesapeake Bay
6,046 posts, read 4,804,524 times
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Quote:
Originally Posted by chucksnee View Post
Then provide some links....if it is that common....

Not aying it does not happen, but the way you talk, it's an everyday occurrence....and, if it is, how are drs making money? If they are changing on a daily basis?
Read the posting just above yours.
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Old 11-04-2013, 06:57 PM
 
Location: Meggett, SC
11,011 posts, read 10,996,345 times
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Quote:
Originally Posted by lycos679 View Post
I do think it might have something to do with your state. Grand Rapids, MN has 20 plans offered and they only have 12,000 people living there. Des Moines, IA has 24 plans available, but they only have 200K people there. Carroll, IA has 10,000 people and they have 20 plans offered. Atlanta has 450K people and they have 47 plans. Paris, TX has 18 plans and 25,000 people.

So cities with larger and smaller populations still have more choices than you, but I don't know why that is. Maybe the SC Dept of Insurance is giving the insurers a hard time, maybe it wasn't profitable to do business in SC, but something is going on in SC that is unique.
For my county, there are a similar number of plans offered but only four insurers. Most are HMOs, one EPOs, and the one non-exchange PPO. Yet, the offerings are still slim compared to pre-Obamacare. Even the same insurers have much, much smaller networks now. Previously, my choices entailed making sure I got the benefits I wanted to pay for (I have no need of maternity and did not get that rider for example). However, under with these new plans, it's the networks that are at issue. Obamacare mandated they have a specific reimbursement rate and this resulted in smaller networks with less choice for the consumer. It's a cause and effect thing. The effect for me was reduced access.
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Old 11-04-2013, 08:09 PM
 
Location: Chesapeake Bay
6,046 posts, read 4,804,524 times
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Quote:
Originally Posted by southbel View Post
For my county, there are a similar number of plans offered but only four insurers. Most are HMOs, one EPOs, and the one non-exchange PPO. Yet, the offerings are still slim compared to pre-Obamacare. Even the same insurers have much, much smaller networks now. Previously, my choices entailed making sure I got the benefits I wanted to pay for (I have no need of maternity and did not get that rider for example). However, under with these new plans, it's the networks that are at issue. Obamacare mandated they have a specific reimbursement rate and this resulted in smaller networks with less choice for the consumer. It's a cause and effect thing. The effect for me was reduced access.
What would you expect from a state that has fought Obamacare as much as SC has?

As much as I like Charleston I surely wouldn't want to live there.
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Old 11-04-2013, 08:19 PM
 
Location: Meggett, SC
11,011 posts, read 10,996,345 times
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Quote:
Originally Posted by Weichert View Post
What would you expect from a state that has fought Obamacare as much as SC has?

As much as I like Charleston I surely wouldn't want to live there.
Based on what I'm seeing, South Carolina made the correct call in fighting Obamacare. They said it would hurt our citizens and it has. The problems I am facing right now are not state created, they are federal created via Obamacare.
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