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re: So I got my letter from Blue Cross/Blue Shield of Al today for 2016

Posted on 11/5/15 at 8:24 am to
Posted by deltaland
Member since Mar 2011
90621 posts
Posted on 11/5/15 at 8:24 am to
You have to pay your fair share so someone who is a poet or a street artist can have good healthcare for free and pursue their right of life, liberty and happiness without being held back by a job they don't want. It's their constitutional right. Why do you hate freedom?
Posted by JustGetItRight
Member since Jan 2012
15712 posts
Posted on 11/5/15 at 8:24 am to
quote:

Or Medicare, which has very favorable reviews from its users.


Medicare quality is being supported through those insurance-paying customers you want to eliminate.

It doesn't pay nearly enough for providers to survive and provide quality care, so it is defacto subsidized by the rest of us. Even with that subsidy, there have been reports of more and more doctors refusing to accept medicare patients because of low reimbursement rates. New reporting requirements went into effect this year so we'll see just how pervasive this might actually be.

Eliminate private insurance and one of two things happen - either care quality bottoms out because providers can't afford to continue at the low rates or costs blast through the roof.
Posted by The Spleen
Member since Dec 2010
38865 posts
Posted on 11/5/15 at 8:36 am to
quote:

Eliminate private insurance



Well, I don't favor fully eliminating private insurance. I think there should be a system where private insurance picks up the tab for some, and a single payer picks it up for some. I think the best scenario is single payer for catastrophic care, hospitalizations, major surgeries, long term cancer care, etc., while private insurance covers routine, everyday care.
Posted by hogminer
Bella Vista, AR.
Member since Apr 2010
9642 posts
Posted on 11/5/15 at 8:37 am to
quote:

The guys with family plans were screwed either way


Amen.

I've been eligible for VA healthcare that I havent taken advantage of for 23 years but I will this year.
Posted by MasCervezas
Ocean Springs
Member since Jul 2013
7958 posts
Posted on 11/5/15 at 8:50 am to
our premiums and deductibles are up for the 2nd year in a row.

Thank you so much, Barack
Posted by Duke
Twin Lakes, CO
Member since Jan 2008
35623 posts
Posted on 11/5/15 at 10:49 am to
Who would have thought forcing insurance to take pre-existing conditions and not having any means to control prices would lead to skyrocketing premiums?

I appreciate what the ACA was trying to do to get people insured. That being said, the execution has been meh.

I'd prefer a government plan for all that covers basic doctors visits and basic prescriptions. Then have the private market provide for catastrophic injuries and surgery. You know, how insurance is actually suppose to work. Also have prescription plans available.

Hospitals and pharmacies need to list prices for drugs and services, so the consumer can make better choices.
Posted by Person of interest
The Hill
Member since Jan 2014
1786 posts
Posted on 11/5/15 at 11:14 am to
quote:

Medicare quality is being supported through those insurance-paying customers you want to eliminate.


Most private insurance base their fee schedules off of Medicare's pricing-- so it's usually within a few dollars of each other. There are exceptions, and as long as providers agree to the contracted rate then some insurances will pay significantly less for services (United, Humana).
Posted by Pigfeet
Ark Mods are Fascists
Member since Mar 2010
19783 posts
Posted on 11/5/15 at 11:17 am to
quote:

Premiums going up 24.6%


quote:

I am just gonna say.. frick Obama. frick every Democrat that voted for it. frick every Rep. that has done jack shite to change any of it. And frick every single individual that voted for Obama and the Dems that voted it. And frick the Supreme Court for not ruling that forcing citizens to purchase a private product isn't UnConstitutional. It's fricking ridiculous. Every single one of those listed above is responsible for creating a lot of pain for a lot of individuals. I hope that each one, has a debilitating injury that they can't afford to have taken care of and a speedy shelf life on the rest of their lives. frick them all.

/rant, for now.


quote:

It's damn frustrating. I bust my arse to build a business. Started it right when the building/home crash hit full effect. Made it through that, finally starting to get ahead just a little bit. Then...THEN... it's like.. frick you and your hard work, we're taking more from you. Part of me wants to say it must be nice to be content to live in squalor and get a Gov't check and services.. just to sit on your arse and not earn it. But I can't do that. Yet, those folks reap more disposable income than I probably do due to a fricked up Gov't punishing working people.




meh, sounds like you just need to be better at your business and make more money
Posted by icwiener
Member since Oct 2015
626 posts
Posted on 11/5/15 at 11:33 am to
Posted by Person of interest
The Hill
Member since Jan 2014
1786 posts
Posted on 11/5/15 at 11:38 am to
Have you priced BC/BS through Alabama Affordable Health Care Plans? Might get a better rate than using an agent.
Posted by Pigfeet
Ark Mods are Fascists
Member since Mar 2010
19783 posts
Posted on 11/5/15 at 12:40 pm to
quote:

My biggest issue was the change of the classification of my OB/GYN to specialist (apparently Humana and Anthem looks at them differently) so my copay there went from $25 to $45.




