As Predicted: Obamacare Has Higher Than Average Out of Pocket Costs

Quote

Originally posted by: forkushV
malibber, good news! I've come across some Indiana based rates, and an Indianapolis family of four with an income of $50,000, for the Bronze program will pay:

$11.00 per month for ObamaCare.

And obviously, that's regardless of the pre-existing conditions of any of the four family members. For silver, it would be $282 for someone making $50k, and $1,011 for a family with income greater than 400% of the poverty level. And everyone is free to buy their own insurance outside the marketplace if they choose.

And a single 27-year-old earning $50,000-per-year, for the Lowest Bronze Program will pay:

$204.00 per month for Obamacare.

What a deal!

Oh, wait, . . .that's not much of a deal. How is it possible for a 27-year old to be paying over 18-times as much as a family of 4, . . . for the same coverage?

So what's their total out of pocket including co-insurance, and co-pays assuming someone in the family is going to force them to max out on out of pocket every year? My article says 1,500 to 5k upfront deductibles for the Silver Plan what is the upfront for a Bronze?

It doesn't really matter how cheap the premiums are if the upfront is unaffordable. Say with that 50k income they get hit with that big 5k deductible up front (10% of their yearly gross income btw) they won't seek any treatment for their conditions until it becomes an emergency room situation. In other words insurance is worthless to someone that can't afford to use it.



Quote

Originally posted by: forkushV
malibber, good news! I've come across some Indiana based rates, and an Indianapolis family of four with an income of $50,000, for the Bronze program will pay:

$11.00 per month for ObamaCare.

And obviously, that's regardless of the pre-existing conditions of any of the four family members. For silver, it would be $282 for someone making $50k, and $1,011 for a family with income greater than 400% of the poverty level. And everyone is free to buy their own insurance outside the marketplace if they choose.

And between co-pays and out-of-pocket rules, bronze covers about 60% of costs on an actuarial basis, silver is 70%. And if the insurance company turns out to pay less than anticipated in benefits, they will send you a rebate check. Over 8 million people received them this year.


Quote

Originally posted by: DonDiego
Quote

Originally posted by: forkushV
malibber, good news! I've come across some Indiana based rates, and an Indianapolis family of four with an income of $50,000, for the Bronze program will pay:

$11.00 per month for ObamaCare.

And obviously, that's regardless of the pre-existing conditions of any of the four family members. For silver, it would be $282 for someone making $50k, and $1,011 for a family with income greater than 400% of the poverty level. And everyone is free to buy their own insurance outside the marketplace if they choose.

And a single 27-year-old earning $50,000-per-year, for the Lowest Bronze Program will pay:

$204.00 per month for Obamacare.

What a deal!

Oh, wait, . . .that's not much of a deal. How is it possible for a 27-year old to be paying over 18-times as much as a family of 4, . . . for the same coverage?
Because lower ACA subsidies. A single person making $50,000 has A LOT more spending money than a family of four making the same.

Seriously, you didn't know that?
Because young folks are the designated patsies of Obama care. Again if it was so good O wouldn't have to go out and sell it to young folks they would be lining up to buy it.

$204 a month for a Chevy Malibu If I was young man I'd rather spend that money on drugs, alcohol and girls.



Quote

Originally posted by: DonDiego
Quote

Originally posted by: forkushV
malibber, good news! I've come across some Indiana based rates, and an Indianapolis family of four with an income of $50,000, for the Bronze program will pay:



$11.00 per month for ObamaCare.

And obviously, that's regardless of the pre-existing conditions of any of the four family members. For silver, it would be $282 for someone making $50k, and $1,011 for a family with income greater than 400% of the poverty level. And everyone is free to buy their own insurance outside the marketplace if they choose.

And a single 27-year-old earning $50,000-per-year, for the Lowest Bronze Program will pay:

$204.00 per month for Obamacare.

What a deal!

Oh, wait, . . .that's not much of a deal. How is it possible for a 27-year old to be paying over 18-times as much as a family of 4, . . . for the same coverage?



Quote

Originally posted by: forkushV
Because lower ACA subsidies. A single person making $50,000 has A LOT more spending money than a family of four making the same.

Seriously, you didn't know that?

Seriously, DonDiego did know. He just wanted forkushV to document it.
[It's in Table 2: Premiums and Qualified Health Plan Choices, 36 States (Largest City in State) of forkushv"s ASPE link : "After tax credits, bronze premiums for a family of four may be below those for a single individual. This occurs because the tax credit is calculated as the difference between the cost of the second lowest cost silver plan premium and the maximum payment amount determined by income. Because premiums for older individuals and families are higher than those for younger individuals, tax credits are larger for older individuals and families. Therefore, using tax credits to purchase a bronze plan may yield lower bronze premiums for older individuals and families than for younger individuals."]

