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Old 10-17-2019, 06:19 PM
 
Location: Barrington
63,919 posts, read 46,792,370 times
Reputation: 20675

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Quote:
Originally Posted by Rachel976 View Post
Surprise! Your above claim ALSO is not necessarily true. Obamacare is such a disaster that in many cases you are better off paying cash (as in "no insurance") than you are with the "discounted rate" of insurance. Case in point:

PT office:
Full charge: $330 per session
Charge w/insurance: $130 per session
Charge for cash only: $95 per session

In the above case, I was better off with the "no-insurance" fee, even after paying $800+ a month in premiums. (Of course, the low-income people in the waiting room paid nothing. One of them was even bragging about it to me. How stupid can they be? She overheard me haggling over the $130 w/insurance and $95/without fees, and then she tells me how she pays nothing? Not even a premium, and not even a co-pay. Jeez...…)
This was true before the ACA, especially in physical therapy where most plans impose serious caps on number visits in a year.

Be aware that $95 is more than the practice agreed to be reimbursed by the insurer or Medicare.

 
Old 10-17-2019, 06:20 PM
 
Location: SE Asia
16,236 posts, read 5,892,093 times
Reputation: 9117
Fortunately I am not held hostage to Obama care or the US system. I just got a $300 refund for paying for the year up front. This dropped the annual premium of $3900 and change for both my wife and I down to $3600 and change.

I am thrilled not to have United Health Care anymore. I miss Aetna and Blue Cross they were both excellent before ACA.

In 2006 I had my knee destroyed and the cost for the rebuild out of pocket including PT was $150. Out of pocket
In 2008 I had kidney stones. Cost of treatment $50 Out of pocket.

2015 Kidney stones again and after the Affordable Care Act fixed our health care problems. $3200 out of pocket. Thank you Obama and all the Dems who passed that garbage legislation.

How much for kidney stones where I live now? Glad you asked. I had them last year. Out of pocket was $14.00.
 
Old 10-17-2019, 06:22 PM
 
19,387 posts, read 6,517,417 times
Reputation: 12310
Quote:
Originally Posted by middle-aged mom View Post
There has never been any certainty that the MD you want is a part of your PPO or HMO.

My former employer used to change insurers every single year. And we had to change primary care and dentists every single year. Back then, records were mostly hard copy. We had to pay fees for the copies.

MDs / medical practices can opt in/ out of any given PPO.

We have very good BCBS. Nonetheless, my husband often is faced with 6 month wait lists for preferred specialists.

Those on the Medicare for all bandwagon may not realize no practice has to accept Medicare reimbursement. While most do, they also limit the number of Medicare patients. Same deal for Medicaid. This can get dicey in regions with heavy senior populations.

10,000 baby boomers are turning 65 every day. Then comes Gen X.
C-mon, Mom.....you MUST have heard of the "skinny networks" that resulted from Obamacare! In the 35 years I bought insurance, the majority of those years self-employed, I never had a problem finding a doctor to take my insurance. I was free to travel to the next state if I wanted, as well, to get the best.

With Obamacare, the pickins are so slim that one can wait months - even eight or nine months - to get an appointment. That's because there are so few in-network doctors few that do exist are overwhelmed by demand. That's a form of rationing. The insurance company figures that a certain percentage of their customers will not want to wait to see one of their in-network doctors and instead just go out and pay the cost. Neither can you go to the next state for the better doctor; you're limited to the skinny network.

People really do not appreciate how awful Obamacare is. It's important to bear in mind that when liberals wring their hands and cry that millions will lose insurance, that includes the millions who have the non-insurance insurance - the ones Obama counted as "insured."
 
Old 10-17-2019, 06:26 PM
 
19,387 posts, read 6,517,417 times
Reputation: 12310
Quote:
Originally Posted by colt22 View Post
Rachel, I'm in the same boat, I don't have lifetime medical as part of my retirement from my employer. Have you considered any of the so called cost sharing companies? Look at Aliera health, medishare, there are a few others but I don't remember. Monthly bills are cheaper, I've had Aliera for a while now and don't have any issues with it, it's basically the same as having regular "medical insurance".

