since insurance deals with risk...

Red1966

Red1966

Well-Known Member
ChesusRice said:
Even worse. I cashed my pay checks at a currency exchange and under state law i am liable for the checks. SO i had to pay back three paychecks that bounced and to top it off Under Bakruptcy laws I was considered a "unsecured" creditor So I was last in line (got nothing) out of the bankruptcy
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Some states award unpaid employees first, then creditors. Some, not all.
 
C

ChesusRice

Well-Known Member
Flaming Pie said:
I like parts of the affordable care act and dislike parts of it. I also do not have enough information to fully judge it.

I know that people making 30k and under will be pretty much taken care of on paper. Which is nice because at that income level it can be hard to scrape money together for insurance.

However, I know that in 2013 I could get a plan for 98 bucks a month for family and now the lowest plan is 200+ dollars. Could it be because of all the additional services that are required to be covered services? Most likely.

I definitely see price increases on the horizon. Because of Subsidies the increase will not be felt by lower income people. Once you go past the subsidy mark the prices change will be noticable.

There will be people who have good affordable plans that they can keep. There will be people with affordable plans that meet THEIR healthcare needs but do not measure up to law that will have to be dropped.
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What did it cover? I remember seeing health insurance plans a few years ago advertised that were 40 bucks a month, and they didnt cover anything at all and had a rediculous deductable of like 25k
 
Flaming Pie

Flaming Pie

Well-Known Member
It was around 30 copay (which is about 30% of a doctor visit for me) 10000 individual and 20000 family.

Now the cheapest plans are 12k deductable but cost 280-340 dollars.

I am not sure if the old plans covered maternity or not. I think the new plans are supposed to under law.

Okay I just checked. The 98 dollar one did not include maternity or mental health but covered prescriptions.

I personally just pay out of pocket for my doctor visits. I have medicaid with 1000 dollar deductable (per month?). Only time I ever go to a doctor is to get a refill on my prescription. Costs me 80 dollars and then Phizer gives me my meds for free.

So yeah..... Old plans were kinda crappy but the new plans are kinda pricey. I have yet to even look at the better plans. For people beyond the subsidy range they wouldn't want the cheapest plans... especially if they have kids with mental needs.

It's a lot to research and I am doing my best to catch up on it between taking care of the baby and plants.

Would be helpful if people posted more info and links instead of hurling insults for 12 pages a day.
 
desert dude

desert dude

Well-Known Member
UncleBuck said:
...then why do we have health insurance, since needing health care is inevitable?



i can understand why we have auto insurance, since getting into a vehicle accident which injures someone is not inevitable. still, it's nice to know that the driver who just cut me off and put me into the telephone pole has basic 30/60 coverage to cover the bill on my broken leg and whiplash.

i can understand why we have homeowner's insurance, since my grow room burning down my house is not inevitable. still, it's nice to know that everything in my house can be replaced if the shoddy, decades old wiring in my house decides to go on the fritz when i'm not here to extinguish it.



but health insurance is different. the fact is that every single one of us will need health care at some point in our lives, and many of us will need a lot of it.

so why handle the inevitable with actuarial tables, instead of just treating it like the inevitability that it truly is?
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There are lots of inevitabilities: I had dinner last night, and here I am hungry again. It was inevitable, I suppose. I need shelter from the weather, and clothes, etc. Despite all these inevitabilities, I don't expect you to pay my living costs.
 
nitro harley

nitro harley

Well-Known Member
UncleBuck said:
...then why do we have health insurance, since needing health care is inevitable?



i can understand why we have auto insurance, since getting into a vehicle accident which injures someone is not inevitable. still, it's nice to know that the driver who just cut me off and put me into the telephone pole has basic 30/60 coverage to cover the bill on my broken leg and whiplash.

i can understand why we have homeowner's insurance, since my grow room burning down my house is not inevitable. still, it's nice to know that everything in my house can be replaced if the shoddy, decades old wiring in my house decides to go on the fritz when i'm not here to extinguish it.



but health insurance is different. the fact is that every single one of us will need health care at some point in our lives, and many of us will need a lot of it.

so why handle the inevitable with actuarial tables, instead of just treating it like the inevitability that it truly is?
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Hey Buck...I wonder how many sudden deaths there are, that don't make it to the health care part..The ones that just get bagged and tagged, Like the americans in bengazi.. They paid into health care and didn't have a need to use it...Thats a fucking bummer isn't it?..
 
