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Don't be fooled on pre-existing conditions here are the facts and how it will affect you
People In Charge of Change ^ | 5/6/2017 | Jason Wisneiwski

Posted on 05/07/2017 1:33:44 PM PDT by taildragger

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To: DoodleDawg
And if your state chooses not to establish a high risk pool?

Move. It's overrun by liberal moonbats.

41 posted on 05/07/2017 5:35:10 PM PDT by ROCKLOBSTER (The fear of stark justice sends hot urine down their thighs.)
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To: semimojo
only 5 states had guaranteed issue

That's not GI. You don't want that. However, carriers generally honor each other's pre-x's.

42 posted on 05/07/2017 5:38:09 PM PDT by ROCKLOBSTER (The fear of stark justice sends hot urine down their thighs.)
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To: ican'tbelieveit
I basically have the catastrophic care option already. My employer provides a pre-tax HSA option and I put a hundred dollars a paycheck into it. Along with that, I have the insurance option where everything is 100% out of pocket until my full deductible is reached ($3,000 per individual). Then everything is 100% covered after that.

This also keeps my premiums much lower than if I chose a standard HMO option where just about everything is covered (after per-event co-payments).

43 posted on 05/07/2017 5:39:32 PM PDT by SamAdams76
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To: ROCKLOBSTER
Move. It's overrun by liberal moonbats.

Funny. I wouldn't have thought that establishing an expensive entitlement like a high-risk pool was a particularly Conservative act.

44 posted on 05/07/2017 5:40:37 PM PDT by DoodleDawg
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To: ROCKLOBSTER
That's not GI. You don't want that. However, carriers generally honor each other's pre-x's.

What?

So the carrier doesn't have to issue you a policy but if they do it can't cost more than the previous carrier charged?

Seriously?

45 posted on 05/07/2017 5:42:22 PM PDT by semimojo
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To: semimojo

I remember my husband quitting work in Texas to become self employed. I was pregnant at the time and bought Blue Cross and was told that I would be covered at the ‘group rate’ and I was. I had a high risk pregnancy and birth with a child in NICU and 60K in bills and it was all paid for. I remember something similar in PA, but that was a long time ago.


46 posted on 05/07/2017 5:45:09 PM PDT by sportutegrl
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To: CommerceComet
Reasonable state provisions for preexisting conditions, pre-Obamacare, may not be binding on other states.

Obama care supporters act as though this is the first time in forever when pre existing conditions were covered. Also, I support states' rights.

47 posted on 05/07/2017 5:48:54 PM PDT by sportutegrl
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To: sportutegrl
I remember my husband quitting work in Texas to become self employed. I was pregnant at the time and bought Blue Cross and was told that I would be covered at the ‘group rate’ and I was.

That's great. I know the Blues often didn't exclude pregnancy.

I was just a little surprised at your statement since in my experience TX wasn't really a state mandate kind of place.

48 posted on 05/07/2017 5:50:45 PM PDT by semimojo
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To: ROCKLOBSTER
Yes, see my post #43. I do already use an HSA in conjunction with the high deductible policy through my employer. Personally I think it's the way to go for everybody. You get lower premiums and with the HSA, you build up the funds to pay out of pocket. The reason I worded my earlier post the way I did was that I think this option should be available to everybody (I'm assuming not everybody has that option).

A lot of people get scared off with out-of-pocket and so prefer the HMO where everything is covered (with a nominal co-payment). However, the monthly premiums are much higher and if not subsidized by an employer, probably unaffordable to many. The HSA/out-of-pocket option is actually cheaper in the long run, especially if something catastrophic happens (because you are 100% covered after the deductible is paid).

49 posted on 05/07/2017 5:51:01 PM PDT by SamAdams76
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To: taildragger; All
"What happens to these people
if they allow their insurance to expire
and don’t new coverage in 63 days?....."




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50 posted on 05/07/2017 5:52:27 PM PDT by musicman (The future is just a collection of successive nows.)
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To: plain talk
the insurance model breaks down if people are allowed to game the system

This, I believe, was the point that Rush Limbaugh was trying to make on Thursday that we shouldn't call this insurance. In a sense, our healthcare problem is unsolvable with the idea of insurance as simple risk management. Allowances are going have to be made for those with preexisting conditions, particularly those which are not caused by their behaviors. To some degree, many people are going to pay more than their individual cost to cover the uninsured and the uninsurable.

