“if they triple my coverage, then I will have no choice but to waive my 80/20 ( I pay 20% ) employer HMO insurance and go to an exchange”
What makes you think an exchange will be less expensive? It is, after all, a high risk pool... People will not need to sign up until they are sick.
Got involved with a gal at United Healthcare recently about benefits for someone in a high risk pool which, in essence, is a new type of exchange, who wanted to see one of my doctor clients.
Her words, “Be very careful. There are a whole lot of fingers in this pot and the supply of money available is very limited. When it’s gone, it’s gone and your doctor may end up not getting paid.”
So what we decided to do was to accept their insurance but they would have to pay the fee themselves up front of whatever the contract rate was for their service. Then if we get paid, we will refund the money. If not we won’t. Doc said if they cancel his contract because of this, “so be it”.