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What's your health insurance situation?

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david n

Diamond
Joined
Apr 13, 2007
Location
Pillager, MN
Our current health ins co is dropping us. They are dissolving their entire health insurance arm of the company. $850/month. $4800 deductible. 100% coverage after deductible. We were happy with that. Another health insurance company is taking over my current company's clients. They are not a qualified health insurance provider under Obamacare so in one year from now they will also drop us. $1131/month. $5700 deductible. or $762/month. $10k deductible. 100% coverage after deductible. Cost more than or current Co, but doable. Bammycare for a bronze level plan is $874/month. $6K individual deuctible/$12k family deductible. 40/60 coverage after deductible. I don't qualify for any subsidies. Haven't priced the upper levels yet. So please tell me where I am getting something affordable? How many of you guys are in the same boat? (or don't realize you're in the same boat yet?)

Hopefully this doesn't get too political. I'd actually like to know what to expect with my health care situation.
 
We had a great plan that we were pretty happy with - family coverage was ~ $800 / month comprised of:

$200/month from employee paycheck
$600/month from employer contribution
$5000 deductible with $200/month contribution to HSA by employer making total deductible for employee at $2600,
no co-pay for doctors visits, 100% coverage after deductible
$10 co-pay for prescriptions

We got word last month that the employee trust that administered our plan was being shut down and we had to buy direct from our insurance company - new family rate is $1184 and now we have a co-pay for doctors visits.

That is a 48% increase . . . and sounds very similar to what you are experiencing . . .
 
My plan is getting more expensive year with worse coverage...................... I'm really confused because Obamacare was supposed to save me money??????
 
People listing examples of what they pay if they are buying it themselves direct need to list the age of the oldest person on the policy and the number of kids. Most insurance companies raise rates like crazy every 5 year jump.
30-34, 35-39, 40-44, 45-49, etc,etc.
 
''What's your health insurance situation?''

Fine thanks, The £2.70 or $4.32 (@$1.60 = £1) per week I pay in to the government scheme - can't beat it with a stick :stirthepot:
 
Mines probably going up about 25% for a close to similar plan to what I have now. Current plan will end at years end due to them joining the market place, wtf. Course this is if I can ever get an account made on the new site, stupid thing keeps having errors and won't let me.

I though Bama said if we liked our current healthcare we could keep it..........
 
Got curious went to my states exchange, put in the OP's info, 6 family members, adults 35 & 40. Even with an annual income of $100k, you still qualify for subsidies, a silver plan is $577mo
 
there are major taxes placed on privately held insurance in the new plan to subsidize the government exchange plans. hence all these increases are being passed onto the consumer. we really didn't think the insurance companies were going to slash the ceo's salary to cover the tax increase did we? I have insurance through my wife and she works in a hospital and her plan is going up as well. the only ones this new ACA health insurance seems to benefit is the ones who are destitute and not contributing to the economy or benefitting this country in any way.
 
Plans here (Northern CA) are about $200 a month cheaper (an older couple) for roughly the same coverage. That's without any sort of subsidy due to lower income.

Far as I can tell, states that wanted their exchanges to work seem to have exchanges that work. If you're in a state that doesn't much care to administer a plan -- and has fought it tooth and nail -- that might explain why your state's insurance companies are still getting every penny they can.

We're still a long way from breaking the strangle hold of insurance companies on 20% (down from 25%) of health care dollars. But the grip is just a bit weaker in states that are working on the issue -- and finally we have a situation where people won't get hurt, then lose their jobs or income (can't work hurt), then lose their insurance (no one would let them reinsure after Cobra was up), and finally go bankrupt in two or three years. They'll still need some money in the bank to pay for insurance (with lower top costs and higher life maximums) -- but they won't get stuck with million dollar bills and an insurance company that has abandoned them if in an accident, suffering cancer, etc.

Health insurance isn't there to pay for aspirin and Viagra IMO. It's more for those who draw a short straw in life -- but still want to be there for their kids, finish their lives, do meaningful work, etc. Precisely the kinds of people here who are likely to open and own their own shops.
 
I'm in the same state (MN) as the OP. We have an exchange set up here. Wife and I are about 51, both self employed, no kids. We have had BCBS for many years. This year it increased roughly 70%, the letter BCBS sent says it's due to the ACA and other increased costs. I looked on the exchange, and we make too much to get a subsidy, but little enough that our health insurance payment is a significant monthly expense for us. We can get slightly cheaper insurance on the exchange, but with a loss of benefits over what we have now. Plans on the exchange with similar benefits cost as much as we are currently paying. It doesn't really matter to me, as it looks like my Dr. is quitting anyhow, and I may have a hard time finding another Dr. that I like. He's actually gone to working a couple days a week until he sees how the Obamacare is working. If he likes how it works, he may stay on. If he doesn't, he's retiring. He's a great Dr., but I get the feeling that being a Doctor has changed over the years, and gotten to be less and less about the Dr. helping the patient.
 
Our company insurance is horrible. Has been for years. I pay $360/month, company pays $860~/month. They put $2000 into HRA account. Between my wife and I, and our 4 kids, that gets used up by May/June. Then it is out of pocket till we hit the deductible $2500/person, or $5000/max where they start paying 80% until you hit $8000, then they cover 100%. This past year, 1 kid went to get immunizations for school, 1 kid got strep throat, 1 kid got bronchitis and strep throat. I had 1 ER visit, and my youngest had 1 ER visit. I owe $3000 out of pocket currently.

I had called the BCBS of GA, and got a quote for $420/month for all of us. First 3 visits for each person is a $30 copay, ER max is $500. So under that plan, I would have owed $1120 out of pocket. And a total for premiums to $5040. As opposed to the current $14640 in premiums minus the $2000 HRA + the $3000 out of pocket.

I am sure all of that will change with the ACA though.
 
Please Tell

I am self employed, there for I pay Class II National Insurance - as per HM Revenue & Customs: Class 2 National Insurance contributions

Further Self employed N.I. & Income tax info - HM Revenue & Customs: Self-employed tax and National Insurance

On top of that my monthly medication (1 prescription - an expensive drug ) is £7.85 / $12.56.

There is ''limited'' dental care on our NHS

Eyes - glasses etc are private, but the very comprehensive eye test (had my yearly test done last week) is a Gov't subsidised fixed charge of £19.95 / $31.92

N.B. There are many exemptions to health charges, age, disability, income related etc etc etc.

Anything else you may want to know - have a dig here https://www.gov.uk/
 
My situation is excellent - and with NHS.

We also have private coverage - at 150€/month for two.
This includes dental.
I used to have insurance for diving included on my private insurance - national and private policies exclude it as a matter of course.

Likely I will add it at some point.
 
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