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Old 11-15-2013, 08:15 AM
 
3,599 posts, read 6,784,543 times
Reputation: 1461

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Quote:
Originally Posted by MTAtech View Post
What you have touched on is the fact that insurers were looking for a reason to drop some unprofitable people. Now, the law requires that the insurer provide a replacement policy. In most cases those were a fortune. For those people, they'd be far better off looking on the exchange.
But to spin it the other way around. Insuers want to cancel current plans young adults are paying $100/month with a $2500 deducible.

Cause those same young adults would either have to pay $250/300/month for same $2500 2014 plan or pay $100-150/month for plan with $6350 deductible.

Either way they will increase profits with 2014 plans with young healthier adults who are less likely to file a claim.

 
Old 11-15-2013, 08:16 AM
 
Location: Long Island, NY
19,792 posts, read 13,951,723 times
Reputation: 5661
Quote:
Originally Posted by aneftp View Post
...
I think a better alternative to the ACA is to have a very limited public option which requires 80% super vote to increase funding so not to give a blank check to those who abuse it. That will cover the "uninsurables" which pre existing conditions.
I agree that the ACA is inferior to a public option, which is the standard around the developed world. However, the public option was not a politically feasible alternative in this country. When conservatives call the ACA "socialized medicine," what do you think they'd call a public option?
 
Old 11-15-2013, 08:17 AM
 
275 posts, read 193,138 times
Reputation: 115
Default Obamacare 3 1/2 years, insurance companies less than 30 days

Obama had over 3 years to set up obamacare and now expects insurance companies to fix it in 30 days. It is impossible for them to do. That doesn't matter that Obama failed because yesterday he set up insurance companies and now has a fall guy.

Don't people ever get tired of Obama blaming everyone else for his failures? Keep in mind that if Obama succeeded at anything he would not have a need to blame everyone else.
 
Old 11-15-2013, 08:17 AM
 
808 posts, read 662,640 times
Reputation: 196
Quote:
Originally Posted by Ponderosa View Post
No, Florida Blue is offering to rescind the cancellation notices they sent out and renew on some lines doing as King Barack said they may. If you can't figure it out, I can't explain it.
they are not covering the cancelled policies under other insurers, plus one year is no difference - from 2014 it is going to be an avalanche of even higher price hikes
 
Old 11-15-2013, 08:18 AM
 
Location: Annandale, VA
5,094 posts, read 5,174,352 times
Reputation: 4233
Quote:
Originally Posted by Isee-you View Post
Obama had over 3 years to set up obamacare and now expects insurance companies to fix it in 30 days. It is impossible for them to do. That doesn't matter because Obama failed but he now has a fall guy.

Don't people ever get tired of Obama blaming everyone else for his failures? Keep in mind that if Obama succeeded at anything he would not have a need to blame everyone else.

This is what happens when an amateur whose only experience with the business world is a TV show where everything is solved in 60 minutes.
 
Old 11-15-2013, 08:20 AM
 
3,599 posts, read 6,784,543 times
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Quote:
Originally Posted by vox populi View Post
ALL of the above was covered by any standard insurance long BEFORE the crappy obamacare.

It's a LIE that those policies became available only under obamacare.

What obamacare made happen, though - that all the services available before without a co-pay are mandatory co-pay now.
I have a standard PPO plan - I have had only deductible and co-pays for the visits to specialists and a PPO. Now my deductible is higher a 1000$, the premium I still don't know how much is higher, because they did not tell us this figure yet, and I have a co-pay for EVERYTHING ( which was not the re before) - for the lab work, X-ray, outpatient surgery, out-of the network is 40% co-pay after the deductible!!! And there is no cap for the year expenses.
This is a BURGLARY for the benefit of the insurance company.
I can pay for anything I need out of the pocket by these figures - because 40% is not EVER paid by insurance company for whatever is billed - and if you pay cash for the services your out of pocket expenses are very nicely negotiable, so they will be much lower than what is now "covered" by insurance.
I agree. That's why I posted things like preventive services have been around pre ACA.

