General Discussion
In reply to the discussion: This message was self-deleted by its author [View all]pnwmom
(110,172 posts)That insurance agent-friend fed him a pile of crap and he swallowed it.
No wonder there are so many people who don't understand the law, if even Will could be misled.
The lies Will swallowed:
http://www.democraticunderground.com/?com=view_post&forum=1002&pid=4686037
There are ten different health insurance companies in NH. According to the independent (family friend, ally) insurance adjuster I spoke to at length this afternoon, pursuing coverage with any of them would be a waste of time. Why? Because - according to dude - the whole "You cannot deny coverage to people with pre-existing conditions" thing only applies to insurance companies within the ACA network. You heard all that shit about "Grandfathering." Well, this is that, and all of them will turn us down because they still can.
I am in the process of running down the facts of the matter, but family friend and ally was confident enough to basically tell us not to bother.
So yeah, that, too.
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The facts:
http://www.nytimes.com/2013/10/26/your-money/health-insurance-options-arent-limited-to-obamacare-exchanges.html?_r=0
In general, health policies effective Jan. 1, whether sold on the exchanges or off, must comply with the Affordable Care Act. That means they have to offer the same menu of essential benefits, like drug coverage and maternity care, and cant deny you coverage if youre already sick. And, insurers who sell policies both on and off the exchanges must sell the same plan for the same price.
http://www.insure.com/articles/healthinsurance/buying-health-insurance-outside-exchange.html?WT.qs_osrc=fxb-182807210
Drug coverage
Drug coverage is yet another variable. You may find you have more options when it comes to drug coverage if you shop off-exchange. Like provider networks, health plans can limit the drugs that are covered, or reimburse more for generics than brand-names, or reimburse more for drugs you buy mail-order than from your local pharmacy.
If you have a health condition and use a particular drug, you should check that it's covered under the plan in which you want to enroll, whether that plan is on the exchange or off-exchange, Coleman advises.
Remember, too, he says, the cap on out-of-pocket expenses doesn't apply to drugs not on a health plan's list of covered medications.