Just received notice about my 2016 health insurance premiums

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[h=1]Broken Promise: How to Fix the un-Affordable Care Act[/h] Congressman Mike Fitzpatrick
Nov 1, 2016

Last week, the Obama Administration reported that healthcare premiums for the benchmark plan under the Affordable Care Act (Obamacare) will increase by 25-percent next year. That’s three times higher than last year. And about one-in-five exchange customers will have access to only one insurer, reducing their choice and forcing families into precarious financial situations. The Affordable Care Act has decreased insurer competition and limited consumer choice.


Remember, President Obama claimed “this law means more choice, more competition, lower costs for millions of Americans.”
This broken promise comes as no surprise to the American public.


An August 2016 Rasmussen Reports survey found that 59 percent of likely American voters thought healthcare cost would go up under the new law. Only 9 percent expected costs to decrease—that’s the lowest finding since the law was passed in March 2010. As Americans learn more about the law, their expectations continue to decline.


Six years ago, we were warned by experts that the imbalance between sick people and healthy people covered under Obamacare would cause the program to quickly become insolvent. Last month, I wrote about large insurance companies pulling out of the Obamacare exchanges. The system under Obamacare began to bankrupt these companies, so they pulled out of the public marketplace.


Remember, President Obama stated “I will not sign a plan that adds one dime to our deficits—either now or in the future.”


Yet, House Democrats want to double down on this system and move to a public-option with the intention of eventually moving to a Medicare-for-All single-payer system. In order to make Obamacare work, they want to increase and expand subsidies. They want to pour tax money into a failed government-attempt to take over healthcare. This is their only option—their only way forward to save a program that was structurally flawed from the very beginning.


Pumping tax money into an unsustainable system is not the way. House Republicans have a better way. Speaker Ryan’s plan maintains the protections provided under the Affordable Care Act. Republicans are prepared to replace Obamacare with real, patient-centered solutions that protect families and their budgets. Our plan also makes it easier to take insurance from job to job. And for those without access to employer coverage, Medicare, or Medicaid, we offer a refundable tax credit to help buy health insurance in the individual market. The credit would be age-adjusted, so it grows as you get older.


We will expand health savings accounts so you can choose the care that’s best for you and your budget. By allowing health insurance to be sold across state lines, similar to auto insurance, we take a step towards making insurance more competitive and more broadly available.


We will give small businesses more leverage to negotiate better rates. Our plan allows for small businesses and individuals to band together through new pooling mechanisms to increasing purchasing power to attain lower rates. We want to shape a healthcare system that allows employers to reward employees for making healthy choices—that why we support wellness programs.


Speaker Ryan’s plan maintains the ACA protections, including protections for families with young people, by allowing unemployed young people to remain on their parent’s plan up to the age of 26.


The Affordable Care Act also protects patients with pre-existing conditions so that regardless of their health status they can never be denied coverage. It also offers a set of preventative services through network providers for patients, especially for women and children. Among preventative services are alcohol and drug assessments for adolescents, breast and cervical cancer screenings and treatment for women, and immunizations for adults.


While the protections and services from the Affordable Care Act have benefited many in our district, the underlying structure of the ACA faces severe sustainability problems. The premise behind the ACA assumed younger, healthier people would pay into the system to help older, sicker people. This thinking led many to wrongly state that Obamacare would not cost additional money. The law failed to take into account the behavior of young people, who opted out of Obamacare. As a result, the risk pool has more sick people requiring health service than healthy people to sustain the cost.


There is a better plan on the table that will help lower premiums, while putting you and your doctor at the center of care. In a nation that’s as large and diverse as ours, it does not make sense for a federal bureaucracy to dictate our healthcare options. If you like your healthcare plan, you should be able to keep your healthcare plan, period.
 

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We're getting closer now. We started with a person making $ 1,000,000 paying only $ 242 per month, now we're at a 35 year old (unstated income) paying $ 700 per month.

A 35-year-old with a million dollar income would be charged $242 per month in certain zip codes (and never more than $300 no matter where they live in the state), according to accesshealthct. Other places on the internet, such as therxforum.com may disagree. I would strongly encourage your clients to call the phone number listed, they'll have a great chance of getting their premiums lowered.

A 75-year old with the same income would be charged between $600 and $700 depending on zip code (but they wouldn't pay as they are medicare eligible). A 58-year-old would pay between $500 and $623 per month. Or more than $10,000 per year better for both you and your wife. Call and negotiate, anyone in Nevada who does that gets a deal close to or equal to whatever is posted online.
 

