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OT: health insurance stuff

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All American
Sep 16, 2006
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so i will readily admit that i am terrible at health insurance stuff. my wife and i are currently on different plans through our individual employers (she is a teacher in NJ and has aetna, i am in the private sector and have unitedhealthcare). our first child is due in july so we are looking to move the entire family to the same plan. we're a bit embarrassed to ask these questions, but we have a few:

1. what are the things in our plans we should be comparing to pick whose is better?
2. if my wife takes time off from teaching (she will likely go back in february), is she at risk for her health insurance running out until she goes back to work?

i understand that some of this may be common knowledge but we've always found health insurance to be a bit user-unfriendly, and googling these things hasn't led us to what we're looking for.
 
so i will readily admit that i am terrible at health insurance stuff. my wife and i are currently on different plans through our individual employers (she is a teacher in NJ and has aetna, i am in the private sector and have unitedhealthcare). our first child is due in july so we are looking to move the entire family to the same plan. we're a bit embarrassed to ask these questions, but we have a few:

1. what are the things in our plans we should be comparing to pick whose is better?
2. if my wife takes time off from teaching (she will likely go back in february), is she at risk for her health insurance running out until she goes back to work?

i understand that some of this may be common knowledge but we've always found health insurance to be a bit user-unfriendly, and googling these things hasn't led us to what we're looking for.

So going to be tough for anyone to truly weigh in here without seeing the two different plans offered by the employers, but traditionally, NJ public sector benefits will be far more rich than those offered by a private employer. What you should be weighing first is how the out of pocket amounts compare between the two plans, that being any in and out of network deductibles and maximum out of pocket amounts, that you could be responsible for each plan year. Secondly, I would be looking at your premium cost share. Again, usually a bit higher traditionally in the private sector, but trending differently as Chapter 78 contributions for public employees is getting up there as well. Seeing the differences in the annual out of pocket versus the premium cost share should give you a bit better of an idea about which plan will work best for you guys as far as total annual spend.

As for the leave of absence, each employer has a different set of eligibility requirements as to how long you will be able to retain coverage when going out on maternity leave. At the very minimum, if your wife is only entitled to 3 months of leave with coverage, you will have the option to elect COBRA coverage for any additional time that she is out of work. Once she goes back, she should be eligible for the coverage again as a rehire.

I would suggest you both check with your respective HR departments to see if there are any special eligibility guidelines.

Good luck!
 
so i will readily admit that i am terrible at health insurance stuff. my wife and i are currently on different plans through our individual employers (she is a teacher in NJ and has aetna, i am in the private sector and have unitedhealthcare). our first child is due in july so we are looking to move the entire family to the same plan. we're a bit embarrassed to ask these questions, but we have a few:

1. what are the things in our plans we should be comparing to pick whose is better?
2. if my wife takes time off from teaching (she will likely go back in february), is she at risk for her health insurance running out until she goes back to work?

i understand that some of this may be common knowledge but we've always found health insurance to be a bit user-unfriendly, and googling these things hasn't led us to what we're looking for.
I run a practice that deals with insurance companies all the time. Most important considerations are the following:
1.Are your providers in network?
2.Does the plan have a large deductible? If so, the plan will pay nothing until the deductible is met by you.
3.What is the maximum out of pocket payment each year?
4.What are your copays for primary care and specialist visits?
5.What are the copays for ER visits and diagnostic visits (cat scans, MRI)?

6.Are there any limitations on preexisting conditions? There should not be with the new laws, but it is good to check.

7.What are copays for inpatient hospital stays? Is the inpatient coverage comprehensive? One Aetna plan a few years back covered the expenses of the hospital room but NOT the medical treatments! So Caveat Emptor.

8.What is the maximum lifetime coverage for catastrophic illnesses?

If you lose or quit your job, your insurance expires normally. Maternity leaves are exceptions, but your HR person willl know better. Cobra plans are available up till 18 months afterward, but they are VERY expensive. Consult with HR.

Best of Luck negotiating this crazy system.
 
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1- I don't think you can change coverage at this point, as open enrollment has ended for 2016, at least it has for my employer. Check with your HR dept and you can have her check with hers.

