Learning more about health insurance going forward

Discussion in 'Free Speech Alley' started by mobius481, Sep 20, 2013.

  1. gyver

    gyver Rely on yourself not on others.

    Joined:
    Sep 29, 2011
    Messages:
    2,001
    Likes Received:
    717
    The GoP introduced the Affordable Health Care Act. It's only 200 pages. Makes insurance companies compete by opening up policies across state lines.

    http://www.gop.gov/indepth/pledge/healthcare

    And today the House voted to defund obamacrap act and passed a CR to fund the govt till December.
     
  2. Tiger in NC

    Tiger in NC There's a sucker born everyday...

    Joined:
    Sep 2, 2011
    Messages:
    6,532
    Likes Received:
    1,806
    One thing I have noticed in the past few months as state exchanges start publishing rates thru individual providers is that there seems to be no consistency across state lines as it applies to rate hikes or drops. I originally thought this was due to some states not providing the new exchanges but I've since seen otherwise. I'm interested to know this if anyone has further information on it.
     
  3. HalloweenRun

    HalloweenRun Founding Member

    Joined:
    Oct 16, 2009
    Messages:
    7,481
    Likes Received:
    4,967

    Actually that type of deal has been in effect forever, it is called the "permissable ratio" and is a number that has been filed with state insurance commissioners forever. Actually it deals with the difference between the number you quoted, amount paid for claims, and the total premium. It is a means to reduce or at least limit administrative expenses to 15% or so of premium. Generally, if the permissable is exceeded, rates are reduced, it not, rates are increased.

    Insurance companies are in the business of making money be taking risks. If they pay too much, they get it back next cycle, if they "win" and keep more than they anticipated, they find ways to hang on to as much as they can, but otherwise can keep no more than the permissable ratio allows.

    This is what people do not understand. With a pre-existing condition, the risks of a financial payment are 100%. Insurance is not designed for that, since the "risk" is a certainty. Trying insuring a house on the lava flow side of an active volcano. It ain't gonna happen, since the risk is 100%, but...people want insurance to pay for ongoing treatment for a pre-existing condition. it is the exact same thing, except the former is property insurance, the second health insurance.

    Just remember that 1/2 the people have less than average intelligence, and a pretty good number at the 50% level and above are not real smart either.
     
  4. Tiger in NC

    Tiger in NC There's a sucker born everyday...

    Joined:
    Sep 2, 2011
    Messages:
    6,532
    Likes Received:
    1,806
    didn't know that, thanks for the info. have they always offered rebates?
     
  5. LSUTiga

    LSUTiga TF Pubic Relations

    Joined:
    Sep 2, 2006
    Messages:
    32,743
    Likes Received:
    11,273
    I'm worried cause I'm not sure exactly what it will mean for us yet.
     
  6. Tiger in NC

    Tiger in NC There's a sucker born everyday...

    Joined:
    Sep 2, 2011
    Messages:
    6,532
    Likes Received:
    1,806
    there seems like there is a lot of inconsistency from state to state in the rates that are being published. Interested to see if that levels out some after the first of the year or if it persists. all in all just interested to see how it goes, what works, what doesn't work, what needs to be kept and what needs to be fixed or booted altogether.
     
  7. mobius481

    mobius481 Registered Member

    Joined:
    Jan 20, 2006
    Messages:
    7,731
    Likes Received:
    1,350
    Aren't you old? If so, you should be fine. Young healthy males making over 400% of the poverty line are the hardest hit. Especially if they prefer hdhp.

    But it will be interesting to see how this all shakes out
     
  8. KyleK

    KyleK Who, me? Staff Member

    Joined:
    Oct 29, 2007
    Messages:
    9,109
    Likes Received:
    3,366
    Sign up for an account on healthcare.gov. Beginning Oct 1, you can compare actual plans from actual insurance companies. You get to compare plans from all the companies who have elected to participate in the exchanges in up to 4 different benefit levels. They call them Bronze, Silver, Gold, Platinum. All plans listed on the exchanges must meet certain minimum requirements such as what they call Essential Health Benefits. That means they pay for things like Rx, maternity, emergency services, counseling, 3 well visits per year, and others I can't recall off of the top of my head.

    They may have closed the ability to shop for plans until 10/1 in preparation for launch.

    I do believe that it will make comparison shopping much easier.

    Mobius, if you are under 30, you can get a catastrophic plan that should be lower than what you have now.

    Most of you know that I am very conservative, but I have been trying to do research for myself instead of listening to rhetoric. There are some good things in it. There are some bad things in it. I guess time will tell how it ultimately affects people's premiums.
     
    LSUTiga likes this.
  9. LSUTiga

    LSUTiga TF Pubic Relations

    Joined:
    Sep 2, 2006
    Messages:
    32,743
    Likes Received:
    11,273
    Hey phucker. Not sure what you call old. I bet I can outfish and outhunt you. ;)


    I have it through my employer.
     
  10. KyleK

    KyleK Who, me? Staff Member

    Joined:
    Oct 29, 2007
    Messages:
    9,109
    Likes Received:
    3,366
    If you have Health Insurance through your employer, you can keep that (assuming it meets the minimum standards). What you can do is compare plans just to see if you could get a better deal through the exchange. Also, you can get supplemental insurance (dental for example) on the exchanges if your employer's HI doesn't provide it.

    For people like @Tiger in NC who provide insurance to their employees, they can shop for plans for their employees at healthcare.gov also. The program for that is called SHOP (Small business Health Insurance options Program).
     

Share This Page