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Keyword: obamacaredeductibles

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  • Underinsured ACA enrollees strain community health centers

    09/26/2014 11:47:02 AM PDT · by Twotone · 10 replies
    Modern Health Care ^ | Sept. 25, 2014 | Virgil Dickson
    Obamacare enrollees are straining the finances of community health centers around the country, some health center leaders say. The issue is that many lower-income patients with insurance coverage through the federal and state exchanges bought bronze-tier plans with lower premiums but high deductibles, coinsurance and copayments and no federal cost-sharing subsidies. When these patients face high out-of-pocket costs for care that falls below the deductible, they can't afford it. So the centers are subsidizing that care by offering them means-tested sliding-scale fees. When the centers, which are not allowed to turn away patients for inability to pay, try to get...
  • 'Reference pricing' could end up costing unwary consumers thousands of dollars (Obamacare)

    05/21/2014 12:17:31 PM PDT · by Lorianne · 12 replies
    Star Tribune/AP ^ | 16 May 2014 | RICARDO ALONSO-ZALDIVAR
    You just might want to pay attention to the latest health insurance jargon. It could mean thousands of dollars out of your pocket. The Obama administration has given the go-ahead for a new cost-control strategy called "reference pricing." It lets insurers and employers put a dollar limit on what health plans pay for some expensive procedures, such as knee and hip replacements. Some experts worry that patients could be surprised with big medical bills they must pay themselves, undercutting financial protections in the new health care law. That would happen if patients picked a more expensive hospital — even if...
  • PhRMA warns out-of-pocket costs could double under O-Care

    05/16/2014 9:53:40 AM PDT · by Nachum · 15 replies
    The Hill ^ | 5/16/14 | Ferdous Al-Faruque
    A new study commissioned by PhRMA finds that many consumers in ObamaCare’s insurance exchanges could end up paying more than twice as much in out-of-pocket drug costs. The report for the nation’s top drug lobby was conducted by actuarial firm Milliman, which found that people on the Silver Plan, the most popular ObamaCare plan, would likely pay 130 percent more for out-of-pocket prescription drugs compared to people on similar employer-sponsored plans. One reason why out-of-pocket costs are likely to be higher is because employer plans are more generous than typical Silver Plans, according to the report. However, the numbers don’t...
  • Big Increases in Obamacare Premiums and Deductibles Coming in November

    05/15/2014 3:51:52 AM PDT · by markomalley · 5 replies
    Fiscal Times ^ | 5/15/2014 | Edward Morrissey
    The Obama administration postponed a portion of the employer mandate in the Affordable Care Act in order to avoid paying the political consequences of a market disruption in the group insurance sector. If new premium pricing proposals from insurer filings in the states of Virginia and Washington come to pass, the White House may have no way out of accountability for their health-care reform folly. When Obamacare first rolled out last fall, the failure of the federal and state exchanges were only the first signs of disaster. Premiums spiked upward in both the individual and group markets, and insurers raised deductibles...
  • Obamacare Myth-Making: Five phony success stories.

    05/10/2014 6:03:44 PM PDT · by SeekAndFind · 3 replies
    The Weekly Standard ^ | 05/10/2014 | Jay Cost
    With enrollment in the Obamacare exchanges now closed, Democrats and their friends in the media are ebullient. Obamacare is an enormous success, they say, and conservatives have been humiliated. On closer inspection, however, things seem decidedly less bullish for President Obama’s signature achievement. Among the many exaggerations and inaccuracies the law’s defenders are touting, five stand out. • First, they say that premium rates are down. In support of this, liberals cite research from the Congressional Budget Office (CBO), but they misinterpret it. In fact, the CBO’s most recent estimate of premiums shows a decline not from what they were...
  • Report: Obamacare Customers in for Deductible Sticker Shock

    05/10/2014 12:42:31 AM PDT · by 2ndDivisionVet · 18 replies
    Breitbart's Big Government ^ | May 8, 2014 | Wynton Hall
    A new report finds that Obamacare customers are in for sticker shock because, unlike many employer-sponsored insurance plans, the fine print in many Obamacare policies requires patients to meet their deductible before lower-cost prescription drug co-pays kick in. That means hefty out-of-pocket expenses for Obamacare plan holders, especially since Obamacare deductibles are "relatively high" as compared to employer-sponsored insurance plans. The report, which was conducted by the Robert Woods Johnson Foundation and Breakaway Policy, concludes that even Obamacare customers who receive taxpayer-funded subsidies will "find it difficult to afford the amounts they will have to pay out-of-pocket before their Exchange...
  • CA Obamacare Patients Driving to Tijuana, Mexico for Cheaper, Faster Care

