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ACA rates

Posted on 5/10/14 at 9:47 am
Posted by HubbaBubba
F_uck Joe Biden, TX
Member since Oct 2010
45905 posts
Posted on 5/10/14 at 9:47 am
So, my company has its annual open enrollment in May, with new benefits taking effect on June 1. So, I went in to revise my benefits, assuming I would see a HUGE jump in my rates.

Now, my wife participates in her employer's plan and includes the kids in her policy. But I have my own. Prepared for the worst, I opened the benefits enrollment and discovered that my plan was no longer available, and that I would now be able to get the next closest plan available. It was a whopping $19 a month higher! It went from $133 a month to $152 a month. (But HEY! I got pregnancy coverage!) Inasmuch as my employer pays 50% of the cost, that means the policy cost is $304 a month.

So, I then went to the ACA marketplace to check rates for an equivalent plan. Closely matching up the terms and restrictions, the ACA plan was $428.

I decided on a plan with a reduced deductible, lower co-pays and lower stop-loss from my employer. That went to $215, meaning the cost is $430. However, at the ACA site, the equivalent plan there shot up to $985 a month!

That seems like a very predatory rate if my employer can obtain a rate for the same insurance and conditions at less than half of that amount from a government plan.

How, again, is this supposed to be "affordable"?
Posted by CamdenTiger
Member since Aug 2009
62683 posts
Posted on 5/10/14 at 9:55 am to
Its not. If I leave my plan, my costs triple on the exchange. I feel sorry for those people that work, and are delegated to the exchange. Oh, and then have to find a provider that accepts it.
Posted by LSURussian
Member since Feb 2005
127062 posts
Posted on 5/10/14 at 9:56 am to
quote:

It was a whopping $19 a month higher! It went from $133 a month to $152 a month.
A 14% increase. Obama said insurance costs would go down.
Posted by Lsut81
Member since Jun 2005
80328 posts
Posted on 5/10/14 at 9:58 am to
I overheard my boss on the phone the other day speaking with our insurance provider... Sounds like I should prepare thy anus

They have absorbed the increases for the last year, but I think the amount is too much now.
This post was edited on 5/10/14 at 9:59 am
Posted by idlewatcher
County Jail
Member since Jan 2012
79517 posts
Posted on 5/10/14 at 10:00 am to
Why don't you pay your fair share about quit being racist against the poor!?

Same thing happened at my company. The comparable rates from the ACA site and the "private insurers" site were quite a bit different. We ended up back on where we started with an increase of $65/month.......with a higher deduct and less coverage. WTF man.
Posted by rintintin
Life is Life
Member since Nov 2008
16209 posts
Posted on 5/10/14 at 10:11 am to
The ACA proponents will tell you that you deserve this rate increase because you can afford it.
Posted by Zach
Gizmonic Institute
Member since May 2005
112695 posts
Posted on 5/10/14 at 10:15 am to
John Roberts was right. It's a tax. Therefore it is constitutional.
Posted by udtiger
Over your left shoulder
Member since Nov 2006
99536 posts
Posted on 5/10/14 at 10:17 am to
Just wait until the employer mandate kicks in on 1/1/15
Posted by mauser
Orange Beach
Member since Nov 2008
21865 posts
Posted on 5/10/14 at 10:17 am to
quote:

So, my company has its annual open enrollment in May, with new benefits taking effect on June 1


Didn't businesses get an Obama Executive Order waiver until next year? I suspect that it will be next year where you see the big premium increase in your workplace insurance rates.
Posted by Rex
Here, there, and nowhere
Member since Sep 2004
66001 posts
Posted on 5/10/14 at 10:22 am to
I see several things from your post that you apparently don't understand:

1. The rates you quoted are not the ACA's. The ACA doesn't provide insurance. It's only a set of laws governing how insurance companies must now operate, and delineating the extent to which the Federal government will help consumers.

2. It has always been the case that individual plans from insurance companies are typically quite a bit higher than group rates within employer plans.

3. The rates you quoted are before any available Federal subsidies. More often than not, the net cost to the purchaser is less than the rate quoted on the exchange... in some cases, 100% less.

4. Even if the rates are high on the ACA marketplace website, those still represent an opportunity to get insurance unavailable to many people before the new law.

5. Even if the rates are high on the ACA marketplace website, they are still generally much less than what was available to people with pre-existing conditions before the new law, if they could get insurance at all.

Congratulations on having what seems to be a good employer plan at a reasonable rate. Not everybody is so lucky.
Posted by Alahunter
Member since Jan 2008
90739 posts
Posted on 5/10/14 at 10:42 am to
My premiums went up 58% a month and my yearly out of pocket went from 1750 to 6000.

Tell me how it's saved me $2500 as the President promised.

Also, tell me, as a small business owner, how it's helped me be more productive and allowed me to grow my business in this stagnant economy.
Posted by SpidermanTUba
my house
Member since May 2004
36129 posts
Posted on 5/10/14 at 1:08 pm to
quote:

It was a whopping $19 a month higher!
Probably the largest jump you've ever seen, right?
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