Prices Set for New Health-Care Exchanges | TigerDroppings.com

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BugAC
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Baton Rouge
Member since Oct 2007
18478 posts

Prices Set for New Health-Care Exchanges


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quote:

U.S. officials for the first time disclosed insurance prices that will be offered through new federally run health-care exchanges starting Oct. 1, showing that young, healthy buyers likely will pay more than they do currently while older, sicker consumers should get a break.


quote:

Across the country, the average premium for a 27-year-old nonsmoker, regardless of gender, will start at $163 a month for the lowest-cost "bronze" plan; $203 for the "silver" plan, which provides more benefits than bronze; and $240 for the more-comprehensive "gold" plan.


quote:

But for some buyers, prices will rise from today's less-comprehensive policies. In Nashville, Tenn., a 27-year-old male nonsmoker could pay as little as $41 a month now for a bare-bones policy, but would pay $114 a month for the lowest-cost bronze option in the new federal health exchanges.


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Likewise, the least-expensive bronze policy would rise to $195 a month in Philadelphia for that same 27-year-old, from $73 today. In Cheyenne, Wyo., the lowest-cost option would be $271 a month, up from $82 today.


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Carriers won't be allowed to charge higher premiums for consumers who have medical histories suggesting they might be more expensive to cover because they need more care. They will have to treat customers equally, with limited variation in premiums based on buyers' ages or whether they smoke.


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Insurers also will have to offer a more generous benefits package that includes hospital care, preventive services, prescription drugs and maternity coverage.

For consumers used to skimpier plans—or young, healthy people who previously enjoyed attractive rates—that could mean significantly higher premiums.


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The concern for supporters of the law, and the administration, is whether enough healthy people sign up to balance the likely higher costs incurred by the sick and newly covered.


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The Obama administration called the rates a good deal for consumers.

"The prices are affordable," said Gary Cohen, a top regulator at the Department of Health and Human Services.




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"Because of the Affordable Care Act, the health insurance that people will be buying will actually cover them in the case of them getting sick. It doesn't make sense to compare just the number the person was paying, you have to compare the value people are getting," Mr. Cohen added.




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"Obamacare hasn't even been fully implemented yet, but we can already see the train wreck headed our way. Premiums are skyrocketing," said Senate Minority Leader Mitch McConnell (R., Ky.).


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The data released by the administration indicated that for younger single people, the value of the subsidies would be generous for someone with an annual income of up to about $25,000, though it could tail off after that.


You mean for lower middle class on up it will 100% be more expensive? no way.

quote:

The Obama administration said most people will have a choice of at least two carriers, but a few people will have just one choice. It said competition helped keep prices down from what some projections had initially estimated.


Yeah, i wonder what would happen if we opened up borders and ALL COMPANIES competed??? fricking idiots.

quote:

One potential drawback of the plans on the exchanges: They often feature narrower networks of doctors and hospitals, meaning people might not be able to see the doctor of their choice.


I thought we were getting better quality care? WTF?








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Meauxjeaux
Memphis Fan
I have 89,275 posts with my alters
Member since Jun 2005
16652 posts

re: Prices Set for New Health-Care Exchanges


quote:

The Obama administration called the rates a good deal for consumers.

"The prices are affordable," said Gary Cohen, a top regulator at the Department of Health and Human Services.


I wonder if he's exempt from it, like most of the top Government brass.






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Meauxjeaux
Memphis Fan
I have 89,275 posts with my alters
Member since Jun 2005
16652 posts

re: Prices Set for New Health-Care Exchanges


quote:

One potential drawback of the plans on the exchanges: They often feature narrower networks of doctors and hospitals, meaning people might not be able to see the doctor of their choice.


I thought we were getting better quality care? WTF?


Go back and look at my posts since 2009.

People will be pigeonholed into the local clinic some day. Freedom of choice and quality of care will suffer greatly in the new health system.