Its probably because they needed to cover the costs of the extra safety gear and hazardous disposal procedures when treating you.


Just sayn', I could be wrong though.
Posted by Vols&Shaft83
Throbbing Member
Member since Dec 2012
69909 posts
Posted on 11/5/15 at 2:20 pm to
quote:

Its probably because they needed to cover the costs of the extra safety gear and hazardous disposal procedures when treating you.





Belle has a hazardous vagina.
Posted by Agforlife
Somewhere in the Brazos Valley
Member since Nov 2012
20102 posts
Posted on 11/5/15 at 2:26 pm to
quote:

Belle has a hazardous vagina.




No clue, waiting on HJJ to weigh in


















Sorry belle
Posted by BluegrassBelle
RIP Hefty Lefty - 1981-2019
Member since Nov 2010
99045 posts
Posted on 11/5/15 at 2:44 pm to
quote:

Its probably because they needed to cover the costs of the extra safety gear and hazardous disposal procedures when treating you.


I know right? Guess I'll have to see what kind of insurance companies in Toledo can get me back to that $25 co-pay.
Posted by Alahunter
Member since Jan 2008
90738 posts
Posted on 11/5/15 at 3:33 pm to
quote:

No, but it prevents health care expenses from financially crippling everyday Americans, something that was happening before Obamacare and after Obamacare



Newsflash, Obamacare has crippled way more than were hurting before.

The only thing that should have been done was opening state lines and allowing all companies to compete for business. Obamacare and single payer are both shite shows compared to what we had before.

And as others have stated, it's going to kill small businesses. Guess who isn't getting discretionary spending now? Because it's having to go to mandated insurance.

There is absolutely no defense of the shite that's happening and frick anyone that even tries to defend it or excuse it. I genuinely, hope that hardship and pain is in the future of those that argue for it. And their families. I have no sympathy, empathy or time for anyone that dishonest, stupid or criminal enough to support what is happening to people under it now.
Posted by Alahunter
Member since Jan 2008
90738 posts
Posted on 11/5/15 at 3:39 pm to
quote:

meh, sounds like you just need to be better at your business and make more money


I'll tell you 2 changes that will happen in my business now.

1. Prices are going to go up.

2. Servicing low income people at a reduced rate won't happen anymore. My business and job isn't one of glory, but it's a needed service and now it will cost those that need it badly at times more if they want it. If they can't afford it now, then they will have to live with things that will continue to create lingering health problems, because I can't afford to waste my time helping them out with affordable pricing anymore.
Posted by AUCatfish
How are yah now?
Member since Oct 2007
13995 posts
Posted on 11/5/15 at 4:17 pm to
You left out an important component to your rant, the insurance companies themselves. I would assume as a fellow small business owner and Alabamian you are using BCBS. Not because they are the best or most affordable but because they are really the only viable insurance option in this state. Those cocksuckers are considered a non profit. Let that sink in......a non profit that has a state CEO making $4 Million a year. frick Blue Cross, they are using Obamacare as cover to raise their rates beyond what they need to.
Posted by Vols&Shaft83
Throbbing Member
Member since Dec 2012
69909 posts
Posted on 11/5/15 at 4:24 pm to
quote:

You left out an important component to your rant, the insurance companies themselves.



Wait, you're blaming the insurance companies for taking advantage of a law to protect their bottom lines?


quote:

they are using Obamacare as cover to raise their rates beyond what they need to.




Excuse me? Do you not understand the concept of insurance? By being required by law to accept pre-existing conditions, they are assuming more risk. They have to compensate for that risk, or they cease to exist.
Posted by Person of interest
The Hill
Member since Jan 2014
1786 posts
Posted on 11/5/15 at 4:38 pm to
quote:

Excuse me? Do you not understand the concept of insurance? By being required by law to accept pre-existing conditions, they are assuming more risk. They have to compensate for that risk, or they cease to exist.




And they gain more customers to spread the risk.
Posted by AUCatfish
How are yah now?
Member since Oct 2007
13995 posts
Posted on 11/5/15 at 4:38 pm to
quote:

Wait, you're blaming the insurance companies for taking advantage of a law to protect their bottom lines?


To protect their bottom line or to secure a higher profit margin? BCBS has been accused of swelling their reserves beyond what is necessary for the changes that ACA caused.

quote:

They have to compensate for that risk, or they cease to exist.


I don't know how much business experience you have, but my experience in commodities shows that a business will use a crisis to raise prices higher than necessary to cover a given rate increase.
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