51 posted on 05/07/2017 5:55:24 PM PDT by CommerceComet (Hillary: A unique blend of incompetence and corruption.)
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To: taildragger

Great post, thank you.


52 posted on 05/07/2017 6:05:56 PM PDT by Irish Eyes
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To: ican'tbelieveit
since my employer pays a portion of my healthcare, can we figure out a way to put that into an HSA that I can pull from?

Many employers offer an HSA in the benefit package as one of the coverage options. So it is possible.

53 posted on 05/07/2017 6:07:58 PM PDT by ROCKLOBSTER (The fear of stark justice sends hot urine down their thighs.)
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To: CommerceComet
Insurance has a social contract aspect that you seem to ignore.

I don't support mandatory insurance coverage.

54 posted on 05/07/2017 6:16:42 PM PDT by ROCKLOBSTER (The fear of stark justice sends hot urine down their thighs.)
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To: semimojo
So the carrier doesn't have to issue you a policy

Not if you don't qualify as insurable.

but if they do it can't cost more than the previous carrier charged?

Well I don't know about that. But they would cover the pre-x if the previous carrier did. (within their designated time frame)

55 posted on 05/07/2017 6:27:46 PM PDT by ROCKLOBSTER (The fear of stark justice sends hot urine down their thighs.)
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To: ROCKLOBSTER

Contribution amounts are limited. And most companies offer HSA for an employee to contribute to, but they do not contribute. Rather than them paying $10k a year into insurance I rarely use, put that money into an HSA.

My retirement medical costs would be well covered by that type of scenario.


56 posted on 05/07/2017 6:56:14 PM PDT by ican'tbelieveit
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To: ROCKLOBSTER
I would love a new rule that allows the self employed to utilize a personal HSA, which could then feed into a “health IRA” that allows annual rollovers.

Set aside funds when you are healthy to pay for deductibles when you are not. Then the $6,000 and $12,000 annual deductibles are not so scary, and catastrophic insurance becomes more common.

I use a health care ministry to insure our college age daughter. Her school has an affiliated hospital to train nurses and doctors, and campus clinics are basically free.

So she will likely never have a traditional health insurance claim, since all minor bruises and illnesses are very inexpensive. I can cover the deductible for a major event like an auto accident with savings before filing any sort of claim.

The unACA led to terrible insurance costs and deductibles if you didn't get a subsidy. One plan I saw offered a $12,000 family deductible and paid 70% after that, but cost minimum $1400 per month for a family.

Let's not pretend that the unACA truly helped anyone except:

Those families that could get a federal subsidy,
Insurance companies getting subsidies (at least until the feds stopped paying them),
Politicians that got campaign bribes to keep the system in place.

57 posted on 05/07/2017 6:59:21 PM PDT by texas booster (Join FreeRepublic's Folding@Home team (Team # 36120) Cure Alzheimer's!)
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To: CommerceComet
To some degree, many people are going to pay more than their individual cost to cover the uninsured and the uninsurable.

And Medicaid underpayment.

But that's already the case:

To the former, bad debt and charity care are the biggest cost drivers in provider charges. Of course they pass this on to the carriers and cash customers unless they object. (cost shifting)

Regarding uninsurables, if done properly through a wide-disperal assessment, it should cost each premium very little.

58 posted on 05/07/2017 7:30:51 PM PDT by ROCKLOBSTER (The fear of stark justice sends hot urine down their thighs.)
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To: texas booster
I would love a new rule that allows the self employed to utilize a personal HSA, which could then feed into a “health IRA” that allows annual rollovers.

From what I've heard, I believe you're going to see the rollover. Also, I also believe you can currently also use your HSA fund for retirement.

59 posted on 05/07/2017 7:40:33 PM PDT by ROCKLOBSTER (The fear of stark justice sends hot urine down their thighs.)
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To: amihow

What services did taking away Medicare dollars do to seniors and what will putting dollars back do pursuant to law?


They didn’t. The money taken was just made up by debt. This is part of how the debt doubled under Obama.

I do not know how it will be paid for, or if the U.S. will simply default one way or another.

We have been doing a kind of default with the “quantitative easing”. We have been paying debt by basically printing dollars electronically, as best I can determine.

We owe China hundreds of Billions. They demand payment, we ship them more electrons, totally recyclable, that shows they have been paid.

Theoretically, this should induce inflation, but we are not seeing anything like what the theorists would have predicted.


60 posted on 05/07/2017 7:57:55 PM PDT by marktwain (President Trump and his supporters are the Resistance. His opponents are the Reactionaries.)
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