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Old 10-10-2013, 11:37 AM
 
Location: Barrington
63,919 posts, read 46,816,302 times
Reputation: 20675

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Quote:
Originally Posted by evilnewbie View Post
Starting in 2014, Cobra coverage is mandatory... you have to be insured even if you are fired, right?
COBRA became law in 1985.

If your employer offered group healthcare insurance and you lose your job, you may continue to participate in your former employer's group health care plan, without subsidy for a maximum of 18 months. . Most do not participate because of the associated costs, sans the employer subsidy.

In an ACA environment your unemployment does not relieve you of the responsibility to insure your healthcare risks. Likely, one will qualify for a subsidy.
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Old 10-10-2013, 11:38 AM
 
20,187 posts, read 23,885,537 times
Reputation: 9284
Quote:
Originally Posted by middle-aged mom View Post
My state's exchange is not functioning. Being a looky-loo ( I have group healthcare through my husband's employer) I went to the Illinois BCBS website to get a handle on what an individual policy would cost. I was pleasantly surprised compared to the rates, pre ACA.

No one is required to buy healthcare insurance off an exchange.

People will be required to report on their 2015 fiscal year tax filing ( submitted in 2016) whether or not they were insured in 2014. Open enrollment continues to March 32, 2014.

12/15/2013 is the deadline if one wants to be insured by 1/1/2014.
You can't get a subsidy without being on the exchange... and that is pretty much the only people going on the exchange... Open enrollment may continue but you have to have coverage on 1/1/2014... that 3/22/2014 date is pointless, that is just for enrolling...

That's weird that you went to BCBS site because I tried to go to Anthem BCBS and got a whole bunch of errors and couldn't get through...
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Old 10-10-2013, 11:39 AM
 
20,187 posts, read 23,885,537 times
Reputation: 9284
Quote:
Originally Posted by middle-aged mom View Post
COBRA became law in 1985.

If your employer offered group healthcare insurance and you lose your job, you may continue to participate in your former employer's group health care plan, without subsidy for a maximum of 18 months. . Most do not participate because of the associated costs, sans the employer subsidy.

In an ACA environment your unemployment does not relieve you of the responsibility to insure your healthcare risks. Likely, one will qualify for a subsidy.
The ACA requires you to be insured whether you have a job or not... losing a job requires you to be insured the day after losing your job... how many days can you be uninsured without being penalized?
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Old 10-10-2013, 11:44 AM
 
Location: Barrington
63,919 posts, read 46,816,302 times
Reputation: 20675
Quote:
Originally Posted by MTAtech View Post
There's a rule in Obamacare that limits out-of-pocket costs -- including deductibles and co-payments -- to $6,350 for individuals and $12,700 for families. Sounds simple enough.

But when the Obama administration went to implement the rule, it found it wasn't going to be that easy. Some insurers and employers lack the capacity to keep track of an individual's out-of-pocket health costs. They often use different companies to administer medical benefits and pharmaceutical benefits -- and those companies' computer systems don't speak to each other. Implementing the rule would require upgrading those systems -- and that takes time.

So, the Obama administration delayed the rule for certain insurers and employers until 2015.

There is no similar reason for the individual mandate.
The out of pocket includes vision and dental benefits, too.

Some major employers woke up a tad late in the game and realized they did not have a consolidated system to track all out of pocket expenses and asked for more time. As you say, there is no similar reason to delay the individual mandate.
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Old 10-10-2013, 11:46 AM
 
Location: Barrington
63,919 posts, read 46,816,302 times
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Quote:
Originally Posted by evilnewbie View Post
Uh... I don't believe it limits co-insurance rates which means bronze plans would have people pay 40% of the costs and in the silver plan, the people pay 30% of the costs after the deductibles...



The employers don't keep track of your deductible, your insurer's do and they have been doing that for the past several decades. This isn't new, this has existed when deductibles have been in place since forever. The delay for something that has been done for decades is really smokescreen.
It is not uncommon for there to be multiple group insurers involved with offering group healthcare, prescription meds, vision and dental care. Many employers self insure dental care because it's cheaper than buying a group policy.
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Old 10-10-2013, 11:50 AM
 
Location: Barrington
63,919 posts, read 46,816,302 times
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Quote:
Originally Posted by evilnewbie View Post
When they demand something is provided for you (mandate) and you don't pay all of it to have it (entitlement)...

You pay car insurance? What if the government said your neighbor had to pay it and not you...
A portion our premium covers uninsured drivers/autos. This includes if your car were stolen which becomes uninsured at the point of theft.
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Old 10-10-2013, 11:50 AM
 
20,187 posts, read 23,885,537 times
Reputation: 9284
Quote:
Originally Posted by middle-aged mom View Post
It is not uncommon for there to be multiple group insurers involved with offering group healthcare, prescription meds, vision and dental care. Many employers self insure dental care because it's cheaper than buying a group policy.
I have seen that in action already... sometimes the insurance will miss your payments, and all you have to do is provide proof that you paid for said items/services... there is already a system in place for that... don't tell me we have to delay it because we can't use the old system while the new system is being put into place...
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Old 10-10-2013, 11:51 AM
 
Location: Barrington
63,919 posts, read 46,816,302 times
Reputation: 20675
Quote:
Originally Posted by Goinback2011 View Post
If O were smart, he would use the shutdown to blame Republicans for having to delay the individual mandate. Since he would like to have the insurers go bust to implement single payer, this would accelerate that process plus he could blame Rs.

But apparently he and his advisors aren't bright enough to figure this out.
Again, what's the hurry? 3/31/2014 is the deadline to obtain insurance for 2014.
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Old 10-10-2013, 11:51 AM
 
20,187 posts, read 23,885,537 times
Reputation: 9284
Quote:
Originally Posted by middle-aged mom View Post
A portion our premium covers uninsured drivers/autos. This includes if your car were stolen which becomes uninsured at the point of theft.
Why are you quoting my post and the reply has nothing to do with mandates and entitlements which was what my post was about...
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Old 10-10-2013, 11:54 AM
 
4,176 posts, read 4,677,123 times
Reputation: 1672
Quote:
Originally Posted by middle-aged mom View Post
Again, what's the hurry? 3/31/2014 is the deadline to obtain insurance for 2014.
Actually, for some people, the real deadline is more like 2/15/2014:

Obamacare 101: Why the real deadline is Feb. 15
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