Obamacare: Does it affect/will it affect your treatment?

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Has anyone encountered any diferences in care from the Affordable Care Act or anticipate any changes in coverage for better or for worse? (Better, I hope.)
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  • peggy_j
    peggy_j Member Posts: 1,700
    edited August 2012

    The lifetime max has been lifted. Hurrah. Also, if it stays in effect I won't have to worry about being denied insurance coverage due to my pre-existing condition. Both of these are huge.

  • sandilee
    sandilee Member Posts: 1,843
    edited August 2012

    Yes.  If my insurance is lost (husband loses job) we won't be in the poor house.  He has heart issues so he's as hard to insure privately as I am. And it is good to know that the maximum has been lifted, although I don't think I've come close to reaching it. 

  • pupmom
    pupmom Member Posts: 5,068
    edited August 2012

    I have't experienced any effects, but I believe it is a good move toward, hopefully, single payer. I have excellent insurance and can't complain one iota about my care. However, there are so many who are not similarly blessed. We need to help everyone by making health care available, no matter what an individual's circumstances.

  • NevadaPaula
    NevadaPaula Member Posts: 42
    edited September 2012

     I am retired from a large company. I retired in Feb. 2010, found out I had breast cancer in March 2010. Now the company I worked for, is threatening to discontinue health care for retirees, in 2013. I can't afford to purchase health care, and if i do, It could create a gap in my coverage. The company, a giant in the phone and cell world, said they would rather pay the fines then continue to offer health care to retirees. What to do?

  • pupmom
    pupmom Member Posts: 5,068
    edited September 2012

    Paula, I'm not totally sure, but I don't think they can drop you under the Affordable Care Act (Obamacares). Yours is another example of why we desperately need national health care.

  • NevadaPaula
    NevadaPaula Member Posts: 42
    edited September 2012

    AT&T would rather pay the fines, than keep the retirees on the healthcare benefits.

  • carpe_diem
    carpe_diem Member Posts: 1,256
    edited September 2012

    As far as I know, there are no fines for not providing retiree insurance; fines are for companies with more than 50 employees who do not provide insurance and have an employee receiving a government subsidy for insurance.  Obamacare did provide subsidies to companies that provide retirement health insurance for early retirees (i.e., not eligible for Medicare), but that money is pretty much gone unless Congress decides to fund it (fat chance!).  If you are over 65, or have Medicare because of a disability, there is the added benefit of gradually closing the "donut hole" in paying for prescription drugs.

    Janet 

  • peggy_j
    peggy_j Member Posts: 1,700
    edited September 2012

    Paula, arg! Sorry to hear this. I know my aunt (retired from GM) had her benefits change as part of the big GM restructuring. Kind of sucks since you retire with one agreement and then the rules change. But...are you (and other retirees) eligible for medicare?  (I know at least one company offered an early retirement package where they covered insurance until the person qualified for medicare)

  • NevadaPaula
    NevadaPaula Member Posts: 42
    edited September 2012

    I just turned 58. I have my husband's policy, and my own right now. If I relapse, and I don't have my policy, I won't be able to afford what my husband's policy won't pick up.  (The co-payment)  When Obama care becomes in effect, my company will cease offering healthcare to retirees. They want us to purchase healthcare on our own. Which is terrible.  We lost our savings when the crash happened, our sons , aged 22 & 19 had jobs fall through, and years of unemployment, for our oldest, has left us in a world of hurt. When my husband retires, he won't have healthcare either. 

  • proudtospin
    proudtospin Member Posts: 5,972
    edited September 2012

    I work for a small company, as in less than 10 employees

    I hope and plan on retireing when I turn 65 and can hopefully get insurance through the govt

    for small companies, there is no COBRA  no FMLA or any of those perks

    be glad you had something, I have my savings only so me, I want OBama care so maybe things will get evened out a bit

     could never get insurance on my own, forget price

  • marywh
    marywh Member Posts: 2,280
    edited September 2012

    My "affordable healthcare" is 340.00 a month for just myself, plus a 4500.00 deductable that starts over every january.

  • marywh
    marywh Member Posts: 2,280
    edited September 2012

    My "affordable healthcare" is 340.00 a month for just myself, plus a 4500.00 deductable that starts over every january.