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BugAC
LSU Fan
Baton Rouge
Member since Oct 2007
18478 posts

re: Prices Set for New Health-Care Exchanges




Cost by state/city

State -------- City --------------------Lowest-cost bronze plan available on exchange------ Current Low Cost Premium
Louisiana-------- New Orleans------- $170----------------------------------------------------------$39






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BugAC
LSU Fan
Baton Rouge
Member since Oct 2007
18478 posts

re: Prices Set for New Health-Care Exchanges


quote:

Go back and look at my posts since 2009.


Oh i know. I just figured i'd post a new article proving what i've been saying since the blair house debate.






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CHSBears
Texas A&M Fan
Baton Rouge
Member since Aug 2007
513 posts

re: Prices Set for New Health-Care Exchanges


Need to know what the deductables are for each. Most of these people will not use the insurance because of having to meet a high deductable first. A single person making 25k is not going to be able to afford a 4/5k deductable.





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TigerTattle
LSU Fan
Out of Town
Member since Sep 2007
5032 posts

re: Prices Set for New Health-Care Exchanges



The O'care price comparisons are rarely apples to apples, other than Bronze plan compared to bare-bones coverage. Bronze is only 60% coverage, with 40% the responsibility of the insured.

I'd like to see the difference in cost between Silver and current 70/30 plans, or Gold and current 80/20 plans. I'm thinking there's a much larger increase there than in barebones/Bronze, and many fewer people with present plans equivalent to Silver and Gold will qualify for any subsidies.

I'd also like to see the co-pay, etc, compared.






This post was edited on 9/27 at 10:30 am


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SSpaniel
Ole Miss Fan
Germantown
Member since Feb 2013
2073 posts

re: Prices Set for New Health-Care Exchanges


Are they ALL 60/40, 70/30 or 80/20 plans? Do they have ANY copay plans? What about prescription drugs? Are they copay plans, co insurance plans or deductible plans... or are they even covered at all?

Also... what about so called "cadillac" plans? If your total premiums are above x number of dollars per year ($8,500 for singles, I think), isn't there a hefty penalty, essentially for have too good of an insurance plan?



This post was edited on 9/27 at 10:30 am


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TigerTattle
LSU Fan
Out of Town
Member since Sep 2007
5032 posts

re: Prices Set for New Health-Care Exchanges


Bronze 60/40, Silver 70/30, Gold 80/20, Platinum 90/10 (I think)

Those are the Obamacare requirements for all insurance plans, on and off the exchange (except for those grandfathered, or those exempted)

The Platinum plan carries a 40% tax ... or penalty, or fee, or whatever they want to call it.

All the plans must have maternity, prenatal, pediatric care with vision and dental---whether you have any kids or not.

I'm assuming the deductibles and co-pays are set by the insurance companies in the individual plans they'll offer and the consumer gets to chose the best (of the worst).

eta:
quote:

Qualifying Health Plans are plans that meet the minimum standards set forth by ObamaCare. All plans sold on and off the ObamaCare Health Care Exchange must include the following to be considered a Qualifying Health Plan:
1. Ambulatory patient services
2. Emergency services
3. Hospitalization
4. Maternity and newborn care
5. Mental health and substance use disorder services, including behavioral health treatment
6. Prescription drugs
7. Rehabilitative and habilitative services and devices
8. Laboratory services
9. Preventive and wellness services and chronic disease management
10. Pediatric services, including oral and vision care

LINK



This post was edited on 9/27 at 10:38 am


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Meauxjeaux
Memphis Fan
I have 89,275 posts with my alters
Member since Jun 2005
16652 posts

re: Prices Set for New Health-Care Exchanges


quote:

I'd also like to see the co-pay, etc, compared.


What you should be comparing is what the quality of the care is.

For example, need ADD meds? You can only get Ritalin, not Vyvanse.

That kind of stuff is plastered all up in the "rules" used to implement Obamacare.

