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bottom line Ocare didn't do anything good. We were told it would insure virtually everyone. THat has not happened. We were told it would drive down costs. It did the opposite. We were told it would make us healthier. Jury is still out... way out... kind of out in left field getting treatment from a psychologist....
What we know is OCare was supposed to drive down costs. what it did was create some government mandates. these didn't drive down costs. Mandates always drive up costs.
It added a quite a few people to Medicare further stressing the already stressed system. It did add demand without adding supply. poof more cost
Ocare didn't do anything to introduce market forces to create real competition. if anything what we are seeing is the opposite.
It was all feel good big government hokum. As with most things liberals tell us is good for us, it costs us more money and requires mess clean up.
shoot, Ocare has been so bad for America that it still isn't fully implemented yet. many of the things that finally did get put implemented did so only after Obama got reelected. its a mess and getting worse.
No Market forces
More demand
MORE government mandates
$400 difference in the same plan, Las Vegas vs Maricopa, Az.
Difference in competitiveness amongst insurers?
Difference in competitiveness amongst healthcare providers?
Difference in the health of people based on the number, type and cost of claims made?
Difference in state insurance laws?
All of the above?
For profit health insurers have been contracting via mergers and acquisistions for more than 25 years. When this happens premiums increase and the surviving insurer drops unprofitable markets. Used to be up to the state to do something. Some states subsidized insurers to remain in the Individual Plan Market or make insurer's ability to sell more lucrative large group plans or auto insurances contingent upon remaining in the Individual Plan Market.
The remaining Big 5 health insurers intend to become the big 3, further reducing competition. DoJ has sued to prevent these intended mergers. As a result, some insurers have withdrawn from some regions within some state exchanges. They may however continue to offer Individual Plans off the exchange in some regions.
Generally speaking, participants in the Obamacare exchanges tend to be sicker than the general population.
???? I don't know re your questions, except no...not the same plans....cheapest bronze = with a different company in each area (IIRC), but all of course have to comply with the ACA minimum. I'm pretty healthy. When I enrolled for this year I got a standard form statement at the end of the application stating it might, IIRC, take 2-3 weeks to get an e-mail re approval. Rather than that length, I got the approval e-mail in about an hour. The insurance person at a doctor's office later told me that means my file/records likely show I am low risk . I don't have any chronic illnesses or diseases, and I don't smoke or drink. All of my personal insurance (homeowners, auto, etc) is with AAA, and my health insurance for 2016 is with Aetna. IIRC, some other threads re AZ have mentioned one of the issues there is related to one of your questions...competitiveness (low number of/'too few' insurers).
This is kind of absurd. I simply wouldn't pay. I'm in the enviable position, though, of not really needing any interaction with the medical industry. I went without medical care (let alone insurance) from 1991 to 2009, and the 2009 incident was a dislocated finger debacle which if I could go back in time I *never* would have stepped through the door of the first medical facility! Nothing since 2009 other than an easy fee-for-service vasectomy in 2015. I never want to interact with the medical industry if I don't absolutely have to.
My employer-sponsored catastrophic insurance is going up from $58.00 to $60.17 per month with $1,500 deductible. I intend to never use it. It's hard to believe some of the premiums people are paying. That $1300 that evilnewbie mentioned would eat up all of our discretionary income or all of our [non-401K] monthly retirement savings or more than half of each.
I just wouldn't pay. It just doesn't make personal financial sense at those rates. I don't blame him in the slightest. I wouldn't accept them either.
so that's likely considered a Cadillac plan. in 2018 your employer will get hit with a 40% tax on that plan which means they will get rid of it. Then you premium will likely double, your coinsurance will go up. Your deductible will go up and likely your out of pocket will go up.
you will likely see 100% to 200% increase in your total contribution. so enjoy it for now. .
???? I don't know re your questions, except no...not the same plans....cheapest bronze = with a different company in each area (IIRC), but all of course have to comply with the ACA minimum. I'm pretty healthy. When I enrolled for this year I got a standard form statement at the end of the application stating it might, IIRC, take 2-3 weeks to get an e-mail re approval. Rather than that length, I got the approval e-mail in about an hour. The insurance person at a doctor's office later told me that means my file/records likely show I am low risk . I don't have any chronic illnesses or diseases, and I don't smoke or drink. All of my personal insurance (homeowners, auto, etc) is with AAA, and my health insurance for 2016 is with Aetna. IIRC, some other threads re AZ have mentioned one of the issues there is related to one of your questions...competitiveness (low number of/'too few' insurers).
you don't need to understand mAm's questions. They weren't actually questions. They were rhetorical... designed take the blame off of the Affordable Care Act and to place it on everyone else.
mAm is a dedicated supporter of all things progressive....
Private sector employees do not have a "retirement health insurance plan". Medicare doesn't kick until 65 years old.
I suspect many people who were planning to retire before 65 years old have now put that plan on hold and will continue working because they can't afford health insurance.
I'm not exactly sure how it works, but I know that my uncle retired from the state of NC and still has their insurance. He does have to pay for it though. But it's cheaper than if he were to get an ACA plan.
The rate isn't the same for the whole state, it differs by county. Unless he has moved, the cheapest bronze policy in BMW's county for a male 29 year old non smoker for 2017 is $251.12. IIRC, he did write that the figures he was quoting represented an AVERAGE for each metal level.
Hmm. Maybe. It's the lowest-cost plan offered. It used to be called the "High Deductible" plan but now it's considered the "standard" plan (still the lowest-cost one). We'll see. My company is pretty astute and there's a lot of competitive pressure to keep talent on board.
Quote:
Originally Posted by Ferd
Then your premium will likely double, your coinsurance will go up. Your deductible will go up and likely your out of pocket will go up.
$120.34 per month would still be worth it for catastrophic coverage and would undercut the penalty too. The coinsurance, deductible, and out of pocket max things will likely not affect me, but the HSA they keep contributing to could be used for that.
If it got to be something like $400 or $600 per month I would go without.
Annual Deductible: $1500
Annual Out-of-Pocket Maximum including Deductible: $2000
Referrals: none required
Routine Well Office Visits and Screenings: 100%, no copay
Diagnostic Visits: 90% after deductible
Specialty Visits: 90% after deductible
Inpatient Hospital: 90% after deductible
ER: 90% after deductible
Outpatient Surgery: 90% after deductible
Therapy: 90% after deductible, limit 60 per year
Vision and Hearing Exams: 100%, no copay, 1 each per year
Preventive Rx: 100%, after $10/$20/$40 copay
Non-Preventive Rx: 90% after deductible
Gross Premium: $1,222 (or $101.83 per month)
Health Rewards: -$500 (net $722 or $60.17 per month)
Employer HSA Contribution: $500
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