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yourmovemonkey

(275 posts)
Wed Dec 4, 2013, 08:19 PM Dec 2013

Discussion I'm having on FB. Can someone with knowlege about the ACA help me out? [View all]

A good friend of mine's wife just posted this on FB. They recently moved from NY to PA. She opened up a little craft and art shop last month. Lot's of people dissing the ACA in her discussion. I could use some ammunition.

Her post:

"Well, folks....(my shop) will most likely be shutting it's doors soon (after just opening in November). I don't qualify for health coverage through the "Affordable" Care Act - one must earn $11,460 to qualify and I don't, and won't for a while yet. (my husband)'s new job (and all the ones he looked at) are only providing affordable heath insurance for the individual employee. If you want two person or family coverage it's $1300 per month. Yes, you heard me correctly, $1300 per month. I also have to say that my experience with the government website, the customer service reps, and the information provided to me has been a nightmare. From information not being able to be accessed, to reps who don't seem to know what they are doing, to calls not returned, I have been more than frustrated. Only to be told this in the end...If you don't qualify for Medicaid (I don't, I won't), and you don't qualify for the "Marketplace" (I don't make enough), then please visit your local clinic for your healthcare needs. So, for all the imagined people this "act" was supposed to help, there are real people like me who are without health insurance for the first time in their lives. So, I will now search for work that will make the government happy if I want to qualify for something we can afford. The customer service rep told me my dream shop just "sounded like a hobby anyway". I bet he has health insurance."


I asked her a few questions, and this was her response to me:
"we would have purchased healthcare for me through husband's new job.( I've always had it through my own employment, or his.) That was until we found out that all the employers he was looking at made huge changes to how they cover their employee's dependents. They will cover individual employees, but they pass along the much higher rates for family coverage. That's when I started looking at the ACA. If I have to purchase it privately, not through the Marketplace, it will cost $800 to $1,000 per month just for me, unless I choose a plan with a very high deductible, like a $6000 deductible. Then it would be around $500 per month. So, the very least it will cost for us both to be covered is around $800 per month, and the most would be $1300 per month. I don't know about you, but I think that's a lot of money! I've been working for most of my life, and health insurance was always doable through employers - until now. The only thing that I know of that has changed is The "Affordable" Care act. You think maybe they should have read what was in it, and thought about how it would affect the working class who work for private employers?"


Anything I can tell her? Any advice? I've always had my health insurance through my work, so I don't have any idea what it would be like to get it on my own.
46 replies = new reply since forum marked as read
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If she doesn't earn $11000 wouldn't she qualify for Medicaid? JaneyVee Dec 2013 #1
Medicaid eligibility is based on the joint income if married. She is. Also, the business kelly1mm Dec 2013 #36
Nope. No break for "personal responsibility" crowd who never take JaneyVee Dec 2013 #43
Medicaid eligibility varies state to state Puzzledtraveller Dec 2013 #46
Yeah - tell her that Karen Ignagni of AHIP wrote the damn bill Ruby the Liberal Dec 2013 #2
I call bullshit. Your friend's wife is lying, or doesn't exist. arcane1 Dec 2013 #3
That was one of the questions I asked her yourmovemonkey Dec 2013 #8
PA is not participating in expanded Medicaid - Ms. Toad Dec 2013 #33
And these people will just blame the President yourmovemonkey Dec 2013 #38
Yes - but some of the information in this thread is not real. Ms. Toad Dec 2013 #39
So it's Obama's fault her husband's new employer charges extra for families? Hassin Bin Sober Dec 2013 #4
Well, that's pretty much what she's been saying n/t yourmovemonkey Dec 2013 #9
Something wrong with this assertion??? elleng Dec 2013 #5
I didn't understand that either yourmovemonkey Dec 2013 #11
Medicaid is different from the exchanges BlueStreak Dec 2013 #28
OK, I get it now yourmovemonkey Dec 2013 #30
It is economic insanity for any Governor to NOT expand Medicaid BlueStreak Dec 2013 #32
Your post yourmovemonkey Dec 2013 #35
Thanks. Dems ought to be going straight at those governors with economics BlueStreak Dec 2013 #37
Welcome to DU yourmovemonkey! pnwmom Dec 2013 #42
And also mention BlueStreak Dec 2013 #44
Actually it's just 100% of FPL Rstrstx Dec 2013 #41
Self employed insurance cost me over 1200 month 8 years ago. Warren Stupidity Dec 2013 #6
Pennsylvania elleng Dec 2013 #10
I expect to see more of this, from non-participating states. arcane1 Dec 2013 #13
So, is that what you think it is then? yourmovemonkey Dec 2013 #15
In one of my responses to her yourmovemonkey Dec 2013 #14
Yes sounds like bs to me also. EOM tiredtoo Dec 2013 #7
Not BS... probably just a Pennsylvania thing n/t yourmovemonkey Dec 2013 #12
She needs to get on her husband's insurance. jazzimov Dec 2013 #16
That's the part that really doesn't make sense yourmovemonkey Dec 2013 #17
It depends on how the insurance is set up. Ms. Toad Dec 2013 #34
She should move back to New York. LuvLoogie Dec 2013 #18
I really wish they would yourmovemonkey Dec 2013 #19
Oh the irony of being a working class right winger... LuvLoogie Dec 2013 #23
I never understood Log Cabin Republicans either BlueStreak Dec 2013 #45
Thanks for your help everyone yourmovemonkey Dec 2013 #20
Good work, monkey. elleng Dec 2013 #22
Thanks yourmovemonkey Dec 2013 #25
That's the way things happen! elleng Dec 2013 #31
That is a much nicer way of putting what I just said. LuvLoogie Dec 2013 #24
Thank you yourmovemonkey Dec 2013 #26
This message was self-deleted by its author BenzoDia Dec 2013 #21
wait, wait Skittles Dec 2013 #27
It's actually a line I use with my cousin's son yourmovemonkey Dec 2013 #29
cute, welcome to DU..nt Jesus Malverde Dec 2013 #40
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