Once the child is born, that qualifies as a qualifying event, and you will be able to make changes to your health plan coverage.

You need to get a copy of your plan and compare it side by side with her plan.
I am able to look at my coverage online, and you and your wife may also have the same ability. From what I've seen, the teaching plans tend to provide better coverage.

What you need to compare is coverage for doctor visits, hospital visits, and emergency room visits. Check deductibles and co pays and expense limitations, if any. Also check whether your doctor is takes her plan and her doctors take your plan. Whether your doctors are in network or out of network is important.

The last thing to check is the premium you pay for coverage, which you can find on your respective pay stubs.

My health plan stinks and I don't even know why I have coverage. First I have to meet a $700 deductible, then afterwards, the health plan pays 90% and I pay 10% for each service, up till an out of pocket maximum of 3K. Thankfully, knock on wood, I'm generally healthy and haven't been to the doctor in a while.

Check with your HR dept regarding coverage during maternity leave.
 
UHC generally sucks. Seriously. Their plans are limited, and a lot of providers won't take them.
 
1- I don't think you can change coverage at this point, as open enrollment has ended for 2016, at least it has for my employer. Check with your HR dept and you can have her check with hers.

Once the child is born, that qualifies as a qualifying event, and you will be able to make changes to your health plan coverage.

You need to get a copy of your plan and compare it side by side with her plan.
I am able to look at my coverage online, and you and your wife may also have the same ability. From what I've seen, the teaching plans tend to provide better coverage.

What you need to compare is coverage for doctor visits, hospital visits, and emergency room visits. Check deductibles and co pays and expense limitations, if any. Also check whether your doctor is takes her plan and her doctors take your plan. Whether your doctors are in network or out of network is important.

The last thing to check is the premium you pay for coverage, which you can find on your respective pay stubs.

My health plan stinks and I don't even know why I have coverage. First I have to meet a $700 deductible, then afterwards, the health plan pays 90% and I pay 10% for each service, up till an out of pocket maximum of 3K. Thankfully, knock on wood, I'm generally healthy and haven't been to the doctor in a while.

Check with your HR dept regarding coverage during maternity leave.

Al, Your coverage is better than you think, even if your employer is asking you to contribute a few hundred $ a month. Less than that is outstanding.
 
1- I don't think you can change coverage at this point, as open enrollment has ended for 2016, at least it has for my employer. Check with your HR dept and you can have her check with hers.

Once the child is born, that qualifies as a qualifying event, and you will be able to make changes to your health plan coverage.

You need to get a copy of your plan and compare it side by side with her plan.
I am able to look at my coverage online, and you and your wife may also have the same ability. From what I've seen, the teaching plans tend to provide better coverage.

What you need to compare is coverage for doctor visits, hospital visits, and emergency room visits. Check deductibles and co pays and expense limitations, if any. Also check whether your doctor is takes her plan and her doctors take your plan. Whether your doctors are in network or out of network is important.

The last thing to check is the premium you pay for coverage, which you can find on your respective pay stubs.

My health plan stinks and I don't even know why I have coverage. First I have to meet a $700 deductible, then afterwards, the health plan pays 90% and I pay 10% for each service, up till an out of pocket maximum of 3K. Thankfully, knock on wood, I'm generally healthy and haven't been to the doctor in a while.

Check with your HR dept regarding coverage during maternity leave.
Mine sucks worse. Premium is $20,000 per year (self-employed). We get NOTHING until we pay $6,700.00 out of pocket. In 2014, when I needed kidney surgery, I was approved to get surgery in NYC at MSKCC, then told I could not get surgery there because my plan required me to have the service in state of NJ. Mind you, there was nothing anywhere in our policy contract or in any of the online documentation that indicated that we were limited to the State of NJ. We paid a higher premium to ensure that this did not happen again, and, still there is NOTHING in the policy documents that says we can/cannot go out of state for treatment. Don't really understand what I am getting for the premium except catastrophic coverage. We never go to the doctor, except for checkups (which are free, big deal). To add insult, it costs us $2,000 to $3,000 per year for scans twice per year to monitor results of 2014 surgery. Obamacare was a huge farce that did nothing but heap more costs and worsen coverage for most people.
 
