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Old 03-26-2013, 09:35 AM  
luv luv is offline
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Obamacare in English?

Explain it to me like I'm four years old.

I'm sitting here making decisions on health care coverage knowing that it's all changing in 10 months. What exactly do I have to look forward to? I know that younger people will be paying more. Is 37 (which is how old I will be at that time) considered young?

HELP!
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Old 03-26-2013, 02:13 PM   #46
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Originally Posted by patteeu View Post
I don't think the theory is really that overall costs will go down, I think the theory is that the influx of new cash from healthy people will slow the rate of growth of insurance premiums (temporarily). Meanwhile, the fundamental problem of rising healthcare costs goes on unabated.
Yes, that is what I meant by overall costs... poorly worded on my part. Overall cost of premiums to the consumer due to more healthy people in the pool.
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Old 03-26-2013, 02:14 PM   #47
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The "theory" is that the uninsured sickies are already being paid for through hospital emergency room care. AND that by forcing millions of healthy people to pay into the pool, overall costs will go down. Of course that doesn't take into account the millions of people who simply won't pay because they will get around this cluster****. Expect to see an explosion in 1099 workers and business self-insuring.
Yup! Currently I've a new job as a 1099 worker. But I'm fine with it because I like making my own hours and can keep up my other self-employed work ( which fell dramatically after a main account went out of business in 2008). So I'll keep this until I rebuild my client base.
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Old 03-26-2013, 02:24 PM   #48
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Old 03-26-2013, 02:26 PM   #49
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Originally Posted by Otter View Post
Could you explain to me in a rational, logical manner how adding a couple million uninsured to the tab isn't going to raise cost? I'm all ears. If you think it's morally correct or a a duty as a human being ****ing just say it instead of blowing smoke up everyone's ass and making yourself look stupid in the process. ****ing disingenuous lying ****s who hide behind 'all for one and one for all'.
I didn't blow any smoke. BEP said premiums have risen sharply since Obama and I (correctly) stated that premiums have been rising for several years and that the rate of increase has been less in the last few years.
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Old 03-26-2013, 02:29 PM   #50
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Originally Posted by cosmo20002 View Post
I didn't blow any smoke. BEP said premiums have risen sharply since Obama and I (correctly) stated that premiums have been rising for several years and that the rate of increase has been less in the last few years.
Nope. Mine spiked up the most ever since—$700 in one year. True for others and stats show it. Go find that graph someone posted. I like to make socialists earn their keep.
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Old 03-26-2013, 02:50 PM   #51
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It's not a healthcare plan. It's a TAX!

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Old 03-26-2013, 02:55 PM   #52
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Quote:
Originally Posted by Msmith View Post
In a cliffs notes version:

If your company has less than 50 full time employees (every part-time 20 hours employee counts as a half of a full time employee), your company will not have to worry about. The uninsured part timers have to find their own coverage.

If your company has 50 or more full time employees, then it has to cover the employee and his/her family members (under 26 years old). Expect a jump in premium.
It's me and two lawyers on a group plan. One lawyer is 56, married, and has a four year old son. The other attorney is 60, and his wife is a diabetic.
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Old 03-26-2013, 02:55 PM   #53
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Originally Posted by luv View Post
It's me and two lawyers on a group plan. One lawyer is 56, married, and has a four year old son. The other attorney is 60, and his wife is a diabetic.
So what decisions are you trying to make?
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Old 03-26-2013, 02:57 PM   #54
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Originally Posted by patteeu View Post
What are your choices?
For now, I either have no deductible, and I pay for 30% of everything up to $3000. The other has a $3000 deductible, then covers 100%. The latter saves me $80 per month.

That's virtually the only difference between the two. I'm thinking I'm going to go cheaper, and pray I'm not hospitalized. Up till now, I've never reached my out of pocket.
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Old 03-26-2013, 03:01 PM   #55
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Study: Health overhaul to raise claims cost 32 pct

http://news.yahoo.com/study-health-o...-politics.html

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WASHINGTON (AP) Medical claims costs the biggest driver of health insurance premiums will jump an average 32 percent for Americans' individual policies under President Barack Obama's overhaul, according to a study by the nation's leading group of financial risk analysts.

The report could turn into a big headache for the Obama administration at a time when many parts of the country remain skeptical about the Affordable Care Act. The estimates were recently released by the Society of Actuaries to its members.

While some states will see medical claims costs per person decline, the report concluded the overwhelming majority will see double-digit increases in their individual health insurance markets, where people purchase coverage directly from insurers.

The disparities are striking. By 2017, the estimated increase would be 62 percent for California, about 80 percent for Ohio, more than 20 percent for Florida and 67 percent for Maryland. Much of the reason for the higher claims costs is that sicker people are expected to join the pool, the report said.

The report did not make similar estimates for employer plans, the mainstay for workers and their families. That's because the primary impact of Obama's law is on people who don't have coverage through their jobs.

The administration questions the design of the study, saying it focused only on one piece of the puzzle and ignored cost relief strategies in the law such as tax credits to help people afford premiums and special payments to insurers who attract an outsize share of the sick. The study also doesn't take into account the potential price-cutting effect of competition in new state insurance markets that will go live on Oct. 1, administration officials said.

At a White House briefing on Tuesday, Health and Human Services Secretary Kathleen Sebelius said some of what passes for health insurance today is so skimpy it can't be compared to the comprehensive coverage available under the law. "Some of these folks have very high catastrophic plans that don't pay for anything unless you get hit by a bus," she said. "They're really mortgage protection, not health insurance."

