Register now !    Login  
Main Menu
Who's Online
53 user(s) are online (34 user(s) are browsing Message Forum)

Members: 1
Guests: 52

fraulein, more...




Browsing this Thread:   1 Anonymous Users




« 1 (2)


Re: Getting the most out of ObamaCare
#22
Home away from home
Home away from home


Hide User information
Joined:
2009/5/12 18:51
Group:
Registered Users
Posts: 1202
Offline
Bingo... that is why the democrats built a process doomed to fail... there aren't enough people to support mandatory tax! Most unions and large companies got waivers not to participate because then their "Cadillac" health plans would pay penalties for being better than what are on the exchanges. Using Executive Orders, Obama has stopped full implementation of the ACA law on businesses. Insurance companies don't care because after we buy our healthcare, private or public, taxpayer money will be spent to ensure they do not lose money for being part of ACA. You have to implement the law to really see what's in it.


Quote:

hero69 wrote:
i wonder how long it will be before all corporationsstop offering healthcare insurance for all employees and force everyone (except high level executives and some union members) onto obamacare

http://www.marketwatch.com/story/say- ... alth-insurance-2015-03-17

Posted on: 2015/4/5 12:46
Print Top


Re: Getting the most out of ObamaCare
#21
Home away from home
Home away from home


Hide User information
Joined:
2004/11/13 21:38
Group:
Registered Users
Posts: 3263
Offline
i wonder how long it will be before all corporationsstop offering healthcare insurance for all employees and force everyone (except high level executives and some union members) onto obamacare

http://www.marketwatch.com/story/say- ... alth-insurance-2015-03-17

Posted on: 2015/4/5 11:09
Print Top


Re: Getting the most out of ObamaCare
#20
Home away from home
Home away from home


Hide User information
Joined:
2004/11/13 21:38
Group:
Registered Users
Posts: 3263
Offline
Republicans have a great replan to replace obamacare. They would provide tax credits and greater leeway for states and health insurers

Just how dumb are the Republicans...odumbo is not the dumb one.

http://www.marketwatch.com/story/repu ... placement-plan-2015-02-05

Posted on: 2015/2/5 23:06
Print Top


Re: Getting the most out of ObamaCare
#19
Home away from home
Home away from home


Hide User information
Joined:
2005/8/6 19:41
Group:
Registered Users
Posts: 481
Offline

Posted on: 2014/12/18 15:58
Print Top


Re: Getting the most out of ObamaCare
#18
Home away from home
Home away from home


Hide User information
Joined:
2005/6/7 23:24
From New Urbanist Area
Group:
Registered Users
Posts: 1174
Offline
Yes, you are mistaken. Read the article, and the chart, a bit more closely.

Posted on: 2014/12/9 10:11
Print Top


Re: Getting the most out of ObamaCare
#17
Home away from home
Home away from home


Hide User information
Joined:
2011/5/28 23:09
Group:
Registered Users
Posts: 692
Offline
Quote:

user1111 wrote:
It hasn't been at the top of the conversation about Obamacare, but new evidence suggests that yet another piece of the law is working exactly as it's supposed to.
...
A new report from federal health officials, which concludes that health spending had grown at a historically slow rate in 2013, says the so-called MLR provision is helping drive the broader easing of spending growth in the industry.


Yes, a new report from the same most trustworthy officials who inflated the number of enrollments right before the elections.

In any case, here is a picture from Washington Post that shows the growth rates. Now, unless I am mistaken from this graph we can conclude that rates started slowing in 1990, then there was no change in 1993-1998, then rates briefly went up in 1998-2001, and then the rates have been going down till 2009 and then it's like a flat line.

Now... Which one of those changes is due to the most glorious miracle that is obamacare?

Resized Image



Posted on: 2014/12/9 10:01
Print Top


Re: Getting the most out of ObamaCare
#16
Home away from home
Home away from home


Hide User information
Joined:
2012/1/11 13:21
From GV Bayside Park
Group:
Registered Users
Posts: 4847
Offline
It hasn't been at the top of the conversation about Obamacare, but new evidence suggests that yet another piece of the law is working exactly as it's supposed to.

A key provision of the Affordable Care Act that was designed to keep insurers from overspending on administrative costs or else be forced to rebate premiums to customers looks to be succeeding in not only reducing those costs but in lowering premiums.

A new report from federal health officials, which concludes that health spending had grown at a historically slow rate in 2013, says the so-called MLR provision is helping drive the broader easing of spending growth in the industry.