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beenthere

New Member
Flaming Pie said:
It was around 30 copay (which is about 30% of a doctor visit for me) 10000 individual and 20000 family.

Now the cheapest plans are 12k deductable but cost 280-340 dollars.

I am not sure if the old plans covered maternity or not. I think the new plans are supposed to under law.

Okay I just checked. The 98 dollar one did not include maternity or mental health but covered prescriptions.

I personally just pay out of pocket for my doctor visits. I have medicaid with 1000 dollar deductable (per month?). Only time I ever go to a doctor is to get a refill on my prescription. Costs me 80 dollars and then Phizer gives me my meds for free.

So yeah..... Old plans were kinda crappy but the new plans are kinda pricey. I have yet to even look at the better plans. For people beyond the subsidy range they wouldn't want the cheapest plans... especially if they have kids with mental needs.

It's a lot to research and I am doing my best to catch up on it between taking care of the baby and plants.

Would be helpful if people posted more info and links instead of hurling insults for 12 pages a day.
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The mantra that old plans were bad plans is turning out to be more political than factual.

What's not being disclosed or discussed that much is, the exchange plans may have an attractive premium but there's a lot more costs to patients than meets the eye.

First of course is the premium cost annually, the you must figure in the co-pays and this is where it gets convoluted.
There are different co-pays for different tests, procedures and films.

On top of the co-pays and premiums you have the deductibles or the out of pocket expense the patient pays until the insurance kicks in.

Now we get into the co-insurance clause, many of the exchange policies will only pay 50-70% of the total claim annually.

In California, a five day hospital stay could cost over $100,000.
If your deductible is say $4,000 and the total cost of your hospital bill is $100,000.
With your co-insurance clause and deductible, you may be on the hook for $34k-$54k

Doesn't sound too affordable to me.
 
Flaming Pie

Flaming Pie

Well-Known Member
Covered services do not wait for you to max out your deductible. They are usually copay where the ins company pays a percentage of the cost and you are responsible for the remainder.
 
Flaming Pie

Flaming Pie

Well-Known Member
Been there... That is not how a deductible works. If the hospital bill is 100k and your deductible is 4k, providing you have not had anyother non covered expenses that year, the ins company will pay the doctor 96k and you will be responsible for 4k.
 
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beenthere

New Member
Flaming Pie said:
Been there... That is not how a deductible works. If the hospital bill is 100k and your deductible is 4k, providing you have not had anyother non covered expenses that year, the ins company will pay the doctor 96k and you will be responsible for 4k.
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You are talking about a platinum plan (Cadillac)I know how deductibles work but you're mistaking deductible with coinsurance fee.
If your plan has a 30-50% coinsurance fee, you are responsible for 30-50% of the cost of every covered medical service you receive, plus your deductible, plus your co pays, plus your annual premium.
 
Flaming Pie

Flaming Pie

Well-Known Member
There are several plans that say zero coinsurance afterbdeductable. So you would still only be responsible for only 4k of a 100k hospitalization.
 
Flaming Pie

Flaming Pie

Well-Known Member
Found a nifty feature on ehealth insurance that lets you factor in your subsidy. Pretty cool. Still browsing. Cheapest plan now 18 cents.
 
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ChesusRice

Well-Known Member
Flaming Pie said:
Found a nifty feature on ehealth insurance that lets you factor in your subsidy. Pretty cool. Still browsing. Cheapest plan now 18 cents.
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Obamacare sucks!!!

And only the people who dont want to work will get it forcing the rest of us to pay for it!!!!!
 
Flaming Pie

Flaming Pie

Well-Known Member
Hmm. Under closer inspection been there is right. The majority of plans have coinsurance. I have seen two or three that do not.

I of course would avoid the plans with coinsurance because I am using health care for protection of costs for surgical and maternity care.
 
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