Don't click or your IP will be banned


Hittin' The Web with the Allman Brothers Band Forum
You are not logged in

< Last Thread   Next Thread >Ascending sortDescending sorting  
Author: Subject: Former GOP Chair Saves $1000 a Month w/Obamacare

Maximum Peach





Posts: 8261
(8261 all sites)
Registered: 6/9/2002
Status: Offline

  posted on 3/15/2014 at 02:42 PM
This is interesting...

quote:
Sam Stein
stein@huffingtonpost.com

Former New Hampshire GOP Chair Saves $1,000 A Month With Obamacare

WASHINGTON -- The former chair of the New Hampshire Republican Party will save $1,000 a month in premiums for his family's health care package after signing up for a new policy through the Obamacare exchange.

But Fergus Cullen said the savings aren't enough to turn him into a supporter of the new health care law. He said he anticipates higher out-of-pocket costs with his new Anthem-administered plan, and he's frustrated by what he sees as a lack of information about coverage options. His old plan, which was pricey but covered what he needed, was cancelled by his insurer because it didn't meet Obamacare regulations.

"Fundamentally, the plan I wanted to buy is one that gives me catastrophic coverage for my family and lets me self-insure for everything else," Cullen said in a phone interview with The Huffington Post.

Stories similar to Cullen's are being told by folks across the country -- that the Affordable Care Act has benefits that must be weighed against its downsides. What makes his tale a bit rarer is that he's one of the few Republicans of stature willing to acknowledge the tradeoffs.

Cullen, who runs the consulting firm Fergus Cullen Communications, was chair of the New Hampshire Republican Party in 2007 and 2008. He wrote about his Obamacare experience in the pages of the conservative-leaning New Hampshire Union Leader. He acknowledged that other Republicans had warned him that the article would be picked up by defenders of the law as evidence that it worked even for staunch, free-market oriented conservatives.

But his personal experience with Obamacare -- and his assessment of the law Ė- is not an endorsement. If anything, it's part approval, part condemnation, and part withheld judgment.

First, the facts. Per Cullen, his family of five spent $26,934.89 on health care last year, a combination of insurance premiums (the majority of the cost) and out-of-pocket expenses. The year before, that number was $22,121.50. In other words, his costs were rising prior to Obamacare exchanges going into effect.

Cullen called his insurer to see if he could lower the cost. The company said no, and sent him a letter explaining that on July 1, 2014, his individual health plan would no longer be offered. It "didn't conform to ACA mandates," Cullen wrote. His insurance agent searched for new plans and found options comparable to his old one that potentially saved money. Cullen then logged on to healthcare.gov. Since New Hampshire did not set up its own exchange, he had to use the federal website.

Cullen acknowledged that he was pleasantly surprised by the experience. "I didn't need to start and stop and didn't need to call a friend," he said. But he wondered if his less tech-savvy parents would be able to do the same. He described the experience in the Union Leader:

Whatever problems existed last October, the site is pretty impressive now, intuitive for people who are used to using smartphones and tablets. Navigating the site took most of an hour. The program did crash once while I registered my family, but when I logged back in it took me right back to where Iíd been without losing any information.
He ended up with a bronze plan (the least comprehensive of the tiers available to his family) that will save him in premiums about $12,000 a year. And this is before applying for tax credits, which he said he was thinking of doing. Tax credits are available to a family of five with an income of less than $110,280.

So what's to complain about? For one, Cullen said he's worried about out-of-pocket costs, which he said may be unpredictable. But under the law, out-of-pocket costs are capped at $12,700 a year per family. So at the most, he may end up spending $700 more this year than last (the difference between the savings on premiums and the out-of-pocket maximum).

Second, Cullen said there's a lack of general information about what his plan actually does for him and his family.

"I donít know what prescriptions are covered exactly," Cullen said. "We donít have dental, for example. So I'm expecting that my out-of-pocket is going to be higher."

The main issue that Cullen has, however, is that he doesn't want to pay for services he feels are unnecessary or redundant. The analogy he uses is car ownership. "You donít buy car insurance for your oil changes," he said. "You buy it for those things you can't predict." In other words, he thinks he shouldn't have to pay insurance costs for preventative services because he can handle those expenses himself.

What Cullen wants, instead, is a form of a la carte insurance with catastrophic care component. Since he is paying lower premiums now than he did prior to Obamacare, and since catastrophic care generally has a high deductible, it's unclear how much that would actually save him. Cullen acknowledged that he may, indeed, end up with lower costs.

"Am I complaining about the outcome? Not as much as I am complaining about the process and my total lack of confidence that they fixed the system," he said.