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Mine sucks worse. Premium is $20,000 per year (self-employed). We get NOTHING until we pay $6,700.00 out of pocket. In 2014, when I needed kidney surgery, I was approved to get surgery in NYC at MSKCC, then told I could not get surgery there because my plan required me to have the service in state of NJ. Mind you, there was nothing anywhere in our policy contract or in any of the online documentation that indicated that we were limited to the State of NJ. We paid a higher premium to ensure that this did not happen again, and, still there is NOTHING in the policy documents that says we can/cannot go out of state for treatment. Don't really understand what I am getting for the premium except catastrophic coverage. We never go to the doctor, except for checkups (which are free, big deal). To add insult, it costs us $2,000 to $3,000 per year for scans twice per year to monitor results of 2014 surgery. Obamacare was a huge farce that did nothing but heap more costs and worsen coverage for most people.

Obamacare's fatal flaw is that it let the health insurance industry write the law. Hopefully the next inevitable iteration will result in a truly "affordable" and comprehensive platform inclusive of vision and dental.
 
Obamacare's fatal flaw is that it let the health insurance industry write the law. .
Welcome to the Corporate State.

"Sheldon Wolin, our most important contemporary political theorist, died Oct. 21 at the age of 93. In his books “Democracy Incorporated: Managed Democracy and the Specter of Inverted Totalitarianism” and “Politics and Vision,” a massive survey of Western political thought that his former student Cornel West calls “magisterial,” Wolin lays bare the realities of our bankrupt democracy, the causes behind the decline of American empire and the rise of a new and terrifying configuration of corporate power he calls “inverted totalitarianism.”
link
http://www.truthdig.com/report/item/sheldon_wolin_and_inverted_totalitarianism_20151101
 
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Obamacare's fatal flaw is that it let the health insurance industry write the law. Hopefully the next inevitable iteration will result in a truly "affordable" and comprehensive platform inclusive of vision and dental.
Please, no! We find it much cheaper to pay for our vision and dental out of pocket. I don't need the government spending more of my $$$ for me to get crappy benefits and limit my options for dental and vision care. Every year, premiums increase a lot, out of pocket costs increase a lot, and number of doctors/providers in our plan shrinks. The whole Obamacare fiasco was a farce to force more people into a flawed system. Meanwhile, Obama and Congress are exempted from it. Just like Animal Farm.
 
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Al, Your coverage is better than you think, even if your employer is asking you to contribute a few hundred $ a month. Less than that is outstanding.

Thx. Its good to know i'm in better shape than i thought. yeah i do contribute a few hundred a month.
 
1- I don't think you can change coverage at this point, as open enrollment has ended for 2016, at least it has for my employer. Check with your HR dept and you can have her check with hers.

Once the child is born, that qualifies as a qualifying event, and you will be able to make changes to your health plan coverage.

You need to get a copy of your plan and compare it side by side with her plan.
I am able to look at my coverage online, and you and your wife may also have the same ability. From what I've seen, the teaching plans tend to provide better coverage.

What you need to compare is coverage for doctor visits, hospital visits, and emergency room visits. Check deductibles and co pays and expense limitations, if any. Also check whether your doctor is takes her plan and her doctors take your plan. Whether your doctors are in network or out of network is important.

The last thing to check is the premium you pay for coverage, which you can find on your respective pay stubs.

My health plan stinks and I don't even know why I have coverage. First I have to meet a $700 deductible, then afterwards, the health plan pays 90% and I pay 10% for each service, up till an out of pocket maximum of 3K. Thankfully, knock on wood, I'm generally healthy and haven't been to the doctor in a while.

Check with your HR dept regarding coverage during maternity leave.

Your post made sense until you started to complain about your health plan. Don't you realize health care is a shared expense between the insurer and you, and as part of your premium you have coverage from serious medical issues that could bankrupt you. If you think a $700 deductible is high you must be extremely inexperienced in health matters. Do you have any idea what it costs to treat something as simple as an emergency room visit and orthopedic are for a broken ankle playing basketball?

If the insurance company covered every nickel of your expenses, what would stop you from running to the doctor for every sneeze and sniffle ? Health care is not free man - despite what the current govt administration would have you believe.
 