The stuff you WANT (or what a Dr says you NEED) is not covered. The shitty watered-down stuff is what you get.



This post was edited on 9/27 at 10:41 am


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SSpaniel
Ole Miss Fan
Germantown
Member since Feb 2013
2073 posts

re: Prices Set for New Health-Care Exchanges


quote:

What you should be comparing is what the quality of the care is.

For example, need ADD meds? You can only get Ritalin, not Vyvanse.

That kind of stuff is plastered all up in the "rules" used to implement Obamacare.

The stuff you WANT (or what a Dr says you NEED) is not covered. The shitty watered-down stuff is what you get.


So it's essentially like a crappy Medicare Part "D" plan that they try to shill to my parents every October and claim it will cost them absolutely nothing in monthly premiums.






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TigerTattle
LSU Fan
Out of Town
Member since Sep 2007
5032 posts

re: Prices Set for New Health-Care Exchanges


quote:

What you should be comparing is what the quality of the care is. For example, need ADD meds? You can only get Ritalin, not Vyvanse. That kind of stuff is plastered all up in the "rules" used to implement Obamacare. The stuff you WANT (or what a Dr says you NEED) is not covered. The shitty watered-down stuff is what you get.
This is true. Don't know if I want to thank you for the reminder, though.






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skidry
LSU Fan
Member since Jul 2009
927 posts

re: Prices Set for New Health-Care Exchanges


If someone has cancer, are you telling me they can go to the exchange in NO and get platinum coverage for $170?





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jcole4lsu
Virginia Fan
The Kwisatz Haderach
Member since Nov 2007
26895 posts

re: Prices Set for New Health-Care Exchanges


quote:

get platinum coverage for $170?

no, that was bronze coverage.
i think there is a waiting period for that type of preexisting condition that is eliminated in 2017. the idea now is that they cant charge you more because you had cancer in the past. thus, my wife's premium is going to drop significantly.






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skidry
LSU Fan
Member since Jul 2009
927 posts

re: Prices Set for New Health-Care Exchanges


What if they are currently being treated, ie not in the "past"?





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jcole4lsu
Virginia Fan
The Kwisatz Haderach
Member since Nov 2007
26895 posts

re: Prices Set for New Health-Care Exchanges


not sure. basically a waiting game until Oct 1st.





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TigerTattle
LSU Fan
Out of Town
Member since Sep 2007
5032 posts

re: Prices Set for New Health-Care Exchanges



quote:

What if they are currently being treated
Not sure about the date some of the rules kick in, but:

They can't charge the healthy less than those with cancer (or other pre-existing)

They can't charge the fit less than the obese

They can't charge more to those who drink themselves into cirrhosis

They can't charge more to dope addicts


One size/price fits all insurance. But if you smoke they can getcha!






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jcole4lsu
Virginia Fan
The Kwisatz Haderach
Member since Nov 2007
26895 posts

re: Prices Set for New Health-Care Exchanges


quote:

They can't charge the fit less than the obese

i thought weight was going to be a factor






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ShoeBang
New Orleans Pelicans Fan
Member since May 2012
4617 posts

re: Prices Set for New Health-Care Exchanges


Is this the first time Americans have been mandated by law to purchase something (outside of car / house insurance) offered by private companies or else pay a tax penalty?

Not talking about taxes or government / infrastructure. I'm talking about a product or service offered by private companies that used to be completely optional?







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TigerTattle
LSU Fan
Out of Town
Member since Sep 2007
5032 posts

re: Prices Set for New Health-Care Exchanges


quote:

Is this the first time
I can't think of anything I'm forced to buy other than car insurance (and that's debatable; there are millions on the roads who don't have it---eta: and see next post by MeauxJeaux post). Don't even have to have homeowner's unless I have a mortgage (eta: and I believe that's the bank requiring it, not the gov't).



This post was edited on 9/27 at 11:22 am


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