Why isn't anyone talking about Obamacare's high deductibles? (drugs, health care, premium)
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The deductible amount of Obamacare ranges from $1500 to $5000. That is the amount that the individual will have to pay out of their own pocket. Why isn't anyone talking about that? Only the premiums are being mentioned. How will anyone be able to pay for that?
I know. These are the people that can't afford premiums each month and have to get subsidized yet have an extra $5-12K sitting in the bank for out of pocket expenses BEFORE insurance kicks in. Family deductibles go past $10K.
I lol'd when I saw that.
Easier just to pay the $95 fine and continue to just show up at the ER when you get sick.
The OP's claim is simply false. Just this morning, in a discussion on what you would undoubtedly consider the ultra-left NPR, they specifically talked about the relationship between premiums and deductibles and other out of pocket expenses.
I know. These are the people that can't afford premiums each month and have to get subsidized yet have an extra $5-12K sitting in the bank for out of pocket expenses BEFORE insurance kicks in. Family deductibles go past $10K.
I lol'd when I saw that.
Easier just to pay the $95 fine and continue to just show up at the ER when you get sick.
That is not how it works and you know it. it is not a "deductible" it is co-insurance. It is just like any other policy - for each claim you pay your 10-40% and the insurance gets the rest. When your share adds up to the co-insurance max then insurance pays 100%.
Now, I do agree that the coinsurance max is high - too high for most. On the other hand, few are likely to get bills high enough to reach it. Medicare is the same and there are many companies that have "medi-gap" polices. I expect the same will happen for ACA for those who are not comfortable with the high co-insurance.
There is one case where the co-insurance acts as a deductible. People under 30 can buy catastrophic coverage as can those whose insurance premium would be more than 8% of gross income. In these cases, all medical expenses are out of pocket until the deductible is met. The deductible amount is the same as the coinsurance amount in ACA bronze plans.
Another thing wrong in your post is the 95 dollar fine. The fine is 95 or 1% of income, whichever is higher. 95 would only apply if someone is making 9500 per year and then they might well qualify for Medicaid if their state was smart enough to participate in the ACA expansion.
The deductible amount of Obamacare ranges from $1500 to $5000. That is the amount that the individual will have to pay out of their own pocket. Why isn't anyone talking about that? Only the premiums are being mentioned. How will anyone be able to pay for that?
Because we have no intention for Obamacare to ever take hold. It is dead; it just doesn't know it. One more election and away it goes. The senate had an opportunity to do this and keep their jobs but alas they did not see the handwriting on the wall.
because some people are already paying that if they don't qualify for a reduced rate. One Dr. told me some uninsured people like driving a nice truck and some want nice teeth. It cost the same.
The deductible amount of Obamacare ranges from $1500 to $5000. That is the amount that the individual will have to pay out of their own pocket. Why isn't anyone talking about that? Only the premiums are being mentioned. How will anyone be able to pay for that?
My God do you want free healthcare? Have you ever had major surgery? do you know what that cost is?
That is not how it works and you know it. it is not a "deductible" it is co-insurance. It is just like any other policy - for each claim you pay your 10-40% and the insurance gets the rest. When your share adds up to the co-insurance max then insurance pays 100%.
It's out of pocket expenses and deductibles.
And the cap is not going into effect in 2014.
They gave insurers a one year reprieve. So that cap doesn't even apply next year. People could end up paying even more out of pocket especially if prescriptions are handled by a different provider.
http://www.nytimes.com/2013/08/13/us...agewanted=all&
The limit on out-of-pocket costs, including deductibles and co-payments, was not supposed to exceed $6,350 for an individual and $12,700 for a family. But under a little-noticed ruling, federal officials have granted a one-year grace period to some insurers, allowing them to set higher limits, or no limit at all on some costs, in 2014.
..
Under the policy, many group health plans will be able to maintain separate out-of-pocket limits for benefits in 2014. As a result, a consumer may be required to pay $6,350 for doctors’ services and hospital care, and an additional $6,350 for prescription drugs under a plan administered by a pharmacy benefit manager.
..
The health law, signed more than three years ago by Mr. Obama, clearly established a single overall limit on out-of-pocket costs for each individual or family. But federal officials said that many insurers and employers needed more time to comply because they used separate companies to help administer major medical coverage and drug benefits, with separate limits on out-of-pocket costs.
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