My 2 cents worth from 50,000 ft: Intuitively, as mentioned in several posts above, the Teachers coverage is much better than any private sector company. I would guess your wife will be a teacher until she retires? You, on the other hand, may change jobs along the way. Who knows what kind of coverage your Newco will offer.
You are young now and not worrying about Medicare, but FWIW I have 2 retired friends whose wives are retired teachers and both of them have their Medicare coverage through the Teachers retirement health coverage. It may be a supplement to basic Medicare but they always say it is their primary medicare coverage. They pay very little out of pocket for health care. And the Rx coverage is superb, compared to the Medicare Part D Rx coverage. It's obviously a long term consideration, but along with the other positives of the teachers plan, one to seriously consider.
 
A little more from link in my last post.


“The United States has become the showcase of how democracy can be managed without appearing to be suppressed.”

The corporate state, Wolin told me, is “legitimated by elections it controls.” To extinguish democracy, it rewrites and distorts laws and legislation that once protected democracy. Basic rights are, in essence, revoked by judicial and legislative fiat. Courts and legislative bodies, in the service of corporate power, reinterpret laws to strip them of their original meaning in order to strengthen corporate control and abolish corporate oversight.
 
Mine sucks worse. Premium is $20,000 per year (self-employed). We get NOTHING until we pay $6,700.00 out of pocket. In 2014, when I needed kidney surgery, I was approved to get surgery in NYC at MSKCC, then told I could not get surgery there because my plan required me to have the service in state of NJ. Mind you, there was nothing anywhere in our policy contract or in any of the online documentation that indicated that we were limited to the State of NJ. We paid a higher premium to ensure that this did not happen again, and, still there is NOTHING in the policy documents that says we can/cannot go out of state for treatment. Don't really understand what I am getting for the premium except catastrophic coverage. We never go to the doctor, except for checkups (which are free, big deal). To add insult, it costs us $2,000 to $3,000 per year for scans twice per year to monitor results of 2014 surgery. Obamacare was a huge farce that did nothing but heap more costs and worsen coverage for most people.

I used to work for an HMO, and what you have to do is keep going higher up, till you get what you want, or the executive director of the health plan says no, with the argument being the policy doesn't cover the requested service. People would do that all that time. My experience is people can get whatever coverage they like, as long as the appropriate premium is/was paid, which covers the insurance companies risk.

i would ask for a policy addendum which adds specific language which allows you to go out of state, otherwise, what are you paying the extra premium for? Maybe they already did this and you missed it somehow. If its not in writing, it doesn't mean anything, and they can always claim you don't have the coverage.
 
Your post made sense until you started to complain about your health plan. Don't you realize health care is a shared expense between the insurer and you, and as part of your premium you have coverage from serious medical issues that could bankrupt you. If you think a $700 deductible is high you must be extremely inexperienced in health matters. Do you have any idea what it costs to treat something as simple as an emergency room visit and orthopedic are for a broken ankle playing basketball?

If the insurance company covered every nickel of your expenses, what would stop you from running to the doctor for every sneeze and sniffle ? Health care is not free man - despite what the current govt administration would have you believe.

Since reaching adulthood, i've never had to visit the emergency room, or endured any injuries, knock on wood.
once in a while i might go to a primary care to get an anti-biotic, but thats the extent of my usage, thankfully.
 
Since reaching adulthood, i've never had to visit the emergency room, or endured any injuries, knock on wood.
once in a while i might go to a primary care to get an anti-biotic, but thats the extent of my usage, thankfully.
Same for me and my family, except for the kidney surgery in 2014. When I was getting the shaft from BCBS of NJ, I offered MSKCC to pay out of pocket. I learned that the cost charged to insurance companies was somewhere in the $30K-40K range, and my recollection is that I would have had to pay $80K out of pocket
I exposed the idiocy of BCBSNJ's position when I offered to pay the difference between having the surgery at MSKCC in NYC and having it in NJ. There was no significant difference, because the negotiated rates in NYC and NJ were about the same.

Wonder why health insurance can't have a healthy patient discount like a good driver discount for auto insurance. It would probably cause whining and complaining by unhealthy people.

To the OP. Every employee in our office who has a spouse that works for a school or government agency takes their spouse's plan.
 
