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re: Good news for Obama regarding Obamacare

Posted on 9/5/14 at 9:24 am to
Posted by Lsut81
Member since Jun 2005
80124 posts
Posted on 9/5/14 at 9:24 am to
Btw, here are the qualifying events... Some of them are very suspect to say the least


What Is a Qualifying Life Event?

quote:

You have had a qualifying life event — and therefore qualify for the special enrollment period — if:

You move to a new area that offers you different plans, or isn't covered by your HMO network.
You get married.
You have or adopt a child.
You lose other health coverage due to job loss, a decrease in work hours, end of COBRA coverage or other reasons.*
You become a U.S. citizen.
Your income changes, or some other event changes your income or household status.
You can prove that your health insurance company violated its contract with you.
You are no longer covered on a family member's policy because you turned 26, you have legally separated from or divorced your spouse, or the policy holder has passed away.
You become a member of an American Indian and Alaska Native tribe.
Posted by udtiger
Over your left shoulder
Member since Nov 2006
98702 posts
Posted on 9/5/14 at 9:24 am to
quote:

Not entirely true... There are only certain circumstances that qualify for enrollment at any point. Loss of Job, Marriage, Birth of Child, etc... For anyone else, they have to wait until Nov 15 open enrollment


That's not fair.

I don't see how such an arbitrary restriction is any different that the horribly restrictive voting laws in Ohio.
Posted by the808bass
The Lou
Member since Oct 2012
111513 posts
Posted on 9/5/14 at 9:26 am to
quote:

Not entirely true... There are only certain circumstances that qualify for enrollment at any point.

Sure. But no pre-existing conditions can be considered. And if my premiums are $500-$600/mo, I can buy a fair amount of medical care, cash on the barrel head, for that. And if I'm diagnosed with asthma, diabetes or any other number of expensive, long-term disease states, I can sign up in November. It's a great gamble.

Eta: looking at your list of "qualifying events," I could see a way to shoehorn into one of those with a little work. Quit your job. Take a leave of absence. Have your wife quit her job. The possibilities are limitless, really.
This post was edited on 9/5/14 at 9:28 am
Posted by ironsides
Nashville, TN
Member since May 2006
8153 posts
Posted on 9/5/14 at 9:28 am to
quote:

There are only certain circumstances that qualify for enrollment at any point.


Medicaid FTW.
Posted by RidiculousHype
St. George, LA
Member since Sep 2007
10201 posts
Posted on 9/5/14 at 9:28 am to
Guys don't chase this rabbit. See my post on page 1.

This "study" was co-authored by 5 Dem hacks.
Posted by Lsut81
Member since Jun 2005
80124 posts
Posted on 9/5/14 at 9:28 am to
quote:

But no pre-existing conditions can be considered. And if my premiums are $500-$600/mo, I can buy a fair amount of medical care, cash on the barrel head, for that. And if I'm diagnosed with asthma, diabetes or any other number of expensive, long-term disease states, I can sign up in November. It's a great gamble.


But that wasn't what Iron said... He said people weren't signing up until they were in the hospital with a condition. Which IF they qualified under a life event, they could, but they can't just sign up in the middle of the year because they got sick.

Posted by Lsut81
Member since Jun 2005
80124 posts
Posted on 9/5/14 at 9:30 am to
quote:

I could see a way to shoehorn into one of those with a little work


Which is why I said that some were suspect...

frick, all you have to do is become and Indian and you can sign up
Posted by the808bass
The Lou
Member since Oct 2012
111513 posts
Posted on 9/5/14 at 9:30 am to
quote:

But that wasn't what Iron said... He said people weren't signing up until they were in the hospital with a condition.

They can certainly apply. And I'm sure the hospital social workers are more than happy to try to guide them through the process so the hospital gets a chance at reimbursement.
Posted by BBONDS25
Member since Mar 2008
48285 posts
Posted on 9/5/14 at 9:30 am to
Great! I hope all of the dems run on the success of obamacare!!
Posted by Hooligan's Ghost
Member since Jul 2013
5186 posts
Posted on 9/5/14 at 9:33 am to
people who were previously not paying for their insurance, are now getting insurance for cheaper than if they had to pay for it themselves BUT it is being subsidized by those who are already paying for their own policy


SUCCESS!
Posted by ironsides
Nashville, TN
Member since May 2006
8153 posts
Posted on 9/5/14 at 9:34 am to
quote:

But that wasn't what Iron said... He said people weren't signing up until they were in the hospital with a condition. Which IF they qualified under a life event, they could, but they can't just sign up in the middle of the year because they got sick


Just to clarify; reading through the MD&A of publicly held providers - it is what appears to be happening if you look at the Q1 results.... will take a while to sift through Q2.

That being said, lots of people are qualifying for medicaid.

Posted by the808bass
The Lou
Member since Oct 2012
111513 posts
Posted on 9/5/14 at 9:34 am to
Accidental post. Ignore.
This post was edited on 9/5/14 at 9:35 am
Posted by Meauxjeaux
98836 posts including my alters
Member since Jun 2005
39933 posts
Posted on 9/5/14 at 9:35 am to
quote:

And tighter management of subscribers' use of health care is simply refusing to cover some procedures or services that employer based plans routinely cover.


It's amazing to me, Poodle, how some admin hack will explain this away as the private employers weren't doing a good job "managing" the old plans.

People are patently stupid and will buy it.

Reminds me of the original narrative right after implementation where Obama tried to make the case that the old employer plans were deficient.
Posted by Poodlebrain
Way Right of Rex
Member since Jan 2004
19860 posts
Posted on 9/5/14 at 9:42 am to
Have you stopped to consider that the plans that are controlling costs are only those used to determine the subsidies? The lower the subsidies the more of the cost the subscriber will have to pay. The more the subscribers are required to pay the more people will choose not to subscribe. Thus, there will be more uninsured.

And the costs of Obamacare will not decrease either since Obamacare guarantees insurance companies will not suffer losses. So the insurance companies can price their policies at very risky levels secure in the knowledge that the government will cover them if they miss their bets. The cost to government of preventing insurance company losses will make up for any savings in subsidies to subscribers.
Posted by Maxx99
Great state of TX
Member since Oct 2013
582 posts
Posted on 9/5/14 at 9:42 am to
quote:

Obamacare's cost will have to be revised downward yet again.
Common Core math!
Posted by EZE Tiger Fan
Member since Jul 2004
50270 posts
Posted on 9/5/14 at 9:52 am to
quote:

What was $300, became $1000. Now it's $900. It's falling! Success!


Upvote
Posted by La Place Mike
West Florida Republic
Member since Jan 2004
28800 posts
Posted on 9/5/14 at 10:00 am to
Medicaid and Obamacare plans are two different things.
Posted by idlewatcher
County Jail
Member since Jan 2012
79068 posts
Posted on 9/5/14 at 10:05 am to
quote:

NY and Tenn as a whole were asked for 18% increases in premiums for 2015 by the insurers.


NY and TN need to pay their fair share and quit bitching!
Posted by igoringa
South Mississippi
Member since Jun 2007
11875 posts
Posted on 9/5/14 at 10:07 am to
Since we are going anecdotal.... My premiums went up 28%
Posted by Revelator
Member since Nov 2008
57916 posts
Posted on 9/5/14 at 10:16 am to
And I bet the deductibles on these plans are sky high.
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