I looked at Obama Care and it was more than I wanted to pay and I also didn't qualify for subsidies.
Thanks, Colt. It's worth researching, but from what little I've gleaned these cost-sharing companies aren't as reliable when it comes to a major expense. I'll look into it more, though. Thanks.
 
Old 10-17-2019, 06:32 PM
 
30,471 posts, read 21,323,728 times
Reputation: 12021
Quote:
Originally Posted by Enigma777 View Post
How did Obama affect homeowners' insurance? Our property insurance was subject to the amount of hurricane damage spread around the state by the insurance companies.

Don't those on right on the coast have access to the government-subsidized FEMA insurance?

The premiums now would be even higher had the ACA not passed. You can get those cheap junk policies again. Good private health insurance was not cheaper. In addition, before the ACA the insurance companies were entitled to charge you whatever they wanted or REJECT you.

Going without insurance is not bad if you just pay cash for services--less out of pocket than health insurance. BUT, if you have a heart attack, stroke, pneumonia or accident, how will you pay for it? Just use the ER and let others pay for it?

The main things that have changed is that the companies have to accept you under the ACA, have to pay for preventive screenings and cannot refuse to pay for pre-existing conditions.
No clue about HOI as i never had it. He just screwed up HC for many peeps. I have plenty of money honey so i can take care of anything that comes my way. Have not seen a DOC since 1990.
 
Old 10-17-2019, 06:37 PM
 
Location: Barrington
63,919 posts, read 46,792,370 times
Reputation: 20675
Quote:
Originally Posted by eastriver View Post
That's what the catastrophic-only policies, for those rarities and outliers, were for....that Obamacare outlawed.
Catastrophe is another one of those subjective terms. A $1000 bill might be a catastrophe for some people.

Thinking the issue with most catastrophic plans was that enrollees tended to deny symptom rather than pay out of pocket to see primary care and specialist and then diagnostic tests. There was a tendency to not pay out of pocket for age appropriate Can er screenings. So what might have been caught in an early stage only gets detected when the disease is more challenging and costly to treat.

For this reason, catastrophic plans were limited to younger enrollees who, generally speaking, are less likely to acquire serious diseases.

Having said this, worthwhile to take another look at such plans and expanding eligibility ages.
 
Old 10-17-2019, 06:40 PM
 
Location: Wisconsin
38,007 posts, read 22,187,159 times
Reputation: 13830
Quote:
Originally Posted by Rachel976 View Post
I got the news today, and it was a good thing I was sitting down when I opened the envelope.

The premium for the "budget" plan I have (otherwise known as the bronze plan) will be $977 a month. That's nearly $1,000 a month for the cheapest plan available, which carries a deductible of nearly $7,000. That means that I, with a straight middle-class income, will be on the hook for almost $20,000 in medical costs (if my year is bad). Boy, do I long for the pre-Obamacare days just a few years ago when I paid a few hundred a month at most for a real plan that covered medical expenses!

Basically, as has been discussed before, Obama "arranged" for middle earners to pay exorbitant premiums for what is essentially a catastrophic plan in order to have insurance companies provide the costs for every sneeze and cough for low(er) earners.

So, has anyone else received their envelope?
Our union was just told that our health care insurance costs will go up 15%, for 2020. All hail ObamaCare.
 
Old 10-17-2019, 06:45 PM
 
19,387 posts, read 6,517,417 times
Reputation: 12310
Quote:
Originally Posted by Three Wolves In Snow View Post
I don't care what the rest of the world does, I want free market health care here.



And maybe you should stop the fear mongering and snide comments if you don't understand it. It has nothing to do with back in the day when people died of teeth problems - which actually still happens, by the way, because people don't go to the dentist like they should.



Your numbers are off. Self employed, you get the full amount in take home pay. So $50,000 a year is $4166/month, not $3500.

The person could still have $4166/month if they have certain write offs, or they could end up worse than your scenario.

It is absolutely possible, the IRS does give some write offs that ultimately make it so that you break even but keep every bit of my money that was earned throughout the year. I know, because I've done it.

