B-Man Posted April 4, 2014 Posted April 4, 2014 Insurer Says 15-20% Aren't Paying Their Obamacare Premiums... Obamacare's Next Challenge: IRS Verification... WASHINGTON EXAMINER: Seven unanswered questions about Obamacare. .
boyst Posted April 4, 2014 Posted April 4, 2014 Insurer Says 15-20% Aren't Paying Their Obamacare Premiums... Obamacare's Next Challenge: IRS Verification... WASHINGTON EXAMINER: Seven unanswered questions about Obamacare. . I've not yet paid. I can't even get thru to pay. I don't have a number or anything to call to pay.
PearlHowardman Posted April 4, 2014 Posted April 4, 2014 ...having health insurance doesn't mean you have health care... You nailed it! Most Obamacare plans have no out of network benefits, high monthly premiums, high deductibles, and high copayments. In other words, if you go to a doctor, don't submit your health claim to your Obamacare insurance company. They won't pay any benefits because of the high deductibles and high copayments. If people know that their Obamacare insurance plan won't pay their claim they're apt to put off medical needs. Obamacare plans either screw you with high monthly premiums or high deductibles and high copayments.
Doc Posted April 4, 2014 Posted April 4, 2014 You nailed it! Most Obamacare plans have no out of network benefits, high monthly premiums, high deductibles, and high copayments. In other words, if you go to a doctor, don't submit your health claim to your Obamacare insurance company. They won't pay any benefits because of the high deductibles and high copayments. If people know that their Obamacare insurance plan won't pay their claim they're apt to put off medical needs. Obamacare plans either screw you with high monthly premiums or high deductibles and high copayments. Yep. And just wait until the premiums hike announcement prior to the mid-terms this year, and then especially in 2016. It's gonna be ugly!
boyst Posted April 4, 2014 Posted April 4, 2014 You nailed it! Most Obamacare plans have no out of network benefits, high monthly premiums, high deductibles, and high copayments. In other words, if you go to a doctor, don't submit your health claim to your Obamacare insurance company. They won't pay any benefits because of the high deductibles and high copayments. If people know that their Obamacare insurance plan won't pay their claim they're apt to put off medical needs. Obamacare plans either screw you with high monthly premiums or high deductibles and high copayments. I think what you and many others here are forgetting is simple. Say you make $20k a year and never purchased insurance before because you did not qualify at work being Part Time, a temporary employee, or just plain chose not to do it. And, lets say you just choose the ACA anyway. Well, you're going to get a huge discount and that, from my experience talking to former and current coworkers that were mostly temps and paid $8 to $10/hr as laborers. Now these people should theoretically have insurance and it will definitely come in handy when they get injured - because most poor people seem to get injured and be in poor health. Anyway, I know many guys that had families and still paying less then $200/month for their whole family because they made so little on an otherwise $800+/monthly plan. The only catch I can come up with the system for these poor folks is that they will end up paying quite a bit out of the pocket if they chose the wrong plan. But, I remember our benefits meeting in the Fall. Over 65% of our company (over 100 people at the time) did not have a PCP and used either ER services or Urgent Care systems. Incredibly costly for the carrier but cheaper for the patient. Over 75% still used ER/Urgent Care for common issues in which a PCP would have been more practical. There were very few who used systems like walk in nurse clinics.
IDBillzFan Posted April 4, 2014 Posted April 4, 2014 Opie and Anthony Blow Up Obamacare. I know...who cares what these two dopes think, right? Well, as it turns out...young people care what they think. Good think Obamacare doesn't need young people to get involved. Oh, wait...
Nanker Posted April 4, 2014 Posted April 4, 2014 Opie and Anthony Blow Up Obamacare. I know...who cares what these two dopes think, right? Well, as it turns out...young people care what they think. Good think Obamacare doesn't need young people to get involved. Oh, wait... In the comments, "I would so love to kick Obama in his wife's nuts!"
Doc Posted April 4, 2014 Posted April 4, 2014 It's bad when you lose your #1 talk show fanboy: If Jimmy Fallon was ever in the tank for President Barack Obama, he doesn’t appear to be anymore. The host of NBC’s “Tonight Show” continued his comedic assault on Obamacare Tuesday night, mocking Obama’s supposed triumph in signing up 7.1 million Americans on the Obamacare exchanges by the March 31 deadline. “The White House says it has surpassed its goal for people enrolled in Obamacare. It’s amazing what you can achieve when you make something mandatory and fine people if they don’t do it and then keep extending the deadline for months,” Fallon quipped. “It’s like a Cinderella story. It’s just a beautiful thing. You make everyone do it.” “If you still haven’t enrolled, you might have to pay a penalty called the ‘Individual Shared Responsibility Payment,’ which is 1 percent of your salary,” he continued. “Then Americans said, ‘Hey, good thing I don’t have a job.’” Ouch babe!