And that brings him to his final, larger critique. Cullen said he believes Obamacare does too little to streamline health care services and reduce costs.

"I donít think this addresses any of the fundamental broken aspects," he said, "which is that consumers don't know the costs and the providers have no incentives to hold down costs and that huge amounts of our economy are being directed in non-productive ways."

Jeffrey Young contributed reporting.


http://www.huffingtonpost.com/2014/03/14/obamacare-saves-money_n_4966955.ht ml

 

____________________
Capitalism will always survive, because socialism will be there to save it.

Ralph Nader's Father


 
Replies:

True Peach



Karma:
Posts: 12496
(12486 all sites)
Registered: 4/4/2003
Status: Offline

  posted on 3/15/2014 at 05:06 PM
quote:
In other words, his costs were rising prior to Obamacare exchanges going into effect.

Who's weren't? The monthly premiums for my plan (through my employer) have risen every year that I can remember, at least for the last 7 or 8 years if not longer, and the deductibles and co-pays kept going up as the plans got less and less robust. This year the premiums went up a little but the coverage got a bit better and the deductibles and co-pays stayed the same.

 

____________________
I pledge and support the elimination of the derogatory use of the r-word from everyday speech and promote the acceptance and inclusion of people with intellectual disabilities. http://www.r-word.org/

 

Zen Peach



Karma:
Posts: 16006
(15998 all sites)
Registered: 10/13/2007
Status: Offline

  posted on 3/15/2014 at 09:45 PM
He may be thinking he saved $1,000 a month on premiums, but he signed up on the Obamacare exchanges, meaning he may not actually be covered at all. Is he aware of this?
 

Maximum Peach



Karma:
Posts: 8261
(8261 all sites)
Registered: 6/9/2002
Status: Offline

  posted on 3/15/2014 at 09:55 PM
What are you talking about Alloak?

How is your insurance situation going? Still not covered?

 

____________________
Capitalism will always survive, because socialism will be there to save it.



Ralph Nader's Father




 

Ultimate Peach



Karma:
Posts: 3915
(3913 all sites)
Registered: 8/26/2006
Status: Offline

  posted on 3/15/2014 at 10:43 PM
Wait a minute. He only had catastrophic coverage before, and now he has a full service plan that he pays $1,000 per month less for, and he is concerned that he might end up paying more? Not following that logic at all.
 

Maximum Peach



Karma:
Posts: 9698
(9697 all sites)
Registered: 8/16/2005
Status: Offline

  posted on 3/16/2014 at 12:27 AM
quote:
He may be thinking he saved $1,000 a month on premiums, but he signed up on the Obamacare exchanges, meaning he may not actually be covered at all. Is he aware of this?
The success of obama-care will make the right wing republiclowns look like a$$holes, is this troubling to you alloakiedoakie?.

 

____________________

 

Peach Extraordinaire



Karma:
Posts: 4772
(4786 all sites)
Registered: 12/5/2001
Status: Offline

  posted on 3/16/2014 at 08:41 AM
quote:
quote:
He may be thinking he saved $1,000 a month on premiums, but he signed up on the Obamacare exchanges, meaning he may not actually be covered at all. Is he aware of this?
The success of obama-care will make the right wing republiclowns look like a$$holes, is this troubling to you alloakiedoakie?.


But it won't stop them from continuing to make up lies and stories with no factual basis. Every single Koch Brother sponsored anti ACA add has been debunked and discredited but it won't stop them from continuing to do so, they don't care.

 

Zen Peach



Karma:
Posts: 16006
(15998 all sites)
Registered: 10/13/2007
Status: Offline

  posted on 3/16/2014 at 09:12 AM
quote:
But it won't stop them from continuing to make up lies and stories with no factual basis. Every single Koch Brother sponsored anti ACA add has been debunked and discredited but it won't stop them from continuing to do so, they don't care.


Lies and stories with no factual basis were used to sell the plan. Did you have a problem with that?

 

Peach Master



Karma:
Posts: 619
(630 all sites)
Registered: 1/3/2010
Status: Offline

  posted on 3/16/2014 at 01:21 PM
this story is so skewd,first of all he ended up with a bronze plan-60% payout,I doubt if he was paying 26k a yr that it's even comparable to the bronze plan.
Also unless I missed something,nowhere does the article say he had catastrophic coverage,he was looking for a plan that offered that, again unless I missed it.
It's funny how this thing is polar opposites when neither side really knows what's going on.

