One big problem with O care is that covering those with pre existing conditions is not insurance, it is socialism. Insurance is supposed to be used to cover the risk that you might one day need expensive care. The pooled premiums paid by an underwritten group of policy holders were enough to cover the few who ended up getting sick and the excess served as profit and mandated reserves for the insurance company. By not allowing underwriting and forcing insurance companies to cover those who were already sick, actuarial tables, which are used to predict risk, are completely useless and it is impossible for a company to know what it's costs will be. They have no choice but to soak those of us who are carrying the dead weight.

They have messed it up so bad at this point they might as well make everything the medicare model. At least that works pretty well for the most part. We are already supplementing the poor with free coverage. This would allow those that can afford it to buy additional coverage such as a supplement or advantage plan.

 

A problem with this is that Hospitals and care providers, including doctors, cannot survive on what medicare or medicaid pay them. If we go that route, government will dictate what all of these professionals can possibly earn. Once government begins controlling what they can earn, and it will be far less than they make now, what incentive will they have to work in the field? Doctors are generally very smart folks. They will choose an alternate career path and we will no longer have the best and brightest in this field.

A problem with this is that Hospitals and care providers, including doctors, cannot survive on what medicare or medicaid pay them. If we go that route, government will dictate what all of these professionals can possibly earn. Once government begins controlling what they can earn, and it will be far less than they make now, what incentive will they have to work in the field? Doctors are generally very smart folks. They will choose an alternate career path and we will no longer have the best and brightest in this field.

That's a fair point. The cut is going to have to come from somewhere. I don't get paid the big bucks to figure this stuff out. There will be a breaking point to all this and it will be sooner rather than later. Middle class healthy family of 3 in their late 20's shouldn't be paying $500-$600 a month for a bronze level plan with a $13K family deductible.

Sidebar for a second, maybe one of you insurance peeps can answer this.

 

The other day at work they were passing out those 1095 forms or whatever they are that state you had insurance. Im not on the company insurance, but I still got one? Why?

Would be pretty funny to go back 3-6 years or further and bring back some threads on Obamacare . The resident liberals would look even more foolish , if that's possible.

Sidebar for a second, maybe one of you insurance peeps can answer this.

 

The other day at work they were passing out those 1095 forms or whatever they are that state you had insurance. Im not on the company insurance, but I still got one? Why?

 

I am guessing, but I bet that is for your company to show that they are in compliance with the mandate and for you to show that you are. Even 1040 EZ filers have to prove they have purchased a plan or face penalties.

I am guessing, but I bet that is for your company to show that they are in compliance with the mandate and for you to show that you are. Even 1040 EZ filers have to prove they have purchased a plan or face penalties.

 

Ok but I am NOT on the company insurance.

Would be pretty funny to go back 3-6 years or further and bring back some threads on Obamacare . The resident liberals would look even more foolish , if that's possible.

 

It is the idiots who voted for this crap that I hope are really hurting from the price increases. If you voted for Democrats, shut up and pay up. No complaining allowed from you. You are part of the problem.

Why didn't the dog owner pay for it?

 

Because it was my younger child's dog and it was really just a freak accident that she was bitten, plus the younger one has no money being a college student. Guess who did get to help pay for it though.:grumpy:

Sidebar for a second, maybe one of you insurance peeps can answer this.

 

The other day at work they were passing out those 1095 forms or whatever they are that state you had insurance. Im not on the company insurance, but I still got one? Why?

 

Especially if you work for a large employer (51+ employees), you may receive more than one 1095 form.

 

Here is the breakdown of who gets which form:

 

Form 1095-A, Health Insurance Marketplace Statement, is provided by the Marketplace to individuals who enrolled or who have enrolled a family member in health coverage through the Marketplace.

 

Form 1095-B, Health Coverage, is provided by insurance companies and other coverage providers. However, if your coverage was insurance purchased through the Marketplace or was a type of coverage referred to as “self-insured coverage” that was provided by an applicable large employer, you will receive a different form.

 

Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, is issued by applicable large employers to their full-time employees and, in some cases, to other employees.

 

As a precautionary measure, you may receive a 1095 form from a large employer, even if you waive your right to the company sponsored group insurance. If you do waive, you should get a 1095 form from the source where you are covered. If you were not covered in 2015, you will be fined as part of your tax refund/bill.

I have gone from having decent coverage to basically having major medical. While my share of the premium hasn't gone up drastically by co-pays have and I now have a deductible that I have to meet before any coverage kicks in and after that I'm still responsible for 20% of allowable charges.

 

But we've added how many to the insurance rolls that are paying little or nothing out of pocket.

 

Only the blindest, most non-objective person could say ObamaCare has been anything but a fiasco.

 

But hey, birth control pills are free.

If you are not now on Medicaid or if you do not qualify for a subsidy, you are almost certain to have significantly lesser insurance coverage than you had prior to the Affordable Care Act days.

 

Oh, and.......your premiums are probably greatly increased for your lesser coverage.

 

The exception to this would be someone who was being rated up by insurance companies due to a high cost condition, prior to the implementation of the Affordable Care Act.

I have gone from having decent coverage to basically having major medical. While my share of the premium hasn't gone up drastically by co-pays have and I now have a deductible that I have to meet before any coverage kicks in and after that I'm still responsible for 20% of allowable charges.

 

But we've added how many to the insurance rolls that are paying little or nothing out of pocket.

 

Only the blindest, most non-objective person could say ObamaCare has been anything but a fiasco.

 

But hey, birth control pills are free.

 

Don't forget many abortions are as well--Change you can believe in!!

If you are not now on Medicaid or if you do not qualify for a subsidy, you are almost certain to have significantly lesser insurance coverage than you had prior to the Affordable Care Act days.

 

Oh, and.......your premiums are probably greatly increased for your lesser coverage.

 

The exception to this would be someone who was being rated up by insurance companies due to a high cost condition, prior to the implementation of the Affordable Care Act.

 

Maybe the singular biggest joke of a name in the history of the US?? That or "The war on poverty"?

What are the fixes? One area where I believe Obamacare went wrong was the required coverages in policies. It seems like even the lowest level plan is one that would have been considered a Cadillac type policy pre-Obamacare. Am I right about that? Would allowing more freedom in policy design help?

 

I am still strongly in favor of required coverage for everyone. However, I think there should be a base policy that is a stop loss type of coverage. Then you can add options from there. That would make more affordable policies and prevent sick people from being forced into bankruptcy. That also would help companies provide coverage to employees without being forced to gimmick the system or even go out of business.