Covering Kids under 26 is also a very minor "positive" for 98% of the population cause the vast majority of young adults are healthy who can get their own plans pre ACA major comprehensive with $2500 deducible for around $100/month Young adults just choose to spent money of entertainment actives or smartphone data plans rather than pay $100/month.

In addition most employer sponsored plans covered "young adults" till age 24-25 if they were fulltime students.
 
Old 11-15-2013, 08:21 AM
 
Location: Sonoran Desert
39,078 posts, read 51,239,172 times
Reputation: 28324
Quote:
Originally Posted by vox populi View Post
they are not covering the cancelled policies under other insurers, plus one year is no difference - from 2014 it is going to be an avalanche of even higher price hikes
Now you want Florida Blue to cover Aetna policy holders. Look, you are wrong at least in the case of Florida Blue. Some insurers can and will renew policies under the the Obama decree. As for the future, it's speculative on your part and you have nothing to back it up but wild conjecture and polemic from the echo chamber.
 
Old 11-15-2013, 08:23 AM
 
3,599 posts, read 6,784,543 times
Reputation: 1461
Quote:
Originally Posted by MTAtech View Post
I agree that the ACA is inferior to a public option, which is the standard around the developed world. However, the public option was not a politically feasible alternative in this country. When conservatives call the ACA "socialized medicine," what do you think they'd call a public option?
Well we need sometype of Medicare buy or public option but we need to limit its funding so to lend it to abuse and let it grow out of control.
 
Old 11-15-2013, 08:23 AM
 
14,292 posts, read 9,678,440 times
Reputation: 4254
Quote:
Originally Posted by florida.bob View Post
People will buy thru the Exchanges, or perhaps you could explain how people will be able to buy cancelled plans that Ins Co won't sell?
Insurance companies may not want to sell them any more, because all of the other mandates in the ACA are still in force, making their previous policies either illegal, or unprofitable.

A few other things to consider is:

1) the insurance companies have spent billions as an industry, researching the law so to figure out how they can stay in business and still be in compliance.

2) they have spent millions negotiating with individual groups, businesses, health care networks, trying to put together viable policies, signing contract agreements

3) They've been hiring training new employees, technicians, staff, managers, lawyers, lobbyists, advertisers... the list is endless, and it was all done to comply with the law.

The insurance companies, health care networks, business owners and individual and group policy holders may have ended their working relationships with each other. In cases like this, how exactly do they go back to what was, if it's been severed?

It's the ninth inning in the last game of the World Series, Obama waves his hand and essentially says, ummmm...forget all of that, reset the games to the beginning of the year, and we will just start over. I'm gonna make some changes to the ACA law, but I'm just not really sure yet what they will be yet.
 
Old 11-15-2013, 08:24 AM
 
808 posts, read 662,640 times
Reputation: 196
Quote:
Originally Posted by aneftp View Post
But to spin it the other way around. Insuers want to cancel current plans young adults are paying $100/month with a $2500 deducible.

Cause those same young adults would either have to pay $250/300/month for same $2500 2014 plan or pay $100-150/month for plan with $6350 deductible.

Either way they will increase profits with 2014 plans with young healthier adults who are less likely to file a claim.
the biggest hit is a premium surge and 20-40% co-pay AFTER the deductible - and a lot of states do not have the caps on the out of the pocket expenses.

So if your premiums are going to cost you 5K per year and your deductible is also in the 5-6K range, plus you have to co-pay 40% for everything, why do you need insurance anyway?
Those figures will cover what you need to pay for cash for whatever need you have.
Imaging centers will cover your MRI for 300$ if you pay cash, CT scans for 250$ . And the most extensive lab work will be not more than 150$.
Those are the figures which are being paid by insurers and medicare/medicaid to the facilities anyway - they BILL in a X10 range, but that does not mean they are being paid that.

There is no reason to have an "insurance" if in the very end you will have to pay for everything in the same amount of money you would have to pay using cash.

Last edited by vox populi; 11-15-2013 at 08:38 AM..
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