You know why they haven't reported that? It's not true, that's why.
Women in their 20's have to have colonoscopy coverage, men have to have birth control pill coverage and mammograms. Because I chose a plan that doesn't cover breast exams doesn't mean it was a plan that didn't meet my needs, I lost that plan that I liked, but my bc pills are free now. How is this reducing costs and not really stupid? Wouldn't letting people tailor plans to their needs be cheaper?
Have you guys seen the deductibles on these bronze plans? Over 6K for an individual and over 10K for a family. Subsidize the plans all you want, make it free if need be, how are the people who qualify for subsidies going to come out of pocket 6k? It's not very well thought out.
NOW you have a point. I have been in the individual insurance market for going on 6 years now. While it is great that insurance companies are forced to accept everyone regardless of their present health, we are now judged solely by the actuarials of age. I am 61, I am in great health. I was forced to pay 50 percent more on my premium because I was on cholesterol medication.
Let's think about this. I took meds that cost the insurance company no more than a few cents a day in order to stave off the consequences of my not taking that medication - cardio pulminary trouble that would surely cost the insurance company hundreds of thousands. I also took high blood pressure meds, we all know that the cost of high blood pressure woudl be stroke, heart failure, and the like, but no. The way they figured it had nothing to do with my health and everything to do with the preventative meds I took.
I lost weight and excercised and no longer needed the meds, no reduction in cost.
I currently pay about $800 a month for myself and my wife, there is no exclusion for pregnancy, no exclusion for ED pills - so if my wife gets pregnant (she can't) they will pay but I could not find a plan with such an exclusion. In short, it would be nice if as you say, we could "tailor" our plans but no such thing exists.
Now that I am healthy, I still have to pay the exact same amount as my brother, a year younger, diabetes, enlarged heart, gout, TB, a missing kidney and already two toes lopped off.
Why? because he is 60.
AS far as your deductable goes, you are absolutely correct - and i think, if you read the fine print there is a double deductable, one for medical treatment and another for medications, further, there are still three tiers of meds. So this family of 4 who brings in 32k pays only $120 a month. Fine, great, wonderful for them all but dad gets a heart attack.
Their total out of pocket is not 6k it is more like 12.5K - per year (I think), maybe 6k for the meds. The guy is now out of work and he has just been hit with not only the deductable but he still has to make his premiums every month. No, it wasn't thought out well.
What family bringing down what? double the poverty point can sustain that hit?
Still, it is better than nothing. My own situation is better but another factor comes into play. I get subsidized, my monthly bill goes down from $800 to about half that. Now what if I take that second job? what if one of my businesses begins to take off and rolls me out of that $62,000 AGI bracket. Will I think twice about the better job? Will I take into consideration the 400 bucks when I find that my raise of 100 a month throws me out of my bracket?
Still, it is better than what we had - for now. Lets see how the insurance companies work it, let's see how many loopholes they have found and will implement just as soon as enough people sign up to make it worth their while.
My insurance agent gets a call from me once a year - why? because there is a provision in these companies (or was) that the rates can't change for a year from when I enroll. Sure enough, if I don't change I get hit, the last one I was lax and saw a 32 percent increase.
But still, it's better than what the other side offered, which was pretty much nothing at all.
tort reform? bullshit.
Interstate competition? It has always existed.
shopping? yeah right, I shop, it's no fun