If they have $4166/month, then after their rent of $1200, they would have $2966. Utilities - depends on where they live. Get a place where either the landlord pays for the heat, (oil, gas) or find a place with a fireplace and/or wood burning stove.

So she has other bills (cell phone, internet, car insurance), then food. Well, food is more expensive up in NE than say, the states lower than that, but she should be fine feeding herself - in fact, comfortably feeding herself on $300. Let's say she's frugal (because she has to be) and it's $500 in bills, plus rent, so $1700 taken out of the $4166. She still has $2466 remaining. Let's toss her another $300 just in case money. She still has $2166 remaining, but we'll round it to 2160.

Her premium is a grand. Now she has $1660 remaining. She has to visit the doctor for whatever reason. Now she has $1060 remaining. Annoying - but still doable and still doable comfortably - as long as nothing goes wrong, and she is able to invest or save that money for the times things go wrong.

However, if she does NOT get enough write offs, she's in worse shape than what you're saying. She has to pay her own everything - no employer to pay part of it. She needs to set aside 30% of her earnings for the IRS man. That's $1250 she has to set aside every single month, leaving her with $2916.

Take out the $1700 we talked about before, she's got $1216 left. We can't give her that $300 "just in case" like we did in the last scenario, because she has to pay that dumb Obamacare $1000 each month.

Now she's got $216 left to pay for food, utilities, etc. Most people are not going to get the deduction I'm talking about. So, your friend is probably in the second scenario status - which means it's even worse for her than you painted.

She could be somewhere in the middle - even then, even if we tacked on another $500 to that, it would go to her food, utilities, and whatever, and she would be left with maybe $100 - doubtful, but possible. But, whatever, as someone jokingly reminded me recently, she "didn't build that" anyway - considering some actually agree with that, according to those types, she deserves to live paycheck to paycheck.
What do you mean that a self-employed person earning $50,000 takes it all home? YOUR numbers are way off! A self-employed person STILL has to pay federal income tax, state tax, and business licensing tax. (It's done quarterly.) In fact, a self-employed person pays more in taxes overall.

Sorry, but your numbers on self-employed were so off that I didn't focus on the rest of your post. You seem to think that a self-employed person makes out like a bandit because of write-offs - as if that's a saving. I can't begin to tell you how many people would tell me - "you need to buy a new desk for your office? You can write it off!," as if that didn't cost me anything. Of course it cost me. It was part of the cost of doing business, and I didn't have to pay taxes on that amount. But I still ended up with that much less profit (I.e., "income.")

To be clear, when I talk about the $50,000 self-employed person, I am talking about what she has left after she pays the costs of operating her business - office rent, business insurance, supplies, etc. She is LEFT with $50,000 - and on THAT she has to pay federal and state tax. She's lucky if she's left with $40,000, which would be $3,300 a month. After her personal rent of $1200, she'd have $2,100 left, and from that she has to pay $1,000 on Obamacsre premiums. There is very little left for other things.

P.S. I'm not saying I earned $50k, but I know enough as a self-employed business person to understand the difference between gross revenues and net profit. You're mixing things up with the talk of write-offs. JUst focus on the self-employed person who is left with $50,000 after all expenses - and that is the amount taxes on due on.
 
Old 10-17-2019, 06:48 PM
 
41,110 posts, read 25,768,529 times
Reputation: 13868
Quote:
Originally Posted by middle-aged mom View Post
Tax revenue and debt pay for everything.

Not likely any 2 people could agree on how to tax, should we tax, let alone how to spend.
Of course people who are not paying taxes are not going to agree with people who are paying taxes. Especially if the first group is promised more and the second group, already tired of the gov't taking so much of their hard earned money will be forced to pay more.
 
Old 10-17-2019, 06:52 PM
 
19,387 posts, read 6,517,417 times
Reputation: 12310
Quote:
Originally Posted by Wapasha View Post
Our union was just told that our health care insurance costs will go up 15%, for 2020. All hail ObamaCare.
My biggest increase was the year Obamacare took effect. I remember getting onto the dot gov site (remember what a disaster that rollout was??), and my eyes almost bugged out of my head. I had been paying about $450 a month, and my premium for the new plan (my old plan no longer existed) was in the 600s - or about a 30% increase.
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