But, but, . . . didn't insurance premiums used to be based on things like age and health risks, not "spending money". So this "insurance" is based on, . . . what? . . . redistribution of income?
[See, . . . DonDiego wanted forkushV to bring up redistribution of income; When DonDiego says stuff like that readers just think he's a right wing nut job.]

Quote

Originally posted by: malibber2
Because young folks are the designated patsies of Obama care. Again if it was so good O wouldn't have to go out and sell it to young folks they would be lining up to buy it.

. . . If I was young man I'd rather spend that money on drugs, alcohol and girls.

Ahh, . . . DonDiego is beginning to get the picture:

i. The benevolent Goverment decides young persons should spend over 18-times what a family-of-4 earning the same income spends on health insurance.

ii. And actually they'll be better for it, because they cannot spend it on amusements like drugs, alcohol, and girls. (DonDiego is sorry that the largesse once distributed by young men on young girls is destined to suffer a significant reduction. DonDiego wonders if young women realize what Obamacare means to their social lives.) Of course they cannot spend it on less dissolute entertainments or further education or to support their own aged parents or their church or other charities or anything else either; it's no longer their choice.

iii. And the Government gets to redistribute income, . . . or, as Vladimir Lenin used to say: "From each according to their 'spending money earnings' to each according to their 'health insurance premium expenses'."

It's sorta like them win-win-win situations, . . . at least for the Government and those to whom the Government distributes the money, . . . not so much for successful young people.



Lenin never said that.
Quote

Originally posted by: DonDiego
...And the Government gets to redistribute income, . . . or, as Vladimir Lenin used to say: "From each according to their 'spending money earnings' to each according to their 'health insurance premium expenses'."...
Lenin? Really?

DonDiego should be calling out politicians who have actually advocated for mandated national health insurance - like Mitt Romney, Chuck Grassley, and Bob Dole. And if he has problem with charging people for their health care according to their means, he should call out Republican House Speaker John Boehner, who wants to do just that with Medicare.

Or he can just yell Communism and self-identify himself as a right wing nut.
I consider myself blessed by the fact that my wife and daughter both work in the insurance field and I have never had to EVER concern myself with anything remotely dealing with anything that had the word insurance in it. I can think of NOTHING more confusing than a medical insurance policy.

With that in mind I will say this, and ONLY this about Obamacare. My wife is a college grad with 36 years experience in the field. She has held many positions in her long career including claim exaiminer, adjuster, supervisor, Officer Mgr, etc. Currently she holds the title of Financial Advisor. Its her job to know these policies inside and out. My daughter deals exclusively with the government stuff. A specialist, if you will.

The daughter was visiting the other day and the two of them began talking shop and of course Obamacare was the main topic of discussion. My daughter felt the only thing to do was move to Canada. My wife said she would drive!

This half joke was from two people who know what they are talking about. They don't just read the hand-outs. They are the ones dealing with it. My wife sits in on the executive meetings on how to deal with this shit.

Good luck everyone. Its not the great deal you think it is.
Quote

Originally posted by: nemesis
I consider myself blessed by the fact that my wife and daughter both work in the insurance field and I have never had to EVER concern myself with anything remotely dealing with anything that had the word insurance in it. I can think of NOTHING more confusing than a medical insurance policy.

With that in mind I will say this, and ONLY this about Obamacare. My wife is a college grad with 36 years experience in the field. She has held many positions in her long career including claim exaiminer, adjuster, supervisor, Officer Mgr, etc. Currently she holds the title of Financial Advisor. Its her job to know these policies inside and out. My daughter deals exclusively with the government stuff. A specialist, if you will.

The daughter was visiting the other day and the two of them began talking shop and of course Obamacare was the main topic of discussion. My daughter felt the only thing to do was move to Canada. My wife said she would drive!

This half joke was from two people who know what they are talking about. They don't just read the hand-outs. They are the ones dealing with it. My wife sits in on the executive meetings on how to deal with this shit.

Good luck everyone. Its not the great deal you think it is.


I think I trust Nemesis more than our President, Harry Reid, and Nancy Pelosi. But that's just me.


Quote

Originally posted by: DonDiego
It's sorta like them win-win-win situations, . . . at least for the Government and those to whom the Government distributes the money, . . . not so much for successful young people.


The overwhelming majority of successful young people will not be getting health insurance through the individual exchanges. Most careers paying 50k will also include employer paid health benefits.

But I'm sure there will be anecdotes of people that fit the profile Don Diego presents. Just like there were anecdotes of people getting short changed in the previous system: consider a successful, young man with diabetes being unable to buy any insurance despite having the means, for example.

Serious, objective critics will judge the law on its statistical improvements (or lack thereof) accross a broad array of quality metrics. It wont be judged on the basis of one'sies and two'sies of people who fell through the cracks. But I do predict that will continue to be the nature of the discussion from critics on this board.

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