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OMG, it's going from bad to worse. One of the so-called "affordable" exchange plans is promoting itself as a PPO - with out of network benefits. Drill down, and you'll see they'll pay for 50% of out of network benefits only after you have met a separate deductible of $20,000! And that's for an individual - a family has a deductible of $40,000. Plus, they admit that they do not necessarily have every specialty in network, and you could be forced out-of-network. At the same time, a low-income person gets their insurance free, no premiums.....no deductible.....no co-pays. This entire legislation is a travesty - and seems to have been designed to demolish the middle class.
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When people say this, I always think they give too much credit to our legislature
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No one is paying that, dear. Why do trolls think people will buy their lies? We're not Russians, we don't fall for this sort of propaganda like you all do. |
| Which plan, specifically? |
Of course it's true. Calling me a troll doesn't change the facts. |
Please provide proof. |
Check out Innovation Health, in Virginia. Depending on the metal level, the "main" deductible (for in-network) varies, up to the $7000 max OOP. But if you look at the other column, for out-of-network benefits, it shows $20,000 ind/$40,000 family. |
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Our policy has a $13K family deductible. We're healthy and only see a doctor for annual physicals, so we prefer to keep our premiums low.
When I had surgery, I paid my $6K deductible using HSA money and the rest was covered. That's how I view insurance -- for the catastrophic costs. Obviously, it works for us because we can afford the $13K. Sounds like you need to choose a different policy. |
| I wouldn't even bother to pay for insurance at that point |
| Prior to the enactment of the ACA, many insurers offered private-market (non-employer sponsored) policies with high deductibles of $10,000 or $20,000, particularly for out-of-network services. The Government isn't forcing anyone to purchase this type of catastrophic care policy. |
Since you said "please," I'll do it. (It shows 2016..... Couldn't find a 2017 chart, but trust me when I say prices haven't gone down!) Go down to fourth row for the $20k individual deductible....$40k fsmily is a few lines lower. And THIS is what Obama calls affordable care? https://ih.innovation-health.com/Global/FileLib/Consumer_Business/CS07679_final_highres.pdf |
It's not catastrophic care. That's the deductible on silver plans! |
Just checked. There's a $20,000/$40,000 deductible on GOLD plans - the ones costing close to $1000 a month. This whole thing is such a joke. |
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What's the in network deductible?
I thought the point of PPO plans was you had to stay in network. Our PPO has a really high out if network deductible as well. We have to pay cash for our child's psychiatrist and psychologist, neither of whom take insurance at all. |
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I still say we need to blow up the whole system - get rid of insurance companies would be top on my list of what should happen next.
My insurance company's CEO makes 3X more than any other insurance company CEO - and they have screwed us out of tons of money this year and continue to deny claims for my child's therapy services that are necessary. There has to be a more sane way to deal with medical costs. |