Affordable Care Act Scene 2 - Insurance Premiums

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<p>Then don’t read it out loud. When I (and everyone else) gripes about everything that doesn’t work I feel obligated to post when things work well, even if it hurts your feelings. Although I support the basic concept of universal affordable healthcare I am not a big fan of ACA and how it is being implemented, particularly the lack of coverage for the lowest income people in states that did not expand Medicaid. I see a lot of randomness in who comes out ahead or behind in 2014, but I am not going to apologize for being a “winner” nor am I going to pay double my 2013 premium as an act of protest.</p>

<p>"but I am not going to apologize for being a “winner”</p>

<p>I thought everybody was a “winner”. Oops, forgot that was just political rhetoric.</p>

<p>“I see a lot of randomness in who comes out ahead or behind in 2014, but I am not going to apologize for being a “winner” nor am I going to pay double my 2013 premium as an act of protest.”</p>

<p>I doubt anyone expects you to apologize or pay double, and I doubt anyone considers you to be a “winner” for having a low enough income to be highly subsidized. I’m sure you would rather have a higher income.</p>

<p>“Without the subsidy the premium would be more than double what we were paying in 2013.”</p>

<p>But those people who are now paying double for the same policy, are surely “losers”.</p>

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<p>Goldenpooch, I’m so sorry you can’t be happy that NJres is able to get good insurance at an affordable price.</p>

<p>LasMa, my comment is directed at the system, not NJres.</p>

<p>Auto withdrawals often come with some small % advantage. Hannah’s tale is a caution to set up a paper trail, even if she had gotten through and made her intentions verbally clear. As I mentioned, I was sent a form by BCBS, to clarify our intentions. Then got a follow-up call.</p>

<p>I received our new cards from BCBS 9 days after my payment for Jan was completed- ie, within the 10 business-day projection. For the record, I confirmed that, so far, our ongoing billing will be from the exchange, not the insurer. Right now, I can’t easily get through to the exchange, but BCBS said, logically, they expect the exchange to bill mid-month, for the following month, same as they do-- ie, send the bill roughly Jan 15 for the period of February. Also to answer something asked before, I am in RI, a state known for messing up whatever it can- so this process has been remarkably smooth and intelligently thought out. I am having my income projection verified, but sent those docs and we’ll see how that progresses.</p>

<p>I asked the question from here: what if someone does not pay? So, by the end of, say, Feb you haven’t paid for Feb and did incur charges that were paid to the doctor. She said BCBS would recoup from the doctor, who would then come after you. Same as I suspected. yes, it puts that burden on the doc. But, to be frank, I’ve dealt with plenty of docs and med services over the years who always had a collections co on standby, ready to spring if you are x days/moths late.</p>

<p>GP, thing is, no one said everyone would be a winner. That’s a bit of whisper down the lane and what comes from trusting sources who report “impressions” based on other sources’ impressions, as if it were all just so, just because someone said so.</p>

<p>NJRes - did you sign up through the gov website in order to get your subsidy? I remember you mentioned BCBS giving you the subsidy rate directly in the past.</p>

<p>“Goldenpooch, I’m so sorry you can’t be happy that NJres is able to get good insurance at an affordable price.”</p>

<p>Phrasing it like that is part of the problem. It is NOT an affordable price when the premium doubled. That ignores the fact that the premium skyrocketed, and the insurance company is still collecting their outrageous gouging premium.</p>

<p>We can be happy that NJres got a great subsidy that covered much of the cost (and after hearing the hassle he has gone through and the worry, I am relieved for him), but we cannot pretend that somehow the price is a great deal.</p>

<p>I am happy for NJ. The same way I’m happy for my independent son with preexisting conditions, and for my employee with his family of four on one income.
And I am happy that there is a more civilized form of access and oversight to the industry, despite its continued faults.</p>

<p>But I am (belatedly) reading a book right now that corroborates my personal suspicions about why US healthcare itself is and was anything but affordable, and am beginning to think that instead of having insurance at all I should just use the $240,000 I’ll be spending for the rest of my working life on premiums and go back to school to become a doctor :slight_smile:
Might be cheaper! Even if I treated family and friends for free! (The book is called Overdosed America)</p>

<p>With the HSA to cover deductible, we’ll be allocating about 15k a year after tax, so our net cost isn’t really much different than our cost as employer had been. But in context, that’s the equivalent of a mortgage payment in these parts, or a couple of car payments a month, or almost all the income I receive from a rental we own. </p>

