Lets talk about cost of Obama care.>>MOD ALERT<<

MOD ALERT

Not only the monthly output, but the deductible. Do you know that the deductible has to be paid before the insurance company pays out one dime? One thing many are complaining about with these cheaper policies is the high deductible.

Is a Deductible Paid Before or After the Health Insurance Company Pays?
By Andrea Helaine, eHow Contributor



An insurance deductible is a specific amount of money that you will be required to pay for medical expenses. The deductible is specified when searching for health insurance plans and is agreed upon by the buyer at time of purchase. It is an amount that needs to be paid before benefits from a health insurance policy can be active. Have a question? Get an answer from a Medical Professional now!

Read more: http://www.ehow.com/about_5398584_deductible-health-insurance-company-pays.html#ixzz2i5WeoTUm

 

Is a health premium the same as a deductible
wiki.answers.com/...health_premium_the_same_as_a_deductible Cached
The amount you pay toward your monthly premium (or for copayments) does not count toward your annual deductible. Not all health insurance plans have a deductible, ...

 

So lets say your monthly premiums is $200.00 and you have a $10,000.00 deductible. If after five months you get sick, nothing real big. you'll have paid out $1,000.00 and nothing on your deductible. So if the doctor charges you $600.00, the insurance pays nothing yet.

 

What an ignorant bunch of posts.

Why can't people even take a few minutes to learn about something before they start spinning tales and often lies? Is reading a simple brochure so much to ask? A Frequently Asked Questions geared towards a junior high schooler? Or even talk to any of the people PAID to help te uneducated?

Insurance policies, and specifically Obamacare polices, pay for a NUMBER of things before you have to meet your deductible.

For instance, Obamacare policies have a number of doctor, procedure, and pharmacy copays you pay pay each time you use them (until you reach your "Out-of-Pocket Maximum"), but are not influenced by your deductible.

For instance, many of the plans have a $5 or $25 doctor visit copay - you pay ONLY that much when you see your doctor (and your doctor charges the insurance MUCH more) even if you have not met your deductible. The same for many pharmaceutical prescriptions copays, and many lab tests and procedures.

Obamacare is also notable in that it will spend THOUSANDS of dollars, without a PENNY's payment, towards ANNUAL checkups and tests that promote good health, like physical, diagnostic tests, some vaccines, blood tests and much else. While insurance companies don't care about wellness because if a policyholder gets sick, the insurance companies have a MILLION ways to dump you off so they don;t have to pay. Obamacare is taking a larger view because if people DO get sick unnecessarily, SOCIETY pays the price, something NO insurance company cares even a tiny bit about.

So READ UP a little if you are sincere! Its FREE!

Or is it that the Obamacare-haters do not CARE about the program they LIE about CONSTANTLY? Is it that they are PAID to start ENDLESS LYING threads about this program with their cute and patriotic little pictures to convince they actually are "regular people"?

 

The local FM radio host probably lost his job today. He asked people to call in to tell their stories on Obamacare.

What he got stunned him and his happy cheery demeanor went to somber stuttering amazement.

His lines were flooded with:

(2) Crying mothers on how they can no longer afford the health insurance for their children as their insurance was cancelled and Obamacare exchange prices were 950+ a month!
(1) Business Owner telling how he cancelled the insurance for his staff and it has caused quite a stir and loss of staff
(3) People sharing how their hours were cut and insurance was lost
(2) 20's adults that are now being forced to pay a $95 a month fine or pay $270 a month for insurance they don't want
(1) Dude all stoked to be on Mom and Dad's plan until 26
(1) Son of illegal aliens that just got dropped because his parents no longer qualify... he was upset


MOD EDIT>>>FLAME BAIT<<<

 

http://obamacarefacts.com/obamacare-preventive-care.php

 

You are all about power and control over these people's lives no matter the cost. They will come back against you and your Socialist dream.

These were poor mothers. One had a Kaiser plan for her kids only. She ways paying $90 a month for her two kids. Her price went up by 1000% as her plan was CANCELLED. Thank you Obamacare. She had a thick Latin accent.

The people calling in were just average Angelino's it was a tear jerking segment and it blew away the host of the show. He was real sober at the end and lost his usual morning happy happy high. It's was an amazing thing.

But you don't give two craps about these people... it's all about power and control over their lives to you.

 

Bottom line is that ideology trumps people....a man-made utopia is great whether you like it or not! It's like Castor Oil....

 

The old system doesn't demand personal responsibility.

ObamaCare, DOES!!!

 

Either that or they don't know about deductibles. The Hospital, doctor or clinic bills the insurance company, they pay the amount that the policy covers and the patient is responsible for the rest. The deductible is not a fixed cost for all visits and procedures, it is plan dependent. This thread is based on complete BS.

 

I think there just may be hundreds if not thousands of stories coming out about the high costs of Obamacare.

 

Please stay on topic, post within the rules. Rule violators will be removed to ensure a respectful discussion.

Thanks for your cooperation
Shangrila
Site Moderator

 

That could be true for things like doctor visits and some medicine. I haven't read their plan as we have insurance. But if it's anything like ours, it won't pay for any surgeries until the deductible is reached. I had some skin cancer taken off my forehead and it cost me quite a few hundred dollars which my insurance wouldn't pay until the $1,000.00 deductible was met. Some of these cheaper insurances with the lower premiums have a $8,000.00-$10,000.00 co-pay. So you could have some minor surgery that would cost four or five thousand dollars, and not get any of it paid for.

 

Does anyone want to talk about the 40% excise tax against any employers dumb enough to offer good health plans?

I would like to know how any obamacare supporters address that.

Or the $2100 minimum a family of four would have to pay to "opt out" in 2016... or the fact that from there forward the price increases with the costs of the CPI?