The medical-loss-ratio requirement mandates that insurance companies spend at least 80 percent of premiums on actual health benefits. It is one of the various provisions intended to help shape the behavior of insurance companies, making the market more efficient and cost-effective for consumers. Administrative costs are kept down, meaning that more of people's money is going to real care.

"The medical loss ratio requirement and rate review mandated by the ACA put downward pressure on premium growth," officials from the federal Centers for Medicare and Medicaid Services wrote in their report. Overall private insurance spending, of which premiums are a part, grew at a 2.8-percent rate -- the lowest since at least 2007.

As Larry Levitt, vice president at the non-partisan Kaiser Family Foundation, put it to TPM in an email: "That is how it's intended to work."

If insurers don't meet the MLR requirement, then insurers must pay a rebate to their customers. But the intention was that it would drive premiums down, to the level needed to cover actual care. The rebates were just a means of enforcing it, and the companies seem to be responding.

"This requirement put downward pressure on premiums annually by encouraging plans to lower the net cost of insurance (the difference between premiums and benefits) or all non-benefit spending," Micah Hartman, a CMS actuary who helped write the new report, told TPM in an email. "The net cost of insurance includes all spending for administrative costs as well as taxes and underwriting gains and losses."

It is one of the law's provisions meant to bring health care costs under control, and the findings from last week's report suggests that it is working -- even more than some top policy wonks like Levitt anticipated.

"I think it has had a substantial downward effect on premium growth, frankly more than I expected when the health law passed," Levitt said. A year ago, the group examined MLR's effect and estimated that consumers collectively saved as much as $2.8 billion in premiums in 2011 and 2012.

The CMS officials did not attempt to quantify MLR's impact in 2013, Hartman said, "because the ACA has been in effect since 2010 and it has become increasingly difficult to estimate what health care spending would have been in 2013 absent the ACA."

But last year looks like a continuation of the trend. Hartman said that insurers have started to build the MLR provision into their premiums, driving them down, rather than have to pay rebates to consumers for not meeting the requirement.

"It’s more competitive for plans to build reduced cost structures into their premiums rather than rebating amounts after the fact," he explained.

The latest findings reflect a real and intended change in insurers' behavior, Levitt said, though the MLR has, like most of the law, been subjected to repeal bills from House Republicans.

"Initially, insurers gave consumers rebates because many of them didn’t meet the medical loss ratio thresholds," Levitt said. "But, then they started to get the message and just keep premiums down to begin with."

Posted on: 2014/12/9 8:00
Print Top


Re: Getting the most out of ObamaCare
#15
Home away from home
Home away from home


Hide User information
Joined:
2004/11/13 21:38
Group:
Registered Users
Posts: 3263
Offline
damn, maybe one should i just overseas for medical procedures.

http://www.huffingtonpost.com/suzan-h ... ncid=txtlnkusaolp00000592

Posted on: 2014/11/25 23:16
Print Top


Re: Getting the most out of ObamaCare
#14
Home away from home
Home away from home


Hide User information
Joined:
2004/11/13 21:38
Group:
Registered Users
Posts: 3263
Offline
Someone in JC gets a mention in an article about controlling health care costs

http://www.marketwatch.com/story/heal ... ?mod=MW_story_latest_news

Posted on: 2014/11/21 10:59
Print Top


Re: Getting the most out of ObamaCare
#13
Just can't stay away
Just can't stay away


Hide User information
Joined:
2011/4/13 19:21
Group:
Registered Users
Posts: 77
Offline
Quote:

IronicSupplement wrote:
Do any of you use Horizon Blue Cross or Oxford, and would you recommend them? I'm looking for a competent, reasonably responsive carrier that serves New Jersey.

I've been paying AmeriHealth for the past year, but I can't stand them. Their customer service is the worst I've ever experienced. At the moment, they're trying to deny me coverage for a hernia operation, which is frustrating. But every experience with AmeriHealth has been frustrating - even the simple act of paying a bill over the phone has taken more than an hour.
Most important is their in-network coverage. HorizonBC has a healthy list of participants. You get what you pay for and it seems they must pay the providers fairly.

Posted on: 2014/11/19 23:13
Print Top


Re: Getting the most out of ObamaCare
#12
Quite a regular
Quite a regular


Hide User information
Joined:
2009/12/11 18:51
Group:
Registered Users
Posts: 54
Offline
Do any of you use Horizon Blue Cross or Oxford, and would you recommend them? I'm looking for a competent, reasonably responsive carrier that serves New Jersey.