<p>It’s also money that could otherwise be put away for retirement.</p>

<p>I’ve run the numbers, and the tax differential between my former country and here (free healthcare vs pay) is actually nowhere near enough to account.</p>

<p>So my great hope for Affordable Care act is that it one day, through oversight, may live up to its misnomer :slight_smile: But at this point in time, lets hope we’ve at least gotten the “care” part handled.</p>

<p>^^kmcmom X 2, as usual.</p>

<p>Hey Parents,</p>

<p>I figured at least someone could give me some advice. I’ll be enrolling at Florida State University for fall 2014. FSU has a health insurance requirement, and offers a plan ~$1600 for year round coverage. The thing is I am low income, automatic EFC 0 and am currently enrolled in medicaid at least until August of this year. My mom and I thought that I would not continue qualifying for medicaid benefits, and that I would have to purchase private healthcare. I’m really not sure how much healthcare costs, but $1600/yr seemed a little expensive so I decided to go on healthcare.gov and fill it out to see what options I have in the marketplace. I filled the form out with my info and at the end it told me that I was qualified for Medicaid and that my info/application was sent to the Florida DCF for evaluation. I called DCF because I was under the impression that I no longer qualified (I turned 18 in Nov.), and they told me that I was correct. So I called the healthcare.gov number and was told that if I didn’t qualify for medicaid there was nothing they could do, and that I didn’t qualify to shop in the marketplace. If I have to, I can make the university health plan work, but my question is how am I being magically excluded by the government? I guess they don’t think that everyone deserves access to healthcare. Just for more info to help anyone who knows anything, it’s just me and my mom. My mom lives on SSI. I currently don’t have a job but will get at least a part time position over the summer, and depending on my FA award will most likely have a work study job during the year. I apologize for the long read, I just need some help!</p>

<p>VT, I answered in your other thread but I’ll repeat it here. Florida is not a Medicaid expansion state so you won’t qualify for it unless and until they change that. Unfortunately, you don’t qualify for a federal subsidy on an exchange plan, either. It will probably be cheaper for you to buy the FSU plan, assuming it has decent coverage, deductibles, copays, etc. </p>

<p>I’m afraid you’re one of the many casualties of Obamacare :(</p>

<p>Actually, VT is a casualty of his state’s politicians. If he lived in California or Kentucky or another state that expanded Medicaid, then he would qualify for Medicaid. Bottom line - he is living in a state that has chosen NOT to fully implement Obamacare. ACA was written with the assumption that expanded Medicaid would be available in every state.</p>

<p>“ACA was written with the assumption that expanded Medicaid would be available in every state.”</p>

<p>The writers of the ACA must have been very na</p>

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<p>I don’t see how you are being “magically excluded by the government.” You can purchase your college’s policy, buy a catastrophic policy, or go without insurance and pay as you go for healthcare. I suspect what you meant to say was, why do you have to pay for insurance?</p>

<p>The assumption wasn’t that states would expand. The law was that states would expand. This got overturned and made optional by the states. VT was screwed by his state politicians not expanding.</p>

<p>“Nor am I drinking too much wine”</p>

<p>Without claiming implicit support for the rest of your statement, I suggest this needs rewording.</p>

<p>–Nor am I drinking enough wine. I should be able to drink some more.</p>

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<p>A casualty of living in a state that cares little about the health care of its residents.</p>

<p>Florida is one of several states that have been working on a “private-option” alternative to the Medicaid expansion. See, [Florida’s</a> Innovative, Consumer-Driven Replacement for Obamacare’s Medicaid Expansion - Forbes](<a href=“http://www.forbes.com/sites/theapothecary/2013/04/12/floridas-innovative-consumer-driven-replacement-for-obamacares-medicaid-expansion/]Florida’s”>Florida's Innovative, Consumer-Driven Replacement for Obamacare's Medicaid Expansion)</p>

<p>Arkansas has already implemented a private-option plan. [2014</a> data shows private option enrollments in hundreds or more in each Arkansas county | thv11.com](<a href=“http://www.thv11.com/news/article/294147/2/2014-data-shows-private-option-enrollments-in-hundreds-or-more-in-each-county-]2014”>http://www.thv11.com/news/article/294147/2/2014-data-shows-private-option-enrollments-in-hundreds-or-more-in-each-county-)</p>

<p>“Nor am I drinking enough wine. I should be able to drink some more.”</p>

<p>I like that correction! I think I’ll take your instruction on that one.</p>