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SVTPerformance's Chain of Restaurants
Road Side Pub
Self employed folks; healthcare?
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<blockquote data-quote="Ohio Snake" data-source="post: 15765206" data-attributes="member: 157862"><p>Those that have grandfathered plans typically have two great benefits: lower premiums and true PPO network. </p><p></p><p>Im 54 years old and have a non-group grandfathered HSA PPO plan with Anthem BCBS. The plan has wellness benefit, $5000 deductible/ max out of pocket for $254.00 per month. A similar plan under ACA (Medical Mutual, 6400 deductible/max out of pocket, no wellness, HMO network cost $534.00 pre month.</p><p>The ACA is a failing system. You can can clearly see the ACA programs have most Americans paying way more premiums for a lot less coverage.</p><p></p><p>Those that have a grandfathered plan will want to keep that plan as long as the ACA continues to fail and the Dems and Republicans continue to be in a stalemate over what to do. Both sides need to accept blame for the failing system and work together on a solution to make healthcare truly affordable for all . </p><p></p><p>Personally, I don’t think the answer lies with just with insurance carriers. I think the master pricing of what facilities charge for products, Rx and services need to be standardized nationwide is a big starting point. As an example, its really bad when one hospital charges $10,000 for a broken arm and another hospital down the road charges $3500 for the same procedure. The person without coverage will be billed for the $10k at the first hospital, if taken there. A covered person may pay $1500 as the negotiated price between the carrier and the in network hospital. Just crazy!</p><p></p><p></p><p>Sent from my iPad using Tapatalk</p></blockquote><p></p>
[QUOTE="Ohio Snake, post: 15765206, member: 157862"] Those that have grandfathered plans typically have two great benefits: lower premiums and true PPO network. Im 54 years old and have a non-group grandfathered HSA PPO plan with Anthem BCBS. The plan has wellness benefit, $5000 deductible/ max out of pocket for $254.00 per month. A similar plan under ACA (Medical Mutual, 6400 deductible/max out of pocket, no wellness, HMO network cost $534.00 pre month. The ACA is a failing system. You can can clearly see the ACA programs have most Americans paying way more premiums for a lot less coverage. Those that have a grandfathered plan will want to keep that plan as long as the ACA continues to fail and the Dems and Republicans continue to be in a stalemate over what to do. Both sides need to accept blame for the failing system and work together on a solution to make healthcare truly affordable for all . Personally, I don’t think the answer lies with just with insurance carriers. I think the master pricing of what facilities charge for products, Rx and services need to be standardized nationwide is a big starting point. As an example, its really bad when one hospital charges $10,000 for a broken arm and another hospital down the road charges $3500 for the same procedure. The person without coverage will be billed for the $10k at the first hospital, if taken there. A covered person may pay $1500 as the negotiated price between the carrier and the in network hospital. Just crazy! Sent from my iPad using Tapatalk [/QUOTE]
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SVTPerformance's Chain of Restaurants
Road Side Pub
Self employed folks; healthcare?
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