PearlHowardman Posted April 4, 2014 Posted April 4, 2014 Say you make $20k a year and never purchased insurance before because you did not qualify at work being Part Time, a temporary employee, or just plain chose not to do it. And, lets say you just choose the ACA anyway. Well, you're going to get a huge discount and that, from my experience talking to former and current coworkers that were mostly temps and paid $8 to $10/hr as laborers. Over 75% still used ER/Urgent Care for common issues in which a PCP would have been more practical. There were very few who used systems like walk in nurse clinics. If you're a part-time temporary employee it's likely because of the consequences of Obamacare. Huge discounts are tax credits that someone else has to pay for and they're not going to last. When you have a health care insurance plan with no out of network benefits, high deductibles, and high high copayments you're still likely to use the ER. Why bother using your insurance if it isn't going to pay a claim because of high deductibles and high copayments? In most Obamacare plans the insurance company gets you with high monthly premiums or they get you with no out of network benefits, high deductibles, and high copayments. I really think that Obamacare is a big win for health care insurance companies and a big loss for everyone else.
B-Man Posted April 4, 2014 Posted April 4, 2014 Networks Refuse Obama Request for Primetime to Announce Obamacare Hitting 7 Million Mark Mediaite, by Noah Rothman Original Article
Tiberius Posted April 4, 2014 Posted April 4, 2014 good advice! But the nightmare is over. It has long been clear, to anyone willing to study the issue, that the overall structure of Obamacare made sense given the political constraints. Now we know that the technical details can be managed, too. This thing is going to work. And, yes, it’s also a big political victory for Democrats. They can point to a system that is already providing vital aid to millions of Americans, and Republicans — who were planning to run against a debacle — have nothing to offer in response. And I mean nothing. So far, not one of the supposed Obamacare horror stories featured in attack ads has stood up to scrutiny. So my advice to reform supporters is, go ahead and celebrate. Oh, and feel free to ridicule right-wingers who confidently predicted doom. http://www.nytimes.com/krugman
Chef Jim Posted April 4, 2014 Posted April 4, 2014 (edited) Ok so 7.1 million signed up. How many unisured did we have in this country? Well let's see what the WH said. From 3 1/2 years ago: http://www.whitehous...ica-s-uninsured Today, the Census bureau released new data on the number of Americans who went without insurance in 2009. The numbers are yet another reminder that the passage of the Affordable Care Act came at a critical time. The data show that the number of Americans without insurance increased by 4.4 million since 2008, with a total of 50.7 million uninsured Americans. The Affordable Care Act marks a crucial turning point for our health care system and will help make affordable, high-quality care accessible to millions of Americans. Under the Affordable Care Act, millions of Americans will be able to purchase better coverage in the new competitive private health insurance exchanges where individuals and small businesses will be able to choose coverage from a range of insurance options – the same options members of Congress will have. The law also helps cover millions of Americans who have been priced out of the market. Taken together, the provisions in the law will expand coverage to 32 million Americans. For more information on the new law please visit: www.HealthCare.gov. So now they consider 7.1 million people signing up a success?? And how many of those 7.1 million that signed up lost insurance they had prior to the law. And they're throwing confetti and popping Champagne? What kind of fools do the take us for? Edited April 4, 2014 by Chef Jim
TakeYouToTasker Posted April 4, 2014 Posted April 4, 2014 Ok so 7.1 million signed up. How many unisured did we have in this country? Well let's see what the WH said. From 3 1/2 years ago: http://www.whitehous...ica-s-uninsured So now they consider 7.1 million people signing up a success?? And how many of those 7.1 million that signed up lost insurance they had prior to the law. And they're throwing confetti and popping Champagen? What kind of fools do the take us for? SUCCESS!!!!!
B-Man Posted April 4, 2014 Posted April 4, 2014 HEALTHCARE SPENDING’S UGLY SPIKE: “In the fourth quarter of 2013, health-care spending seems to have grown at the fastest pace in a decade.” Growth in health care costs slowed before Obamacare passed. Now it's speeding up... http://washingtonexaminer.com/obamas-victory-lap-obscures-signs-of-rising-health-spending/article/2546788 … PEGGY NOONAN: A Catastrophe Like No Other: The president tries to put a good face on ObamaCare. Support it or not, you cannot look at ObamaCare and call it anything but a huge, historic mess. It is also utterly unique in the annals of American lawmaking and government administration. Its biggest proponent in Congress, the Democratic speaker of the House, literally said—blithely, mindlessly, but in a way forthcomingly—that we have to pass the bill to find out what’s in it. It is a cliché to note this. But really, Nancy Pelosi’s statement was a historic admission that she was fighting hard for something she herself didn’t understand, but she had every confidence regulators and bureaucratic interpreters would tell her in time what she’d done. This is how we make laws now. Her comments alarmed congressional Republicans but inspired Democrats, who for the next three years would carry on like blithering idiots making believe they’d read the bill and understood its implications. They were later taken aback by complaints from their constituents. The White House, on the other hand, seems to have understood what the bill would do, and lied in a way so specific it showed they knew exactly what to spin and how. “If you like your health-care plan, you can keep your health-care plan, period.” “If you like your doctor, you can keep your doctor, period.” That of course was the president, misrepresenting the facts of his signature legislative effort. That was historic, too. If you liked your doctor, your plan, your network, your coverage, your deductible you could not keep it. Your existing policy had to pass muster with the administration, which would fight to the death to ensure that 60-year-old women have pediatric dental coverage. .
