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More legal trouble for Affordable Care Act

If computer glitches are not enough of a problem, President Obama's healthcare law also has a legal glitch that critics say could cause it to unravel in more than half the nation.

http://www.latimes.com/nation/la-na-healthcare-glitch-20131025,0,5402697.story#axzz2io3uf46O


Cnon

Take back the Senate in 2014

Re: More legal trouble for Affordable Care Act

  • OMG, this whole thing is a big disaster.  This is only 1 of the bad stories I've been reading.  Lots of people on medicaid are loosing their doctors in NY now.  I say the only good thing about it is the pre-existing clause going away.  Plus the lowest of the plans on the website would cost us twice as much as we pay now....it's comical. 
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  • more people are loosing their insurance right now than those that are signing up on the exchanges.  It's very sad to me.
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  • vlagrl29 said:
    more people are loosing their insurance right now than those that are signing up on the exchanges.  It's very sad to me.
    Really? That is CRAZY!
  • 300,000 people in Florida alone have lost their insurance.  The companies are giving them the boot because their policy doesn't abide by the ACA standards. 
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  • missymomissymo member
    Ninth Anniversary 500 Comments 5 Love Its Name Dropper
    edited October 2013
    @vlagrl29

    I would love to hear more about this (the 300,000 Floridians losing health care due to policies being ACA non-compliant) but can't find any info on it! Can you link me?

  • vlagrl29vlagrl29 member
    Sixth Anniversary 2500 Comments 500 Love Its Name Dropper
    edited October 2013
    Yep! Below is one article I found on it.  You can also google it to find many more articles.  To my understanding it's individual policies that were sold.  Also, regarding sources:  I don't know or really care if it's coming from a democratic or republican source.  I've pretty much changed my party to independent, leaning fiscally conservative.  I support things with common sense.  I'm even having a hard time getting my insurance to cover a sinus infection right now.  One of my stundent's who has had allergies since she was little is having a hard time getting her allergy meds covered where before they were always covered.  I believe the ACA is really only good deal for those with pre existing conditions.  Those who haven't been able to get insurance because of them or paying a crazy high premium just to get insurance.  I have looked on the website and the catastrophic plan, the shittiest plan you can get for us would cost double than what we pay now.  Even with the subsidy.  I'm sure the health exchange is cheaper for some, but not us, in our state.

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  • my mom has been calling me this week.  She has been listening to a lot of youtube and rush....we all know how we feel about youtube.  Rush is totally misinforming listeners.  He is saying that insurance companies are kicking people off their policy for no reason just that they can, so I linked her this article. She was trying to convince me to send my insurance company my medical records or they may kick me off.  I don't feel they need 3 years prior records for a dang sinus infection.  I'm standing my ground.  If they kick us off well we will go to a different company.  I think they are trying to save money right now because Jan. is around the corner and they have to pay out.
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  • Here is one for California.  I think it is regarding individual policies that were grandfathered in from 2010 and on.

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  • And the last one for today :


    Obviously these people will need to get a different policy wether its thru the exchange or a new plan with their provider.  All I know is I started to get paranoid, so I called our insurance agent and found out we are good to stay on our plan and our rate is locked in thru Dec 31 of 2014.  Thank God!  Here I was doing fine in my little bubble of not watching news networks or reading political articles on line and now I'm back in it.  Dang!
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  • My doctor and pharmacist are scared of Obamacare. They say it is going to hurt most people.
  • It will hurt more people than it will help, I believe.  That's unfortunate, but honestly I'm not shocked by that at all.
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  • the sick lie that is spreading around about these cancellations are that it is because they were cheap policies with huge gaps. One particular outlet was playing up a woman getting her policy cancelled because it had "no hospital coverage". What they WEREN'T saying is that she didn't have hospital coverage for non-emergency care. Basically they wouldn't cover the E.R. for her to go get her headache or sinus infection. If she were in an accident, was presenting with chest pains, was dehydrated, etc. her care would have been covered. Now her premium has QUADRUPLED.

    Other examples of policies that are being canceled- they offer no maternity care. I have a friend who owns a business where she and her sisters work. They are all past the age where maternity care would be necessary however her plan was canceled and now the cheapest plan (with less coverage in other areas but with maternity care) is now twice what she was paying.

    Your plan is canceled if you have no substance abuse coverage. Let's say you are a teetotaler who in your sixties, you now must have comprehensive substance abuse coverage and pay for it.

    If your deductible is too high, your plan is canceled. You could be a person who rarely sees a physician and takes great care of themselves. You have a great job with six months salary in the bank. The government will not take your word that you could afford the higher deductible and instead is going to force you to take insurance that costs two times or more what you pay now to save the rest of us from those people who are considered too stupid to be able to make that decision.

    We will see wayyyy more of this next year when the employer mandate kicks in since that is the lions share of the coverage pool in the country.
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  • snp -  I feel lucky that we can keep ours for now anyways in regards to your reply.  we don't have maternity, substance abuse coverage and we have a higher ded. (5,000)
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  • If you are under an employer plan you will lose it next year or if you buy it on the individual market and were grandfathered in, if your plan makes ANY changes to your coverages then you will lose it at that time.