 

Maximum Peach



Karma:
Posts: 8261
(8261 all sites)
Registered: 6/9/2002
Status: Offline

  posted on 3/16/2014 at 01:39 PM
quote:
this story is so skewd,first of all he ended up with a bronze plan-60% payout


Do you think that means if he has $100,000 bill he pays $40,000? Because it does not. In my mind the single most important aspect of the ACA is that it mandates an out of pocket maximum. Do you know how many bankruptcies that one provision can stop? The ACA mandates that a family will not pay more than $12,700 dollars per year.

This from Healthcare.gov
quote:
The most you pay during a policy period (usually one year) before your health insurance or plan starts to pay 100% for covered essential health benefits. This limit must include deductibles, coinsurance, copayments, or similar charges and any other expenditure required of an individual which is a qualified medical expense for the essential health benefits. This limit does not have to count premiums, balance billing amounts for non-network providers and other out-of-network cost-sharing, or spending for non-essential health benefits.

The maximum out-of-pocket cost limit for any individual Marketplace plan for 2014 can be no more than $6,350 for an individual plan and $12,700 for a family plan.


How is that bad?

The ACA also mandates that insurance companies cannot cap what they pay out. How is that bad?

Show me two things as wrong with the ACA as those two provisions are right with the ACA.

 

____________________
Capitalism will always survive, because socialism will be there to save it.



Ralph Nader's Father




 

Maximum Peach



Karma:
Posts: 9698
(9697 all sites)
Registered: 8/16/2005
Status: Offline

  posted on 3/16/2014 at 01:48 PM
quote:
quote:
But it won't stop them from continuing to make up lies and stories with no factual basis. Every single Koch Brother sponsored anti ACA add has been debunked and discredited but it won't stop them from continuing to do so, they don't care.


Lies and stories with no factual basis were used to sell the plan. Did you have a problem with that?
name some.

 

____________________

 

Peach Master



Karma:
Posts: 619
(630 all sites)
Registered: 1/3/2010
Status: Offline

  posted on 3/16/2014 at 02:00 PM
Just from my personal experience,had a kidney stone about 5 yrs ago,my plan"cosidered by ACA to be sub par"paid all of the bill,20k.All it cost me was a co-pay of $50 because we went to ER.Now thanks to ACA,that same scenario would cost me $12,700.00,and I'm supposed to be gracious?I know this is only my opinion,and I know some people are now covered, but it's hard to get excited,I may be cynical at the start of this,and maybe it will work.pay more less coverage.
Not trying to be selfish,but I was personally screwed by this.
but what the hell,now I have birth control coverage

[Edited on 3/16/2014 by rongabbard]

 

Maximum Peach



Karma:
Posts: 8261
(8261 all sites)
Registered: 6/9/2002
Status: Offline

  posted on 3/16/2014 at 02:08 PM
$12,700 for your entire family per year.

And if you had the "bronze plan" you are complaining about you would have only paid 40% of the bill for the kidney stone. If you want your insurance company to pay more in the scenario you outlined, buy better coverage.

I have no idea what caps were on your the plan that paid for the kidney stone. I'll bet you don't either. Most Americans didn't know either. 60% of bankruptcies were caused by medical bills before the ACA. The ACA addresses that huge problem.

I, for one, see a lot good with the law. Does it need to evolve? Of course.

I'm tired of my rates continuing to rise because slime ball $hite heels who can afford coverage don't buy coverage knowing, that in the event of a catastrophe, they can go to the emergency room and society will pick up the bill. Those leeches should be fined if not imprisoned in work camps.

 

____________________
Capitalism will always survive, because socialism will be there to save it.



Ralph Nader's Father




 

Peach Master



Karma:
Posts: 619
(630 all sites)
Registered: 1/3/2010
Status: Offline

  posted on 3/16/2014 at 02:14 PM
you're off base bud,who wouldn't complain about paying 40%--5k with the bronze plan?I only paid $50.00.Now I pay more for my plan and pay more if there's a medical emergency.I had a good plan,ACA said it wasn't.
but what the hell,now I have pre-natal care

 

Peach Master



Karma:
Posts: 619
(630 all sites)
Registered: 1/3/2010
Status: Offline

  posted on 3/16/2014 at 02:25 PM

name some.

the only one needed "You can keep your doctor"

 

Peach Extraordinaire



Karma:
Posts: 4510
(4505 all sites)
Registered: 12/27/2003
Status: Offline

  posted on 3/16/2014 at 03:07 PM
I could be wrong, but I find it hard to believe that Obamacare would force a cancellation of a current plan, and not offer something equivelant in quality and price. It seems like those who oppose Obamacare are not upset with the alternative options that they have, but upset with what they percieve as government interference and control. I understand that frustration, but for something as important as healthcare, if the prive sector isn't getting the job done, shouldn't the government step in and at least try to make it better? If years go by, and there is concrete data that Obamacare isn't working, and only causing more problems, then lets repeal it. The only way to find out is to put it into action.