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Too many people use health insurance as homeowners insurance. That is a major problem. A free market system would solve that problem and most of the others. Unfortunately the insurance companies make sure we can never go in that direction.
I'm not sure what this means, I'm assuming it has a meaning that's not clear.

It means you would have no problem paying for routine care like doctors visits, drugs, and even the occasional ER visit (especially if you had an extra $15k from not paying for insurance). But if something unprecedented happened like cancer or Alzheimer's you would lose everything trying to pay for it, including all your savings and your house.
 

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A 35-year-old with a million dollar income would be charged $242 per month in certain zip codes (and never more than $300 no matter where they live in the state), according to accesshealthct. Other places on the internet, such as therxforum.com may disagree. I would strongly encourage your clients to call the phone number listed, they'll have a great chance of getting their premiums lowered.

A 75-year old with the same income would be charged between $600 and $700 depending on zip code (but they wouldn't pay as they are medicare eligible). A 58-year-old would pay between $500 and $623 per month. Or more than $10,000 per year better for both you and your wife. Call and negotiate, anyone in Nevada who does that gets a deal close to or equal to whatever is posted online.

not sure exactly what a 35 year old single male might pay, can't think of anyone in that demographic that buys his own insurance. But if he were to pay $ 242 through an exchange, then he could pay less outside of an exchange. Why on God's good earth do you think insurance companies charge less through an exchange if GOVERNMENT SUBSIDIES based on income don't apply? What laws of economics disappear within government exchanges? It's the same insurance companies selling the same version of one of their policies. Does the experience of the scores of millions of Americans mean anything to you? Do you think all the reporting from every corner of the country is wrong? seriously? My best guess is that you're fucking something up in your calculations. Why don't you tell me what a 58 year old couple would pay without any subsidies? that means with income as low as about 64k

Even putting in $ 1,000,000 of income as opposed to just $ 70,000 doesn't change the formula. If your income exceeds 400% of the poverty level, NO subsidies for you

just stop
 

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It means you would have no problem paying for routine care like doctors visits, drugs, and even the occasional ER visit (especially if you had an extra $15k from not paying for insurance). But if something unprecedented happened like cancer or Alzheimer's you would lose everything trying to pay for it, including all your savings and your house.

so my assumption about what you were trying to say was correct
 

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Why don't you tell me what a 58 year old couple would pay without any subsidies? that means with income as low as about 64k

I did. Plans as low as $14,952 per year, for a 58-year-old married couple in Connecticut, according to accesshealthct.com (that's in the most expensive zip codes, some areas the lowest plans are only $10,013 per year). Their phone number is 855-805-4325
 

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I did. Plans as low as $14,952 per year, for a 58-year-old married couple in Connecticut, according to accesshealthct.com (that's in the most expensive zip codes, some areas the lowest plans are only $10,013 per year). Their phone number is 855-805-4325

well, 15k is a lot more than $ 242 per month, is it not? 15k you're in the ballpark, 3k you're nowhere near reality. Now add in the 6k deductible, you're at 21k. Awfully close to my statements, but lets complete this discussion.

Do you know what the coverage is? When do co-pays kick in and at what %? What prescriptions are covered and how are they covered? Does it include eye-care? any dental? do you know what the additional costs might be if I want to tweek something here or there? why do you think you know what's best for me and my wife? can you custom tailor our plan for us? do you think "all plans are the same"? If so, why are people pissed about losing their "choices"?

maybe even more importantly, do you know about the headaches created and mistakes commonly made by bureaucratic exchanges? Do you know how many medical professionals are leaving the exchanges?

If exchanges are cheaper and of the same quality with the same coverage, why doesn't the whole country choose to use them? Why do labor unions insist on retaining their own plans for their members.

In post 15, how much did I say a couple had to pay if they didn't qualify for subsidies? 16k!!!!!, so I was off by a whopping 1k!!!!!! and I was going off the top of my head using memory by adding up what their monthly premiums were plus what additional premiums they had to pay with their tax return. Looks like I got this thing down pretty good, if I must say so myself.
 

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"Do you know what the coverage is? When do co-pays kick in and at what %? What prescriptions are covered and how are they covered?"

Exactly Willie. I'd rather keep Blue Cross and pay the extra $300 per month they just added then switch to something $100 dollars cheaper only to find out later my $8 prescriptions are now $60-$200 per month. Or my back specialist is third tier, or worse not even in their network.

I feel like I need to hire another specialist just to find out what my best options are here in Pa.

I will now be paying more money 3 years after I quit "Personal Choice" because it was becoming too expensive.
 

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Gentlemen, you can argue the price of health care till
you're blue in the face but 3 things are indisputable.

1. It costs more.
2. You get less coverage.
3. And Obama lied.
 

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