    The estimate is that about 53% of employer sponsored plans don't meet the guidelines so we'll see a huge surge next year in lost coverages. Many people have been feeling "safe" because they've confirmed that they are good at least through 2014. That's only because that's when the hammer hits the ground. All told between employer and private plans about 93 million people currently covered will be moved off of their current plan. Some employers will redo their insurance perhaps even with their current carriers and pick up a plan that is compliant, however some will use this an the impetus to move employees off of employer sponsored plans altogether. How that will shake out is anybody's guess. Since the cost to employers is significantly higher now due to the fees that are now charged in addition to premiums, it's a very real possibility and probability that we'll be seeing quite a bit of this.
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  • snp605 said:
    If you are under an employer plan you will lose it next year or if you buy it on the individual market and were grandfathered in, if your plan makes ANY changes to your coverages then you will lose it at that time.

    The estimate is that about 53% of employer sponsored plans don't meet the guidelines so we'll see a huge surge next year in lost coverages. Many people have been feeling "safe" because they've confirmed that they are good at least through 2014. That's only because that's when the hammer hits the ground. All told between employer and private plans about 93 million people currently covered will be moved off of their current plan. Some employers will redo their insurance perhaps even with their current carriers and pick up a plan that is compliant, however some will use this an the impetus to move employees off of employer sponsored plans altogether. How that will shake out is anybody's guess. Since the cost to employers is significantly higher now due to the fees that are now charged in addition to premiums, it's a very real possibility and probability that we'll be seeing quite a bit of this.

    This is so scary. Do you know of any indications of what sorts of changes to plans can cause these cancellations? What do you mean by "ANY" changes?

    Hypothetical example: I am a spouse in a married couple. We start TTC, and we have a baby. Would going from a couple plan to a family plan (or a qualifying event) be a change in coverage that could cause a cancellation?

     

     

     


     

  • It all sounds like a crap shoot!  I'm not going to worry about it until the end of next year.  Luckily our plan was not grandfathered in and we don't work for a company.  I'm so glad we don't!

    Also, we have a limit of how much we are willing to pay for insurance and that's no more than $400/month.  If premiums ever get much higher than that we will just say fuck it , pay the penalty and pocket money in our savings.
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  • We have a new tax in this country and not much of a say anymore. Gotta love it! I will ask again.....where are the dems on this board? They seemed to have vanished!!
  • vlagrl29 said:
    It all sounds like a crap shoot!  I'm not going to worry about it until the end of next year.  Luckily our plan was not grandfathered in and we don't work for a company.  I'm so glad we don't!

    Also, we have a limit of how much we are willing to pay for insurance and that's no more than $400/month.  If premiums ever get much higher than that we will just say fuck it , pay the penalty and pocket money in our savings.
    The tax penalty for 2014 is not that high for not carrying any insurance. But by 2016, the penalty is supposed to be at least 6 to 7 times the penalty of 2014. This was a stat in a company-issued letter my DH got from his major airline job that accompanied the mandatory Department of Labor letter.
  • We have a new tax in this country and not much of a say anymore. Gotta love it! I will ask again.....where are the dems on this board? They seemed to have vanished!!

    Well...what's there to say? We have already discussed the ACA with them - they all lauded it. Now that it's here and it sucks (like we said it would), what else is there to say?

    1. It doesn't cover all people.

    2. People are not getting the plans they want like Obama said they would.

    3. It forces people to buy who don't want to. No choice there (yet, we are a "pro choice" nation).

    4. It does not protect sensitive and confidential data from hackers.

    5. Just read online that the government has to call in experts from GOOGLE to fix the sites.

    6. It is increasing peoples monthly expenses, in some cases, by multiple hundreds of dollars. So much for Affordable.

    7. It is a super expensive ordeal for businesses.


     

  • We have a new tax in this country and not much of a say anymore. Gotta love it! I will ask again.....where are the dems on this board? They seemed to have vanished!!
    Those darn pesky facts! oopsie!
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  • vlagrl29 said:
    It all sounds like a crap shoot!  I'm not going to worry about it until the end of next year.  Luckily our plan was not grandfathered in and we don't work for a company.  I'm so glad we don't!

    Also, we have a limit of how much we are willing to pay for insurance and that's no more than $400/month.  If premiums ever get much higher than that we will just say fuck it , pay the penalty and pocket money in our savings.
    The tax penalty for 2014 is not that high for not carrying any insurance. But by 2016, the penalty is supposed to be at least 6 to 7 times the penalty of 2014. This was a stat in a company-issued letter my DH got from his major airline job that accompanied the mandatory Department of Labor letter.
    well that sucks!  
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  • here is an article that talks a little bit about the cancellation situation
    http://www.washingtonpost.com/blogs/wonkblog/wp/2013/10/29/this-is-why-obamacare-is-cancelling-some-peoples-insurance-plans/

    and here is a more insurance-y goobledy gook explanation of more specifics
    http://www.benefits-partners.com/nfp_life_and_benefits/hr/HCR/Losing_Grandfathered_Status.aspx

    Here are the penalties for not having insurance:

    The penalty is phased-in over a three year period.

    In 2014, the penalty will be the greater of 1.0% of taxable income or $95 per adult and $47.50 per child (up to $285 per family).

    In 2015, the penalty will be the greater of 2.0% of taxable income or $325 per adult and $162.50 per child (up to $975 per family).

    In 2016, the penalty will be at the greater of 2.5% of taxable income or $695 per adult and $347.50 per child (up to $$2,085 per family).

    After 2016, the penalty will be increased annually by the increase to the cost-of-living.


    While $2085 per family might seem like quite a bit of money, if your premiums in 2016 as a family are $2400 per month and you have guaranteed insurability (can't be turned down for pre-existing condition) you still might find that it's a financial gamble worth taking. You'd pay $2085 to save $28,800 per year. Even if you had to pay $5000 in medical bills out of pocket that year for preventative care and minor injuries, after paying the penalty and the bills you still would have saved over $20,000 that year alone.


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