  • peggy_j
    peggy_j Member Posts: 1,700
    edited September 2012

    Paula, I hate when these companies offer early retirement and then reneg on their committment. (we've also seen companies raid the pension funds. boo!) I wonder if anyone is talking a class-action lawsuit or ? FWIW, I used to work for AT&T, so I googled around to learn a bit more. I found an article from 2004 that showed that AT&T was already looking for ways to slash retiree healthcare benefits, so it sounds like this has (unfortunately) been something they've been thinking about for a long time. :( 

    I have a couple of friends from Europe and they can't believe our healthcare system and how it's tied so closely to our jobs, and how much control employers can have. In their countries, no one gets thrown out on the street when they lose their job, etc. Hopefully we'll get to a place where it's more equitable for everyone.

    Personally, I'm glad we've lifted the lifetime max and that, come 2014, we can't be denied insurance (or charged more) due to a pre-existing condition.

  • QuinnCat
    QuinnCat Member Posts: 3,456
    edited September 2012

    I'm not sure how it will affect my treatment as I have federal employee health insurance and because I'm eligible to retire now, I keep this insurance the rest of my life, though I do go to Medicare at 65 as my primary provider.

    btw, my insurance is NOT fantastic.  No dental or eye and each calendar year I have to put out $5000 plus $350 deductible  before they pay 100%.  I am BRCA2+, but couldn't get that tested until I actually had cancer, though I had suspicians I might be positive for this gene for years before I got BC.

    I am hoping that it will help my friends who self-insure and live on the ragged edge of 'what-ifs."  What if they raise my rates, what if I get sick and then have a pre-existing condition, what-if I reach my lifetime maximum.

    I think it is crazy we tie helathcare to employment and wish we would adopt Universal healthcare.

  • jlk83
    jlk83 Member Posts: 3
    edited September 2012

    Paula, I kind of had a similiar situation. I was a city employee in wi & eventually forced into resigning at 26 mind you, because of needing time off for surgeries, hospitalizations, etc. and fmla ran out. Needless to say I needed something & my husbands work didn't offer insurance. I applied to many and was denied. Finally fed up paying for everything and went to an insuarnce agent last spring at age 28. They helped me get insurance thru HIRSP. Which is insurance thru the govt I think similair to medicare that is a high risk group sharing plan that you can only get when denied so many times and aren't able to get medicare. I would maybe see if they have something like that available in your state.

  • QuinnCat
    QuinnCat Member Posts: 3,456
    edited October 2012

    That youtube makes no sense.  First of all, why is a Radiologist even recommending "screening" mammograms? Usually that is a PCP or GYN or where I live, can be self-directed.

    This is demogogery. The guidelines she mentioned were one option studied by the US Preventive Services Task Force, but are not part of the ACA.  In fact, the ACA law requires screening mammograms to be fully covered by insurance companies as a preventative service and at the discretion of the patient and doctor.

  • ananda8
    ananda8 Member Posts: 2,755
    edited September 2012

    Here is a link to what the ACA actually says and what sections are implemented when.  http://healthreform.kff.org/timeline.aspx

  • ConnieGreene
    ConnieGreene Member Posts: 348
    edited October 2012

    how do I find out how to get this Obama Care????

  • itsjustme10
    itsjustme10 Member Posts: 796
    edited October 2012

     ObamaCare is just the colloquial name for the affordable care act.  Each state has different ways that their insurance departments work.  Contact your insurance broker for private insurance, or your state's health department to see what government options there are for you.

  • Katarina
    Katarina Member Posts: 386
    edited October 2012

    I still can't believe we're tying healthcare to having a job.....or even having the discussion. This is an abomination. I wonder what the US mortality rate is for people who have "no" health insurance. Does anyone account for it?

    I am so grateful I currently have health ins. but can't imagine having cancer, heart disease or whatever without it. The stress alone would kill anyone. 

    I think ACA is in line with how we've evolved in the US - not having pensions or permanent employment stability which used to be the standard. Healthcare just lagged all these other changes.

  • Little-G
    Little-G Member Posts: 647
    edited October 2012

    With 'Obama Care' in 2014 my pre-existing dx will no longer stop me from being able to shop other ins. companies. Right now I am stuck with a $450+ a month payment and a $10,000 deductible, if I do meet that deductible my coinsurance is 50/50 at that point. I can't afford to use this plan, so I do not get the tests I should be getting. Already with 'Obama Care' my daughter in college is able to be under my plan (even though its a crap plan) but her annuls are now covered at 100% as are her birth control pills. Until single payer is in, this is a great start.