    05/08/2014 4:19:39 PM PDT · by Mount Athos · 27 replies
    Breitbart ^ | 8 May 2014 | Wynton Hall
    California Obamacare patients are finding it more affordable to drive to Tijuana, Mexico for health care treatment than to use their high-deductible Obamacare plans. Irma Montalvo tells USA Today seeing a Tijuana doctor only costs $15 and that she likes her Mexican doctor better. "She listens to me," said Montalvo, a U.S. citizen who was born in Mexico, said in Spanish. "I come here feeling really bad, and three days later I am better." The Obama administration has lamented the fact that Latino Obamacare enrollments remain surprisingly low. However, according to USA Today, "Mexican immigrants living in California, Arizona, Texas...
  • Obamacare enrollment in L.A. tops New York, most other states

    05/02/2014 9:12:45 AM PDT · by Oldeconomybuyer · 8 replies
    Los Angeles Times ^ | May 2, 2014 | by Chad Terhune
    More than 400,000 people in Los Angeles County signed up for Obamacare coverage in the health law's first open enrollment, surpassing turnout in most states. Federal data released Thursday show that if the Los Angeles area was a state, it would have the fourth-highest enrollment in the country. In California, 89% of exchange customers qualified for federal premium subsidies.
  • Affordable Care Act plans pose actuarial and rate challenges for insurers

    04/26/2014 3:25:50 PM PDT · by Oldeconomybuyer · 7 replies
    Washington Post ^ | April 26, 2014 | By Jay Hancock
    With the results sure to affect politics as well as pocketbooks, health insurers are preparing to raise rates next year for plans issued under the Affordable Care Act. But how much depends on their ability to predict how newly enrolled customers — for whom little is known regarding health status and medical needs — will affect 2015 costs. “We’re working with about a third of the information that we usually have,” said Brian Lobley, senior vice president of marketing and consumer business at Pennsylvania’s Independence Blue Cross. The health law required insurers to accept all applicants this year for the...
  • Team Boehner to Drudge: We didn't 'expand' Obamacare, we repealed a piece

    04/07/2014 6:43:27 AM PDT · by cotton1706 · 20 replies
    washingtonexaminer.com ^ | 4/6/14 | Joel Gehrke
    Hours after the Drudge Report suggested on Sunday that "Republicans expand[ed] Obamacare" in the headline for the site's lead story, an "alert" from the office of House Speaker John Boehner, R-Ohio, countered that they had actually "chip[ped] away another piece" of the law. The recent change "eliminated a cap on deductibles for small group policies offered inside the law's health care exchanges as well as outside," the Associated Press explained. "Successfully repealing this Obamacare provision is just one part of Republicans' larger effort to repeal the full law and replace it with better solutions focused on lowering health care costs...
  • WHEC-NY: New Yorkers Struggling To Afford ObamaCare Premiums, Deductibles

    03/30/2014 12:43:50 PM PDT · by lowbridge · 23 replies
    LECLAIR: “We’ve heard from a lot of WHEC Facebook friends complaining that they will face a fine if they don’t sign up for health insurance. But many say they can’t afford the premiums or deductibles, and it would be cheaper to stay uninsured and pay the penalty. This free clinic at St. Josephs’ Neighborhood Center always has a steady stream of patients. The director says the Affordable Care Act will never put them out of business. Even though everyone is supposed to have insurance now and their own doctor, there will always be people who need care but can’t afford...
  • ObamaCare premiums to double in some areas next year

    03/19/2014 7:43:46 AM PDT · by SeekAndFind · 14 replies
    Hotair ^ | 03/19/2014 | Ed Morrissey
    Remember how Barack Obama and Democrats promised to “bend the cost curve downward” with ObamaCare? Well, they got most of that promise correct. ObamaCare has bent the cost curve all right, but sharply upward — and in 2015, expect them to not just bend but absolutely “skyrocket,” according to The Hill: Health industry officials say ObamaCare-related premiums will double in some parts of the country, countering claims recently made by the administration.The expected rate hikes will be announced in the coming months amid an intense election year, when control of the Senate is up for grabs. The sticker shock would...
  • Premiums rising faster than eight years before Obamacare COMBINED

    03/19/2014 5:44:14 AM PDT · by ClaytonP · 22 replies
    Health insurance premiums have risen more after Obamacare than the average premium increases over the eight years before it became law, according to the private health exchange eHealthInsurance.The individual market for health insurance has seen premiums rise by 39 percent since February 2013, eHealth reports. Without a subsidy, the average individual premium is now $274 a month. Families have been hit even harder with an average increase of 56 percent over the same period — average premiums are now $663 per family, over $426 last year.Between 2005 and 2013, average premiums for individual plans increased 37 percent and average family...
  • O-Care premiums to skyrocket (w/ massive political implications)