Please, no! We find it much cheaper to pay for our vision and dental out of pocket. I don't need the government spending more of my $$$ for me to get crappy benefits and limit my options for dental and vision care. Every year, premiums increase a lot, out of pocket costs increase a lot, and number of doctors/providers in our plan shrinks. The whole Obamacare fiasco was a farce to force more people into a flawed system. Meanwhile, Obama and Congress are exempted from it. Just like Animal Farm.
You don't have Obamacare. Your premiums might be even higher or you might not even be able to get insurance once you had the kidney surgery. In a lot of the situation, your policy would have been canceled. My sister in law has private insurance and pays about 12,000 a year in premiums just for herself.

I don't know how old you are but you are going to need medical in your 50-80's. I never went to the doctor for 40-50 years but when you hit your mid fifties almost everyone starts having medical problems. Your kidney surgery is expensive and if you didn't have insurance the hospital would have charged you double what they charge the insurance company. Kidney surgery is unusual for someone so young. I wouldn't give up my insurance since you don't seem to be as healthy as you think.
 
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Why do that when you can ask on a college football message board?

hahaha. goddamnit.

yes she obviously will discuss #2 with people she works with, but i figured it couldn't hurt to find out if anyone else here had state employees for wives. you son of a bitch.
 
Since reaching adulthood, i've never had to visit the emergency room, or endured any injuries, knock on wood.
once in a while i might go to a primary care to get an anti-biotic, but thats the extent of my usage, thankfully.
If you're under 50's, everyone is healthy. Wait till you get to 60-80's if you are still alive.
 
hahaha. goddamnit.

yes she obviously will discuss #2 with people she works with, but i figured it couldn't hurt to find out if anyone else here had state employees for wives. you son of a bitch.
The state benefits are normally the best. Your premiums are lower and it covers a lot more of your prescriptions but you need to check with your HR dept. I use to handle the benefits at several of the locations that I worked at.
 
You don't have Obamacare. Your premiums might be even higher or you might not even be able to get insurance once you had the kidney surgery. In a lot of the situation, your policy would have been canceled. My sister in law has private insurance and pays about 12,000 a year in premiums just for herself.

I don't know how old you are but you are going to need medical in your 50-80's. I never went to the doctor for 40-50 years but when you hit your mid fifties almost everyone starts having medical problems. Your kidney surgery is expensive and if you didn't have insurance the hospital would have charged you double what they charge the insurance company. Kidney surgery is unusual for someone so young. I wouldn't give up my insurance since you don't seem to be as healthy as you think.
I am well aware of what I have. The health insurance system we have sucks. I am much healthier than the average person. I work out. My blood pressure is consistently 120/80 or lower. One minor incident in a lifetime of being healthy does not render a person unhealthy. Thousands of people had the same surgery I had and lived without any further incidents or complications. If BCBSNJ had their way, they would have kept me in NJ where the doctors were advocating removal of a perfectly healthy kidney. It took a doctor at MSKCC who had done over 1000 surgeries to take the correct approach. Thanks for your web diagnosis, Dr.
 
One minor incident in a lifetime of being healthy does not render a person unhealthy.

I know it doesn't mean you are unhealthy but insurance companies don't want to take a risk. That was one of the problems with the insurance companies, any prior medical condition would raise your premiums to the point it would be unaffordable.
 
One minor incident in a lifetime of being healthy does not render a person unhealthy.

I know it doesn't mean you are unhealthy but insurance companies don't want to take a risk. That was one of the problems with the insurance companies, any prior medical condition would raise your premiums to the point it would be unaffordable.
Yes, I understand that in the past insurance companies could refuse to insure due to pre-existing conditions. I know we need to have insurance. I understand how insurance works and it is basically a pooling of risks. What bothers me is there does not seem to be any benefit to being healthy and a frugal consumer of healthcare services. And it seems to have gotten worse in the last several years. Some regulation of the private market was in order. But it really does seem like Obamacare gave the insurance companies more of an upper hand to screw consumers, the exception being the situation with pre-existing conditions. Unfortunately, as a business owner, we cannot even participate in a HSA like we used to be able to do.
 
