Obamacare Cost-Sharing Reduction (CSR) Silver Plan Health Insurance

HealthPocket.com ^

[justlittleoleme]

For individuals and families whose income does not exceed 250% of the Federal Poverty Limit (FPL), there are special “cost-sharing reduction” versions of Obamacare plans. These cost-sharing reduction (CSR) health insurance plans reduce the out-of-pocket expenses enrollees pay toward deductibles, copayments, and coinsurance. Cost-sharing reductions do not apply to medical services not covered by the health plan. Services rendered by healthcare providers outside the CSR health plan’s network are typically not eligible for cost-sharing reductions.

Of the new Obamacare health insurance plans, only Silver Plans come in CSR versions. Bronze, Gold, and Platinum plans do not have cost-sharing reduction versions.

There are three different levels of Silver-CSR Plans. All are dependent on income eligibility. As the table below demonstrates, the lower the enrollee’s income, the higher the cost-sharing reductions the enrollee will receive.

[justlittleoleme]

For those of you that have friends or family who are loosing their insurance because of this law being put in place. This isn't being put out in the news anywhere or even really mentioned if you look at the policies listed on the exchange.

[RWGinger]

so who picks up the difference?

[justlittleoleme]

The taxpayer.. this is such a disaster.. unfortunately I have to go on the exchange. My wife has a few chronic illnesses an her insurance is dropping her coverage December 31st because of this law.

We are located in Missouri. We have a choice of a halfway affordable premium with Blue Cross, but only one of her several doctors are listed as being in network. OR Coventry which has all her doctors but cost twice the price.

[RWGinger]

yes the taxpayer

I am sorry for your wife’s illness and that is one area we must find a solution for when we create the new health care reform.

I admire that even with your issues you can see the harm with obamacare
and I hope your wife gets the care she needs

[justlittleoleme]

Thanks.

The sad thing is my wife had insurance before this law was enacted. But because of this law my wife will now either be uninsured which there is no way we could financially withstand or go on a plan on the exchange. There are no other options for us beyond a change of jobs where I can get insurance through an employer, and we are considering this seriously.

There is no good that will come from this law. I firmly believe its designed in a way to collapse the system where the only thing left is healthcare through the government.

I found the portion of the law that now covers this.
http://www.law.cornell.edu/uscode/text/42/18071

[RWGinger]

wow
did you read all that link?
apparently obamacare calls native americans Indians?

But I couldn’t find exactly where it mentions in that link that we the gov’t will pay the difference unless this is it

” Adjustment The Secretary shall adjust the out-of pocket [1] limits under paragraph (1) if necessary to ensure that such limits do not cause the respective actuarial values to exceed the levels specified in clause (i).

My Senator. Ted Cruz was eight if only more conservative would have listened

[goldstategop]

There’s Medicaid which is attractive because out of pocket costs are minimal - copays of $4 for doctors’ appointments and $1 for generic prescription drugs.

[goldstategop]

The out of pocket cost limits are not too different from what my old HMO - Kaiser Permanente - used to charge. When you reached your limit, customer service would give you an exemption for further payment. The $200 monthly premium for all covered services was quite reasonable back in the day.

[Organic Panic]

Haven’t you heard the great news. You are getting far suprior coverage. At least I have been told.

In all seriousness I am sorry for the situation you find yourself in. I am blessed with good health and had my catastrophic plan cancelled. I can’t imagine how hard it is when your wife has an existing illness.