  • itsjustme10
    itsjustme10 Member Posts: 796
    edited October 2012

    Prior to the affordable care act, as long as your daugher was in school full time, most plans allowed her to be carried until December 31st of the year in which she turned 23.  So, it extended it a couple of years, but did not create a new benefit. 

    You're also paying for the "free" perks your daughter gets as part of your premium and high deductible. 

  • ConnieGreene
    ConnieGreene Member Posts: 348
    edited October 2012

    I have Medicare due to Bipolar disability...would I still qualify? Medicare is ok coverage but...pretty sure from what I have read I'm going to get buried in medical bills. My copay for my surgeon is 20% due BEFORE surgery - $650

  • cp418
    cp418 Member Posts: 7,079
    edited October 2012

    http://www.medpagetoday.com/Washington-Watch/ElectionCoverage/35121

    Healthcare Takes Stage in First Debate

    Anderson noted that the U.S. is "the only country in the industrialized world that relies on for-profit insurance companies to provide healthcare for our citizens." In addition, "we're paying twice as much per capita [for healthcare] as the rest of the industrialized world, and getting the worst medical outcomes."

    Stein noted that both Obama and Romney "are aiming for the same targets ... they want Medicare to be reduced to 3.2% of the Gross Domestic Product."

    Neither Anderson nor Stein are fans of the ACA. Stein noted that she lives in Massachusetts, where "We've seen the Affordable Care Act in the flesh, and it's neither affordable nor caring ... it provides stripped-down plans which are fairly expensive."

    Anderson said that the answer to the healthcare cost dilemma is "Medicare for everybody; make it a single-payer system. ... Let's get private insurers out of the way."

  • ananda8
    ananda8 Member Posts: 2,755
    edited October 2012

    If everyone could buy into Medicare even a stripped down version, basic health care could be covered at a reasonable cost and insurance companies could still sell supplemental policies to cover drugs and catastrophic illness.  Medicare would be completely solvent and insurance companies would still get a piece of the pie. 

  • Little-G
    Little-G Member Posts: 647
    edited October 2012

    Just to clarify, kids were only covered under thier parents plan if they were full time students until they were 21.  Now it is 26 without being a full time student.  That's a big change.  As far women getting their annual exams covered, I would never consider that a free 'perk.' I pay over $450 a month for insurance coverage with a $10,000 deductible.  Wouldn't you think the insurance comapny should cover something?  What is it for if you just pay and don't get any benefits?  Well now they at least have to cover that as well as birth control pills. The 'Obama Care' as it has come to be called has a lot of changes.  And in my opinon, they are all good.  Single payer would be great, but I think that's something that we need to work toward. 

  • Golden01
    Golden01 Member Posts: 916
    edited October 2012

    I got a full "premium holiday" for two pay periods and a partial "premium holiday"  for another pay period as a result of the Affordable Care Act. The insurance company for my employer had not spent enough on actual care and had to refund money. We didn't have to make any premium payments in August and the beginning of September. My son also was able to go back on our insurance until he turned 26. We'd been paying COBRA payments of nearly $900 a month after he had graduated from school. He has a good job with his own insurance now!

  • Golden01
    Golden01 Member Posts: 916
    edited October 2012

    http://www.healthcare.gov/law/features/rights/cancellations/index.html

     This part of the Affordable Care Act doesn't apply for me but I know others that this has been really important in helping.

  • itsjustme10
    itsjustme10 Member Posts: 796
    edited October 2012

    Actually, the plans I administered covered dependent children until December 31st of the year in which they turned 23 if they were full time students (19 if not).  And I honestly believe that coverage should have been extended until they were no longer full time students, as the additional 3 years for law school puts you at 25, 4 years for medical school puts you at 26,.  Once kids have graduated and should be on their own, absent special circumstances, they really should be forced to sink or swim - maybe a 6 month grace period after graduation to find a job, but it's time already...

    ConnieGreene, if you're on Medicare, what do you want to know if you qualify for?  You can buy supplemental policies for your Medicare, and always could.  You can choose one of those Medicare Advantage HMO's if you like.  What are you looking to see if you qualify for?  I'd love to help you, but I really honestly don't know what you're looking for....

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