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You deductible figure is misleading. The 12,700 does not mean that you pay all expenses until the 12,700 is met. It means that you can not ever pay more than 12,700 in any one calendar year. For example if your dr. visits came to 100.00 you would pay 30.00 and the insurance would pay the rest. If you developed a form of cancer and required treatment, then the quarter million dollars worth of medical care you received would be capped at 12,700.
You make it sound like the person is paying 300 a month and doesn't get any reimbursement until they've spent 12,700 dollars.
Oh, one more thing. Based on your link, that 300.00 a month covered the woman and her 2 children. Actually not a bad deal.
Um, no. You have it all wrong. Straight from the horses mouth. A deductible is:
Quote:
The amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay. For example, if your deductible is $1,000, your plan won’t pay anything until you’ve met your $1,000 deductible for covered health care services subject to the deductible. The deductible may not apply to all services.
Let's hope that you're not one of those people on the exchanges who don't understand how insurance works and find yourself with your jaw on the floor when you receive your first bill.......all courtesy of the Obama Deductible™.
It appears that you are one of the uninformed who will be caught off guard.
I would probably be speechless in surprise if there appeared one thread from a republican offering an actual PLAN on how to fix the economy, how to stop the health care crisis in the nation and how to stimulate the economy and jobs.
Actually, overturning Obamacare would go a long way toward all three.
The deductible does not apply to all services is the key. Hey, I know insurance having had BCBS for almost 30 years and medicare for the rest.
Let's take medicare for example as BCBS works the same with different amounts.
My blood work was billed 240.00
Medicare agreed to pay 90.00 to the lab.
Medicare bills me for 20% of 90.00 or 18.00 for the blood work.
I get hospitalized. My deductible is 1145.00
Medicare picks up the rest.
Fact is, most normal services are co pays and the co pays go towards reducing your deductible.
Let's hope that you're not one of those people on the exchanges who don't understand how insurance works and find yourself with your jaw on the floor when you receive your first bill.......all courtesy of the Obama Deductibleâ„¢.
LOL
He was right and you are wrong. You are the one that does not understand how it works. I am here to help. There are two terms that you are confusing. First there is the deductible and then there is the maximum out of pocket. The deductible must be satisfied before the plan starts to pay benefits. Once the deductible is satisfied, then the insurer and insured share the costs of any additional services at some percentage level until the maximum out of pocket is reached. In the case of Obamacare, deductibles can be anywhere for 0 to $6,350 depending on plan (for a single person, double for family coverage). The maximum out of pocket can never be more than $6,350 single/$12700 family. Like deductibles, max of pockets varies a lot with the policy you choose. But in the final analysis, no matter which plan you buy, you will never pay more than $6350/$12700 plus premiums in a year - NEVER!.
Now to add a wrinkle of confusion to the picture, some policies offered on the exchanges have copays for going to the doctor, or for prescriptions where the deductible is "waived". You just pay the copay. In fact, this is common with most non-HSA offerings on the exchange in my state. HSAs are not allowed to do this - everything must be subject to a deductible.
It was not a broken promise nor a lie. You have the right to keep your health insurance policy; but your insurance carrier has the right to cancel your policy.
The deductible does not apply to all services is the key. Hey, I know insurance having had BCBS for almost 30 years and medicare for the rest.
Let's take medicare for example as BCBS works the same with different amounts.
My blood work was billed 240.00
Medicare agreed to pay 90.00 to the lab.
Medicare bills me for 20% of 90.00 or 18.00 for the blood work.
I get hospitalized. My deductible is 1145.00
Medicare picks up the rest.
Fact is, most normal services are co pays and the co pays go towards reducing your deductible.
Don't forget max out of pocket (or confuse the terms as AeroDC did). There is a limit to what you have to pay per year in all plans now and it is never more than $6350/12700 no matter which policy someone buys. Many are much less than that, none are more. And a practice that was common prior to Obamacare is now illegal: that of not counting copays for services and prescriptions in the max out of pocket. Now, max means max. As I understand it, this applies to both exchange and employer policies starting in 2014.
The deductible does not apply to all services is the key. Hey, I know insurance having had BCBS for almost 30 years and medicare for the rest.
Let's take medicare for example as BCBS works the same with different amounts.
My blood work was billed 240.00
Medicare agreed to pay 90.00 to the lab.
Medicare bills me for 20% of 90.00 or 18.00 for the blood work.
I get hospitalized. My deductible is 1145.00
Medicare picks up the rest.
Fact is, most normal services are co pays and the co pays go towards reducing your deductible.
Your post is just as misleading as the post about deductibles you suggested was misleading. Every plan has slightly different co-pay requirements, so its impossible to make a claim that "most normal services are co-pay." For those whose "normal services" aren't covered under the co-pay, the $12,700 deductible becomes a potentially insurmountable barrier that effectively nullifies the role of insurance.
That's the point. You can't discount that fact, because that's the entire reason for a deductible: to lower the risk for the insurance company while increasing the risk for the insured.
Don't forget max out of pocket (or confuse the terms as AeroDC did). There is a limit to what you have to pay per year in all plans now and it is never more than $6350/12700 no matter which policy someone buys. Many are much less than that, none are more. And a practice that was common prior to Obamacare is now illegal: that of not counting copays for services and prescriptions in the max out of pocket. Now, max means max. As I understand it, this applies to both exchange and employer policies starting in 2014.
I haven't confused anything. Feel free to point out where I have confused the term "deductible."
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