I've been paying AmeriHealth for the past year, but I can't stand them. Their customer service is the worst I've ever experienced. At the moment, they're trying to deny me coverage for a hernia operation, which is frustrating. But every experience with AmeriHealth has been frustrating - even the simple act of paying a bill over the phone has taken more than an hour.

Posted on: 2014/11/19 16:23
Print Top


Re: Getting the most out of ObamaCare
#11
Home away from home
Home away from home


Hide User information
Joined:
2004/11/13 21:38
Group:
Registered Users
Posts: 3263
Offline
thanks for info on fsa/hsa. i will have to look into this further.

since i had some downtime, i was playing with the obamacare website, and those making under $25,000 get some nice deductions (about $280 per month). those making $35,000 get about $144. at $15,0000, one can apply for medicaid and the subsdies end at $46,000.

Posted on: 2014/11/19 11:10
Print Top


Re: Getting the most out of ObamaCare
#10
Home away from home
Home away from home


Hide User information
Joined:
2010/8/16 21:45
Group:
Registered Users
Posts: 2973
Offline
The kind of strategy I'd recommend is go with a high-deductible plan if you're young or healthy, but put away a couple of thousand a year (for a few years at least) into a HSA for incidental expenses and emergencies.

After a few years you'll have enough of a nest egg to cover any deductible/co-pay.

If you are nearing retirement - max out a contributions to a HSA if you can afford it. It's one way of adding to your retirement funds.

Posted on: 2014/11/18 13:35
Print Top


Re: Getting the most out of ObamaCare
#9
Home away from home
Home away from home


Hide User information
Joined:
2010/8/16 21:45
Group:
Registered Users
Posts: 2973
Offline
Quote:

hero69 wrote:
i guess i can see how the hsa would make sense for dental and vision if i drop these plans, but isn't it dicey for other medical things since the monies deposited into hsa are non-refundable. i remember a ciolleague splurging on some fancy glasses that he didn't even want so that he would get some benefit from money left in hsa at year-end


Thats a medical FSA - use it or lose it.

HSAs are different - you get to keep the money. You can think of a HSA like a 401k/IRA. It has huge tax advantages long term and pretty much halves any medical bills you have to pay.


http://www.hsacenter.com/what-is-hsa.html

http://www.forbes.com/sites/ashleaebe ... o-cut-your-2012-tax-bill/

HSAs come with a unique triple tax benefit: you sock away money pretax, it grows tax free, and when you take money out to pay for medical expenses, it comes out tax free. You can use HSA money to pay current medical bills or leave it growing tax free and use it tax free for uncovered medical and dental expenses in retirement.

Posted on: 2014/11/18 13:20
Print Top


Re: Getting the most out of ObamaCare
#8
Home away from home
Home away from home


Hide User information
Joined:
2013/3/29 17:43
From Bergen Hill
Group:
Registered Users
Posts: 1832
Offline
Quote:

hero69 wrote:
i guess i can see how the hsa would make sense for dental and vision if i drop these plans, but isn't it dicey for other medical things since the monies deposited into hsa are non-refundable. i remember a ciolleague splurging on some fancy glasses that he didn't even want so that he would get some benefit from money left in hsa at year-end

That isn't the HSA plan. HSA carries over year after year.

Posted on: 2014/11/18 13:17
Dos A Cero
Print Top


Re: Getting the most out of ObamaCare
#7
Home away from home
Home away from home


Hide User information
Joined:
2004/11/13 21:38
Group:
Registered Users
Posts: 3263
Offline
i guess i can see how the hsa would make sense for dental and vision if i drop these plans, but isn't it dicey for other medical things since the monies deposited into hsa are non-refundable. i remember a ciolleague splurging on some fancy glasses that he didn't even want so that he would get some benefit from money left in hsa at year-end

Posted on: 2014/11/18 13:05
Print Top


Re: Getting the most out of ObamaCare
#6
Home away from home
Home away from home


Hide User information
Joined:
2010/8/16 21:45
Group:
Registered Users
Posts: 2973
Offline
The smart move for many people is to go with a high-deductible plan, but contribute to a HSA.