birdog1960 Posted April 4, 2014 Posted April 4, 2014 If you're a part-time temporary employee it's likely because of the consequences of Obamacare. Huge discounts are tax credits that someone else has to pay for and they're not going to last. When you have a health care insurance plan with no out of network benefits, high deductibles, and high high copayments you're still likely to use the ER. Why bother using your insurance if it isn't going to pay a claim because of high deductibles and high copayments? In most Obamacare plans the insurance company gets you with high monthly premiums or they get you with no out of network benefits, high deductibles, and high copayments. I really think that Obamacare is a big win for health care insurance companies and a big loss for everyone else. all of this brings down utilization of elective stuff while increasing utilization of preventive stuff. those are good things. they will help slow the increase in health care spending and eventually result in an absolute decrease. if you're paying high copays and high deductibles it makes even less sense to use an urgent care or er since the out of pocket costs are, by design, generally higher there as are the total costs to the system.. the design is far from perfect but these examples are solutions, not problems.
KD in CA Posted April 4, 2014 Posted April 4, 2014 Ok so 7.1 million signed up. How many unisured did we have in this country? Well let's see what the WH said. From 3 1/2 years ago: http://www.whitehous...ica-s-uninsured So now they consider 7.1 million people signing up a success?? And how many of those 7.1 million that signed up lost insurance they had prior to the law. And they're throwing confetti and popping Champagne? What kind of fools do the take us for? Also, does this mean there aren't '40 to 50 million uninsured Americans' like the media use to remind us on a daily basis 5+ years ago? I assume not since the media stopped talking about it right around the time they stopped talking about 'Gitmo' and 'torture'.
birdog1960 Posted April 4, 2014 Posted April 4, 2014 Also, does this mean there aren't '40 to 50 million uninsured Americans' like the media use to remind us on a daily basis 5+ years ago? I assume not since the media stopped talking about it right around the time they stopped talking about 'Gitmo' and 'torture'. it means that half the states stonewalled medicaid expansion.
Tiberius Posted April 4, 2014 Posted April 4, 2014 Ok so 7.1 million signed up. How many unisured did we have in this country? Well let's see what the WH said. From 3 1/2 years ago: http://www.whitehous...ica-s-uninsured So now they consider 7.1 million people signing up a success?? And how many of those 7.1 million that signed up lost insurance they had prior to the law. And they're throwing confetti and popping Champagne? What kind of fools do the take us for? Thats the point, this is a process and we are moving in the right direction. And why in the hell would you complain about it not insuring enough people? You don't want the government helping insure anyone. You are angry its working, not that it isn't working HEALTHCARE SPENDING’S UGLY SPIKE: “In the fourth quarter of 2013, health-care spending seems to have grown at the fastest pace in a decade.” Growth in health care costs slowed before Obamacare passed. Now it's speeding up... http://washingtonexa...546788 … PEGGY NOONAN: A Catastrophe Like No Other: The president tries to put a good face on ObamaCare. Support it or not, you cannot look at ObamaCare and call it anything but a huge, historic mess. It is also utterly unique in the annals of American lawmaking and government administration. Its biggest proponent in Congress, the Democratic speaker of the House, literally said—blithely, mindlessly, but in a way forthcomingly—that we have to pass the bill to find out what’s in it. It is a cliché to note this. But really, Nancy Pelosi’s statement was a historic admission that she was fighting hard for something she herself didn’t understand, but she had every confidence regulators and bureaucratic interpreters would tell her in time what she’d done. This is how we make laws now. Her comments alarmed congressional Republicans but inspired Democrats, who for the next three years would carry on like blithering idiots making believe they’d read the bill and understood its implications. They were later taken aback by complaints from their constituents. The White House, on the other hand, seems to have understood what the bill would do, and lied in a way so specific it showed they knew exactly what to spin and how. “If you like your health-care plan, you can keep your health-care plan, period.” “If you like your doctor, you can keep your doctor, period.” That of course was the president, misrepresenting the facts of his signature legislative effort. That was historic, too. If you liked your doctor, your plan, your network, your coverage, your deductible you could not keep it. Your existing policy had to pass muster with the administration, which would fight to the death to ensure that 60-year-old women have pediatric dental coverage. . Funny, if its a catastrophe you would think she can make an argument supporting that idiotic assertion
Chef Jim Posted April 4, 2014 Posted April 4, 2014 Thats the point, this is a process and we are moving in the right direction. And why in the hell would you complain about it not insuring enough people? You don't want the government helping insure anyone. You are angry its working, not that it isn't working Would you just STFU! So you consider insuring just over 10% of the uninsured a success? If I had someone celebrating achieving 10% of their goal I'd fire their ass. Yeah, it's working alright.
Recommended Posts