Obamacare's fatal flaw is that it let the health insurance industry write the law. Hopefully the next inevitable iteration will result in a truly "affordable" and comprehensive platform inclusive of vision and dental.
Obama wanted a single payer system like Medicare. The Republicans would not let that happen and insisted on going through the insurance companies ,which have racked up record profits. If Medicare had been extended to everybody, it would have been a much more efficient solution though it would have killed the insurance industry.
 
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Obamacare's fatal flaw is that it let the health insurance industry write the law. Hopefully the next inevitable iteration will result in a truly "affordable" and comprehensive platform inclusive of vision and dental.
I doubt it as long as the only choices in every election are corrupt Democrats and corrupt Republicans.

Yes, I understand that in the past insurance companies could refuse to insure due to pre-existing conditions. I know we need to have insurance. I understand how insurance works and it is basically a pooling of risks. What bothers me is there does not seem to be any benefit to being healthy and a frugal consumer of healthcare services. And it seems to have gotten worse in the last several years. Some regulation of the private market was in order. But it really does seem like Obamacare gave the insurance companies more of an upper hand to screw consumers, the exception being the situation with pre-existing conditions. Unfortunately, as a business owner, we cannot even participate in a HSA like we used to be able to do.
This is exactly it. My job does not offer health insurance, so I used to pay for my own health coverage directly from Horizon BCBS. The premium was relatively affordable at $172 and it had no deductible and no copays. The reason it was so affordable was because it did not cover prescription drugs, which was fine with me because it has been almost ten years since I needed any prescription drugs. However, the "Affordable" Care Act makes it illegal to offer a plan that doesn't cover prescriptions, so that plan was discontinued and now the cheapest plan on the market for me has a premium of around $200 with deductibles of over $6000! The plans that are affordable are useless and the plans that are useful are unaffordable.

Another factor we have now thanks to Obamacare is that if you go without health insurance, you have to pay a hefty fine: 2% of your annual income, and I believe it goes up every year. I applied for a healthcare subsidy and was rejected because I'm not dirt poor, so I applied for an exemption from the fine since my previous plan was discontinued because of the law (which the website says is a valid exemption), but again was rejected because my income was too high for me to be eligible for an exemption. I met with two different healthcare marketplace enrollment assistants, and they agreed with me that since the only plans I could reasonably afford have such high deductibles that I would get no benefit from purchasing them, that the best option for me would be to just go without insurance and pay the fine. What kind of demented, ass-backwards reform is this? What the hell happened to "if you like your current plan, you can keep it?" If a Republican president passed this law, Democrats would be up in arms about how it makes healthcare more expensive.

Obama wanted a single payer system like Medicare. The Republicans would not let that happen and insisted on going through the insurance companies ,which have racked up record profits. If Medicare had been extended to everybody, it would have been a much more efficient solution though it would have killed the insurance industry.
This is the typical excuse from Democrats who refuse to acknowledge that their politicians don't represent them. "The people we voted into office didn't get us what we voted them in for, so it must be the Republicans' fault." Obama may have said he wanted single payer while campaigning because he knew that's what his constituents want, but he didn't push for it once he was in office, and he even let the public option get taken off the table. Early in his first term, the Democrats controlled the presidency and both houses. They could have passed any law they wanted, but instead this is all we got. Why? Because they are beholden to the insurance companies who fund their campaigns just like the Republicans are. If the Democrats didn't bring single payer to a vote during that time, then they never will. We would be much better off if the liberals voted for the Greens and the conservatives voted for Libertarians.



I recently just heard of these guys, and enrolled about a month ago: Liberty Healthshare. It is a healthcare cost-sharing ministry, which makes its members exempt from the Obamacare fine even though it technically is not insurance, although it functions very similarly and is MUCH more affordable. The downside is that since it isn't insurance, it isn't governed by regulations that prohibit discriminating based on pre-existing conditions, and if you get injured doing something they consider a hazardous activity, like skydiving, they could choose not to cover it.
 