Posted on: 2014/11/18 12:55
Print Top


Re: Getting the most out of ObamaCare
#5
Home away from home
Home away from home


Hide User information
Joined:
2004/11/13 21:38
Group:
Registered Users
Posts: 3263
Offline
maybe i'm obsessed with saving money, or maybe i am just crazy. but i am wondering if i should keep my vision and dental plans and just pay out of pocket. we pay $44 per month (or $540 per year) but we could just walk in and pay $20 -$40 per cleaning. besides, there have been years when i have stupidly skipped going to the dentist altogether becuase i'm lazy.

now, we pay $20 per month for vsision, but i also question the usefulness of this. why not just go to walmart or bj's.

as for medical insurance, i see that my deductible is $3700 with $20 co-pay to go the dr, but now i see why i get billed for every single freakin' test. and the doctors says my plan is like a gold plan under Obamacare which is surprising because i could walk into an urgent care clinic in manhattan and pay $125 to see a dr. which beats the $125 a month i pay toward my medical insurance which begs the question is corporate provided health isnurance the best option if one can cover the small costs, but not catastrophic costs (say above $5,000)?

Posted on: 2014/11/18 11:23
Print Top


Re: Getting the most out of ObamaCare
#4
Home away from home
Home away from home


Hide User information
Joined:
2010/8/16 21:45
Group:
Registered Users
Posts: 2973
Offline

Posted on: 2014/11/17 18:24
Print Top


Re: Getting the most out of ObamaCare
#3
Home away from home
Home away from home


Hide User information
Joined:
2004/11/13 21:38
Group:
Registered Users
Posts: 3263
Offline
interestin article from marketwatch, talking about wide variation in costs for same thing across different providers

http://www.marketwatch.com/story/why- ... 2014-11-17?dist=afterbell

this makes me think of the time i had to pay $200 for a prescription even after express scripts paid its portion. same price at rite aid and target. then i told the dr, and he told me that i could get the same drug for $62 all-in with express scripts paying nada at the clinic's onsite pharmacy

Posted on: 2014/11/17 17:13
Print Top


Re: Getting the most out of ObamaCare
#2
Home away from home
Home away from home


Hide User information
Joined:
2012/8/6 18:56
Group:
Registered Users
Posts: 795
Offline
Quote:

hero69 wrote:
1. There appear to be greater variety of health plans in NY than NJ? NY also has a catastrophic option? Why doesn't NJ/the federal plan?

The low-end Bronze plans are pretty close to "catastrophic."

The ACA doesn't offer a "catastrophic" classification. If any such plans still exist, they're outside the Exchanges. Most catastrophic plans were too crappy to meet the ACA guidelines.

There are no "federal options." Every plan is state-by-state.


Quote:
2. The NY plans appear to be much cheaper than theNJ/federal options?

Prices vary by state, county, age, number of people on the plan, and so forth.


Quote:
3) If one has sizeable assets and can afford to pay for routine doctor's visits, is it better to take the bronze plan?

I for one don't give financial advice over the Internet. ;)

You might want to talk to a navigator.


Quote:
4) if a participant gets sick in Caliifornia, will insurance cover costs in california? does it have to be in or out of network? what about illness overseas?

Emergency rooms should be covered. Otherwise, it's classified as out of network.


Quote:
5) if one has a 2nd home in another state with more affordable plans, say illinois or massachusetts, can one apply for health isnurance from that state?

I believe it's based on what state is your official residence for federal tax purposes. Not 100% sure.

Posted on: 2014/11/17 11:10
Print Top


Getting the most out of ObamaCare
#1
Home away from home
Home away from home


Hide User information
Joined:
2004/11/13 21:38
Group:
Registered Users
Posts: 3263
Offline
So, some friends and i were looking at the different plans under ObamaCare for both Hudson County and Manhattan and came away with the following observations/questions. Anyone welcome to provide useful feedback.

1. There appear to be greater variety of health plans in NY than NJ? NY also has a catastrophic option? Why doesn't NJ/the federal plan?

2. The NY plans appear to be much cheaper than theNJ/federal options?

3) If one has sizeable assets and can afford to pay for routine doctor's visits, is it better to take the bronze plan?

4) if a participant gets sick in Caliifornia, will insurance cover costs in california? does it have to be in or out of network? what about illness overseas?

5) if one has a 2nd home in another state with more affordable plans, say illinois or massachusetts, can one apply for health isnurance from that state?


i'm sure we all have lots of questions and i hope we can help educae each other

Posted on: 2014/11/17 10:36
Print Top




« 1 (2)




[Advanced Search]





Login
Username:

Password:

remember me

Lost Password?

Register now!



LicenseInformation | AboutUs | PrivacyPolicy | Faq | Contact


JERSEY CITY LIST - News & Reviews - Jersey City, NJ - Copyright 2004 - 2017