    03/19/2014 4:55:22 AM PDT · by Liz · 50 replies
    THE HILL ^ | 3/19/14 | Elise Viebeck w/ Sheila Timmons
    EDITED Health industry officials say ObamaCare-related premiums will double in some parts of the country, countering claims recently made by the Obama administration. The expected rate hikes will be announced in the coming months amid an intense election year, when control of the Senate is up for grabs. The sticker shock would likely bolster the GOP’s prospects in November and hamper ObamaCare insurance enrollment efforts in 2015. Political operatives will be watching premium increases this summer, most notably in states where there are contested Senate races. In Iowa, which hosts the first presidential caucus in the nation and has a...
  • IRS: Obamacare Cheapest Plan $20,000 Per Family in 2016

    (CNSNews.com) – In a final regulation issued Wednesday, the Internal Revenue Service (IRS) assumed that under Obamacare the cheapest health insurance plan available in 2016 for a family will cost $20,000 for the year. Under Obamacare, Americans will be required to buy health insurance or pay a penalty to the IRS. The IRS's assumption that the cheapest plan for a family will cost $20,000 per year is found in examples the IRS gives to help people understand how to calculate the penalty they will need to pay the government if they do not buy a mandated health plan. The examples...
  • For Many, Few Health-Plan Choices, High Premiums on Online Exchanges

    02/12/2014 4:54:35 PM PST · by Sub-Driver · 5 replies
    For Many, Few Health-Plan Choices, High Premiums on Online Exchanges Analysis Shows Americans in Poorer Counties Have Limited Options on Health-Care Exchanges By Timothy W. Martin And Christopher Weaver Feb. 12, 2014 7:37 p.m. ET Hundreds of thousands of Americans in poorer counties have few choices of health insurers and face high premiums through the online exchanges created by the health-care law, according to an analysis by The Wall Street Journal of offerings in 36 states. Consumers in 515 counties, spread across 15 states, have only one insurer selling coverage through the online marketplaces, the Journal found. In more than...
  • Obamacare: Know Your Rates

    02/06/2014 7:43:17 PM PST · by afraidfortherepublic · 13 replies
    Forbes ^ | 2-7-14 | Courtesy of WI State Sen. Frank Lasee
    Link only: http://www.forbes.com/special-report/2013/obamacare_map_3/index2.html
  • Real Life Obamacare Small Business Example

    02/03/2014 6:40:59 AM PST · by Kaslin · 4 replies
    Townhall.com ^ | February 3, 2014 | Mike Shedlock
    Here is an interesting video regarding the effects of Obamacare on all the employees at at Simonetta's auto repair shop in Pennsylvania. The video was made by a local TV station. A couple premiums dropped, but most went up, some by huge amounts. In every case deductibles soared. Every person involved is worse off than before. Link if video does not play: Employees in Pennsylvania Company Learn of Increased Health Costs Due to Obamacare Partial Transcript Jeff and Dave used to have a $1,250 deductible. Since Obamacare went into effect, it's now jumped 60 percent to $2,000. That's nothing compared...
  • President ignores ObamaCare horror stories as human, financial costs pile up

    01/31/2014 3:42:33 PM PST · by grundle · 17 replies
    Fox News ^ | January 30, 2014 | L. Brent Bozell III
    People’s Exhibit A: Josie Gracchi has breast cancer. Up until January 1st of this year she had insurance and was scheduled for a January 3rd biopsy and follow-up treatment at one the largest private cancer treatment centers in the world: Memorial Sloan-Kettering Cancer Center in New York. But once 2014 arrived, her insurance was rolled into an ObamaCare health exchange. She now has no access to the surgeons she was working with, her biopsy and treatment have been postponed and she can’t find comparable doctors and surgeons through the ObamaCare website. She pleaded on television for help from the president,...
  • Watch: Employees in Pennsylvania Company Learn of Increased Health Costs Due to Obamacare

    01/30/2014 12:15:09 PM PST · by Timber Rattler · 22 replies
    The Weekly Standard ^ | January 30, 2014 | DANIEL HALPER
    A local news station brings viewers inside one Pennsylvania company as the employees their learn about their new health care plans under Obamacare: "Look at the numbers," says the reporter of two employees. "Jeff and Dave used to have a $1,250 deductible. Since Obamacare went into effect, it's now jumped 60 percent to $2,000. That's nothing compared to Brian, Kristi, and Judy who have kids. They are going to pay twice that, four grand." The reporter adds that co-pays are being increased, too.