 

None of this is new for Obamacare. For years, almost ALL insurance had a co-pay plan for basic doctor visits and prescription drugs.

For those that do not understand how deductibles and co-pays work, I will try to explain.

Say you have insurance with a $5000 individual deductible and a $10,000 family deductible that you are paying $600/month for. It would be common that a plan like this would have a $25 co-pay for office visits and $30 co-pay for prescription drugs. Also, you may have a plan that covers 60% of the cost of major medical needs.

So, one morning, you wake up with a shoulder that is hurting. You go to your family doctor to have it examined. At that time, you will pay $25.00. if his office visit cost was $100, then insurance would pay $75. (assuming that $100 was the negotiated cost doctors could charge this insurance)

Your doctor may want to get x-rays done and possibly run a blood test. Let's say x-rays cost $500 and the blood test costs $100. This $600 will be YOUR responsibility to pay if you have not met your $5000 deductible. This $600 will be applied towards your deductible, so you would only need to pay anther $4400 out of pocket before insurance will start paying for anything (except fro basic office visits and prescription).

Your doctor might prescribe some drugs....say he prescribed 2 separate drugs. You go to the pharmacy and pick up your drugs (they cost $100 each) and pay $30 (the co-pay) for each drug for a total of $60. Insurance picks up the rest of the cost just as they would have for the initial doctor visit.

The Xray come back and it is discovered that you need major surgery. Surgery will cost $10,000 for everything and your insurance plan will cover 60% of surgery costs. Remember, you still have $4400 of your deductible to meet ,so the 60% only applies towards $5,600 of the surgery bill ($10,000 - $4,400 = $5,600)

So, here are your costs:

$25 office co-pay
$60 perscription costs
$600 X-rays and blood work
$4400 of the surgery cost
$2,240 of the surgery costs (the 40% that insurance did not pay)

Total = $7,325

Amount insurance pays:

$75 for office visit
$140 for perscription
$3,360 for surgery (60% of the surgery costs AFTER your deducible was met)

Total = $3,575

Now, if you had all of this done in December of 2013, your deductible will NOT carry over into 2014. In 2014, you will have a $5,000 deductible again. Also, if your wife had a similar issue, she would have her own $5,000 deductible that would need to be met.

Btw. the $500 a mouth premium you pay the insurance company each month has no effect on these costs other than the type of plan you have nor does it apply towards your $7,325 bill.

 

Thank you, you explained it well.

 

The prices you've cited are from a world that never would've needed Healthcare reform. If you want to get a better picture of what you'd really have to pay with or without insurance, I've linked the PDF file for the article "Bitter Pill: Why Medical Bills are Killing us." By Steven Brill. It's not biased left or right and would give everyone a much better understanding of why Washington doesn't really represent anyone but the lobbies that exist.

http://livingwithmcl.com/BitterPill.pdf

 

As if the more intelligent amongst us didn't know this would be the result.........what ignorant fool believes that a healthy 27 year old, who thinks he will never get sick, is gonna sign up for a $300-$400 health insurance policy because of the threat of a $95 penalty sometime in the future.......or how about "Willie the Wino" living in a box down on MLK Blvd?........what idiot thinks this guy is gonna whip out his I-Pad and sign up for a $500 policy with a $10,000 deductible? "Progressives" really do live in some kind of LaLa land.

 

Bull(*)(*)(*)(*). Deductibles get DEDUCTED, before the insurance kicks in.

Health Insurance Deductibles

Your deductible is the amount of your medical costs that you have to pay before your health insurance takes over. Here's an example. Gary has a health plan with a $1500 deductible. If Gary only has a few little things go wrong during the year that cost less than $1500 total, he's going to pay the full amount to treat them. However, if Gary has a catastrophic injury or serious illness that requires a lot of medical care to get better, he'll pay his $1500 deductible and then his health insurance takes over to pay most if not all of his additional costs. It's a way for Gary to shoulder some of the responsibility for his health, while still affording him protection from huge medical expenses.

http://www.staysmartstayhealthy.com/health_insurance_deductibles

 

No, Nunya explained it. I get my annual checkups, have a few extra tests, and what Nunya explained is exactly how it is handled.

 

I cover the health insurance premiums for myself and a staff of five...........since ObamaCare went into effect our premiums have gone up $10,000........how many small business owners are going to stop paying for their employees health insurance........how many, particularly older business folks, are just going to shut down their businesses.......and we've already seen that many of the larger employers are simply cutting their employees to part-time......its a complete and utter disaster.

 

These three entries make the rest of the list suspect. First of all, the employer requirement doesn't kick in for at least another year. Any business claiming Obamacare is costing them is telling out right lies. People getting hours cut isn't because of Obamacare. Also, no one will be paying a monthly fine. It is a yearly fine and that will go toward paying for those who refuse to be personally responsible for their own health care. The idea, and it is a Republican idea, is that everyone should be personally responsible for their own health care. If they refuse to carry health insurance, then they must pay to cover themselves and others who use up tax payer dollars at the ERs.

 

First of all the Business Mandate was delayed for a year... What people are seeing are Insurance companies using the propaganda of rising rates under Obamacare to justify an increase. As a matter of fact, once BM goes into effect, it'll be illegal for Insurance companies to spike rates if there hasn't been a proportional increase in the cost of care.

It's like the commodities market.. If the oil prospectors forecast a potential rise in the cost of oil 6 months down the line, price of gas goes up today even if said event in 6 months never occurs.

 

So you are calling me a liar? Please see my previous post just before your entry.......ObamaCare is costing my small business $10,000 more to carry health insurance for myself and a staff of five. That's a real world reality....not some pie-in-the-sky hope and change