A prominent national expert, recently retired Medicare chief actuary Rick Foster, said the report does "a credible job" of estimating potential enrollment and costs under the law, "without trying to tilt the answers in any particular direction."

"Having said that," Foster added, "actuaries tend to be financially conservative, so the various assumptions might be more inclined to consider what might go wrong than to anticipate that everything will work beautifully." Actuaries use statistics and economic theory to make long-range cost projections for insurance and pension programs sponsored by businesses and government. The society is headquartered near Chicago.

Kristi Bohn, an actuary who worked on the study, acknowledged it did not attempt to estimate the effect of subsidies, insurer competition and other factors that could mitigate cost increases. She said the goal was to look at the underlying cost of medical care.

"Claims cost is the most important driver of health care premiums," she said.

"We don't see ourselves as a political organization," Bohn added. "We are trying to figure out what the situation at hand is."

On the plus side, the report found the law will cover more than 32 million currently uninsured Americans when fully phased in. And some states including New York and Massachusetts will see double-digit declines in costs for claims in the individual market.

Uncertainty over costs has been a major issue since the law passed three years ago, and remains so just months before a big push to cover the uninsured gets rolling Oct. 1. Middle-class households will be able to purchase subsidized private insurance in new marketplaces, while low-income people will be steered to Medicaid and other safety net programs. States are free to accept or reject a Medicaid expansion also offered under the law.

Obama has promised that the new law will bring costs down. That seems a stretch now. While the nation has been enjoying a lull in health care inflation the past few years, even some former administration advisers say a new round of cost-curbing legislation will be needed.

Bohn said the study overall presents a mixed picture.

Millions of now-uninsured people will be covered as the market for directly purchased insurance more than doubles with the help of government subsidies. The study found that market will grow to more than 25 million people. But costs will rise because spending on sicker people and other high-cost groups will overwhelm an influx of younger, healthier people into the program.

Some of the higher-cost cases will come from existing state high-risk insurance pools. Those people will now be able to get coverage in the individual insurance market, since insurance companies will no longer be able to turn them down. Other people will end up buying their own plans because their employers cancel coverage. While some of these individuals might save money for themselves, they will end up raising costs for others.

Part the reason for the wide disparities in the study is that states have different populations and insurance rules. In the relatively small number of states where insurers were already restricted from charging higher rates to older, sicker people, the cost impact is less.

"States are starting from different starting points, and they are all getting closer to one another," said Bohn.

The study also did not model the likely patchwork results from some states accepting the law's Medicaid expansion while others reject it. It presented estimates for two hypothetical scenarios in which all states either accept or reject the expansion.

Larry Levitt, an insurance expert with the nonpartisan Kaiser Family Foundation, reviewed the report and said the actuaries need to answer more questions.

"I'd generally characterize it as providing useful background information, but I don't think it's complete enough to be treated as a projection," Levitt said. The conclusion that employers with sicker workers would drop coverage is "speculative," he said.

Another caveat: The Society of Actuaries contracted Optum, a subsidiary of UnitedHealth Group, to do the number-crunching that drives the report. United also owns the nation's largest health insurance company. Bohn said the study reflects the professional conclusions of the society, not Optum or its parent company.
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Old 03-26-2013, 03:01 PM   #56
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Quote:
Originally Posted by luv View Post
For now, I either have no deductible, and I pay for 30% of everything up to $3000. The other has a $3000 deductible, then covers 100%. The latter saves me $80 per month.

That's virtually the only difference between the two. I'm thinking I'm going to go cheaper, and pray I'm not hospitalized. Up till now, I've never reached my out of pocket.
Pick whatever you think is best without regard to Obamacare. It has nothing to do with what you are choosing now.
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Old 03-26-2013, 03:04 PM   #57
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This most likely will happen in my case. In fact it is a no brainer. Why would my company continue to pay for health insurance at a cost of 5-10K? They will just pay the penalty.
They want talented employees?

If they're good.
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Old 03-26-2013, 03:05 PM   #58
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Our agent has said that the younger you are, the more you will get screwed next year. There will be no pre-existing conditions, and people of a certain age will not pay over three times something (don't remember what). In order to make up for that, premiums for younger people will be getting jacked up, even though they are generally healthier.
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Old 03-26-2013, 03:08 PM   #59
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Originally Posted by luv View Post
Our agent has said that the younger you are, the more you will get screwed next year. There will be no pre-existing conditions, and people of a certain age will not pay over three times something (don't remember what). In order to make up for that, premiums for younger people will be getting jacked up, even though they are generally healthier.
There are two big problem with health care in the US. Obamacare basically addressed one, to some extent (availability). The other is the out of control costs of health care in this country. Recent laws have avoided that.

Even some of the few controls tried in Obamacare, like a tax on medical equipment (which hospitals often buy and abuse to charge more extortionate prices) now has bipartisan support for appeal.


In other words, everything's still ****ed up.
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Old 03-26-2013, 03:08 PM   #60
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Quote:
Originally Posted by luv View Post
Our agent has said that the younger you are, the more you will get screwed next year. There will be no pre-existing conditions, and people of a certain age will not pay over three times something (don't remember what). In order to make up for that, premiums for younger people will be getting jacked up, even though they are generally healthier.
I think thats a fair assessment, I had heard the same thing from an insurance guy.
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