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get obamacare.. no doctor will EVER turn you down!

ok-then.gif
 
I'll say this simply - you are effing nuts.
I always remember conversations I have had in Europe with business counterparts. They just shake their head on how we do it. They were middle class and told me that they use single payer when needed for the basics, prescriptions etc. But they had private health care also. The difference is the private healthcare had to compete against the government plan so their rates were very low, something like $2,500 a year for families. People that could not afford it just use the government ran service but middle class and above used both. Please do not bring up taxes. When you figure out what we pay for our health care either on our own or with some help from work that is still coming out of our pocket. A typical teachers plan costs $24,000 a year. The teacher is paying about 10-30 % but you are paying the rest.

Obamacare is not the answer but neither is what we had before. Most people that argue against Obamacare listen to the right with out real facts. People that support it listen to the left on how great it is. I reccomend to talk to someone that lives in a single payer country and get the facts. Just like everything in this country , follow the money and how K Street runs our politicians.

Good article:

http://www.forbes.com/sites/danmunr...ked-dead-last-compared-to-10-other-countries/
 
UHC generally sucks. Seriously. Their plans are limited, and a lot of providers won't take them.

And then UHC will screw up the billing and blame you for it.

My employer had UHC and they would constantly under report my co-pay and therefore underpay the provider so I'd eventually get another bill looking for more money. If my co-pay was $25, they'd report to the provider it was $45; $50, they'd report it was $75; $100, they'd report $150, etc. And when I'd call up to straighten it out, the reps always would give me a hard time. One asking, "Why do you think you shouldn't have to pay your co-pays?".

The company switched to Horizon BCBS a couple years ago and they've been OK but this year switched to Cigna.
 
get obamacare.. no doctor will EVER turn you down!
You understand that "Obamacare" isn't a plan you can "get," right? You don't sign up for Obamacare, it's just the nickname of the law. Whether you wanted it or not, you are stuck with it.
 
Yes, I understand that in the past insurance companies could refuse to insure due to pre-existing conditions. I know we need to have insurance. I understand how insurance works and it is basically a pooling of risks. What bothers me is there does not seem to be any benefit to being healthy and a frugal consumer of healthcare services. And it seems to have gotten worse in the last several years. Some regulation of the private market was in order. But it really does seem like Obamacare gave the insurance companies more of an upper hand to screw consumers, the exception being the situation with pre-existing conditions. Unfortunately, as a business owner, we cannot even participate in a HSA like we used to be able to do.
The point you miss is that genetics are a much larger driver of cost than healthy behaviors. Should we give discounts based upon genetics?
 
The point you miss is that genetics are a much larger driver of cost than healthy behaviors. Should we give discounts based upon genetics?

In a sense, you do get a "discount" as those with higher risk pay the higher rate and those with lower risk pay a lower rate. Prime example is the smoker, ex-smoker, and non-smoker. Further, of course, per the genetic factor and your "question," your doctor records your family history of disease and health events, and this data noted by all vested parties, as it may hint at a predisposition toward certain ailments and related treatment expense.
 
You understand that "Obamacare" isn't a plan you can "get," right? You don't sign up for Obamacare, it's just the nickname of the law. Whether you wanted it or not, you are stuck with it.
right because FORCING people to buy into something they don't want(and tax them if they don't want it to subsidize others) is TOTALLY the American way!!! please grow a brain and read about taxation without representation .. ie revolutionary war.. you libs are seriously a joke.. ya'll are all about choice, right??????............................................(if it fits your agenda that is)
 
Actually, you are taxed and you do have multiple representatives in your local, state, and federal government. You may not like or support the legislation these reps enact, but you do have representation, nonetheless.

The British subjects in the American colonies, well, that was a different matter. "Taxation Without Representation" accurately described that dynamic. But not the ACA. Your gripe is with your elected representatives and your fellow citizens who voted in these reps.

Further, there's this underlying principal of laws for the common good such as schools, roads, emergency services, utilities, etc. You may not have children, for example, but the lion's share of your property taxes fund public education. You may not own a car, but a portion of your tax dollars fund the maintenance/construction of roads.

As for mandated healthcare insurance, you are only required to participate in the ACA if you do not have insurance provided or available to you via other sources. The uninsured have--in the past---used "free" medical services (such as hospital emergency care) for healthcare. While such service may be free to these uninsured individuals, that service is actually paid for by the insured parties. The ACA, in part, addresses this loophole.

America 101, revisited.
 
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