The #1 reason why I support Obamacare is because every American, poor or rich, now has access to mental health. Mental health shouldn't be a luxury for only those who can afford it. I think this will have an enormous positive impact on so many different areas, including lower taxes down the road. So many of our nation's problems are caused by people who make horrible destructive decisions because they are not emotionally stable. It's the taxpayers who have to pay to clean up these messes. If we have a system in place where everyone, even in the poorest neighborhoods, can get the support they need, we will see more and more people making better decisions that leave a positive impact on their community, instead of a destructive one.

 

Maximum Peach



Karma:
Posts: 8261
(8261 all sites)
Registered: 6/9/2002
Status: Offline

  posted on 3/16/2014 at 03:17 PM
quote:
I only paid $50.00.Now I pay more for my plan and pay more if there's a medical emergency.


You didn't pay for your plan before? You got some real convenient math there... bud.

 

____________________
Capitalism will always survive, because socialism will be there to save it.



Ralph Nader's Father




 

Maximum Peach



Karma:
Posts: 8261
(8261 all sites)
Registered: 6/9/2002
Status: Offline

  posted on 3/16/2014 at 03:17 PM
quote:
the only one needed "You can keep your doctor"


You lost your doctor? I didn't. I don't know anyone who did.

 

____________________
Capitalism will always survive, because socialism will be there to save it.



Ralph Nader's Father




 

Peach Extraordinaire



Karma:
Posts: 4510
(4505 all sites)
Registered: 12/27/2003
Status: Offline

  posted on 3/16/2014 at 03:43 PM
In 2011, my company offered us the choice of Aetna or Anthem. I chose Aetna because a long time doctor that I frequently saw was under the Aetna network. I paid $25 to see him. In 2012, my company dropped Aetna and we were forced into Anthem if we wanted to purchase our plan through them. If I want to see the same doctor, it's $135 per visit, otherwise I have to choose another doctor. The point is that this has been going on for decades. The only difference is that it is the government making the changes now instead of the company.
 

Maximum Peach



Karma:
Posts: 9698
(9697 all sites)
Registered: 8/16/2005
Status: Offline

  posted on 3/16/2014 at 04:00 PM
quote:

name some.

the only one needed "You can keep your doctor"
I kept my doctor, and my insurance plan.

 

____________________

 

Peach Master



Karma:
Posts: 619
(630 all sites)
Registered: 1/3/2010
Status: Offline

  posted on 3/16/2014 at 04:21 PM
Well good on you guys,I was cancelled,I have a new plan ((less coverage, more money))bottom line,time will tell if it will work
I knew I should've edited it to say "plan"
,not worth arguing over, peace

[Edited on 3/16/2014 by rongabbard]

 

True Peach



Karma:
Posts: 12496
(12486 all sites)
Registered: 4/4/2003
Status: Offline

  posted on 3/16/2014 at 07:27 PM
quote:
He may be thinking he saved $1,000 a month on premiums, but he signed up on the Obamacare exchanges, meaning he may not actually be covered at all. Is he aware of this?

This needs explanation. What are you talking about, alloak?

 

____________________
I pledge and support the elimination of the derogatory use of the r-word from everyday speech and promote the acceptance and inclusion of people with intellectual disabilities. http://www.r-word.org/

 
 


Powered by XForum 1.81.1 by Trollix Software

Privacy | Terms of Service | Report Infringement | Personal Data Management | Contact Us
The ALLMAN BROTHERS BAND name, The ALLMAN BROTHERS name, likenesses, logos, mushroom design and peach truck are all registered trademarks of THE ABB MERCHANDISING CO., INC. whose rights are specifically reserved. Any artwork, visual, or audio representations used on this web site CONTAINING ANY REGISTERED TRADEMARKS are under license from The ABB MERCHANDISING CO., INC. A REVOCABLE, GRATIS LICENSE IS GRANTED TO ALL REGISTERED PEACH CORP MEMBERS FOR The DOWNLOADING OF ONE COPY FOR PERSONAL USE ONLY. ANY DISTRIBUTION OR REPRODUCTION OF THE TRADEMARKS CONTAINED HEREIN ARE PROHIBITED AND ARE SPECIFICALLY RESERVED BY THE ABB MERCHANDISING CO.,INC.
site by Hittin' the Web Group with www.experiencewasabi3d.com