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Ms. Toad

(38,581 posts)
19. Some of what you have said is not accurate.
Thu Jun 28, 2012, 07:12 PM
Jun 2012

Your premium, once the ACA is completely implemented, cannot be based on your health. You cannot be charged more because you have a pre-existing condition. That is one of the major insurance reforms because currently you can be charged more, or denied insurance outright.

The high risk pools under the ACA (the insurance which is currently available for the people with pre-existing conditions who cannot currently obtain insurance) are far less than $1400 you quoted for open market insurance, or the $1100 you quoted for the PCIP plan. The pools are not for people with low income - they are for anyone with a pre-existing condition who cannot obtain insurance. In California, the maximum cost is $557/month. There is a $1500 deductible, but you would make that up in savings over the $1400 insurance you quoted in 2 months on the plan. This is just a stop-gap measure to protect people like you, and the price (for everyone) should drop even more once everyone is in the pools.

Which ties into my second point - the law limits the amount of money which can be charged for premiums but not spent on medical care. That does not directly limit the pay to executives or lower the average premium, but it does indirectly because the total of all that overhead cannot exceed a certain percentage of the amount spent on care. Because of the this provision of the ACA, it effectively lowered premiums because of the estimated mandatory rebate of approximately $1.3 billion dollars of premiums by August, because they spent too much on administration and not enough on medical care.

I am not arguing that the plan is perfect. It is far from it, but there is a lot of misinformation out there about the positive parts of the plan, many of which have not even kicked in yet.

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My understanding donco Jun 2012 #1
This message was self-deleted by its author caraher Jun 2012 #3
Tell them families earning up to $88,200 will qualify for credits to help buy it frazzled Jun 2012 #2
Thanks! caraher Jun 2012 #9
And that's the law's Achilles' heel. Igel Jun 2012 #13
Let me set straight a few things you've said frazzled Jun 2012 #18
Tell them to look up the word "subsidies." Then, there's Medicaid. Next have them check "dumbass." Hoyt Jun 2012 #4
'Democrats taxing the middle class and subsidizing the poor' leftstreet Jun 2012 #5
To be fair to Dems, it's difficult explaining anything to birthers, flatearthers, callous bigots,etc Hoyt Jun 2012 #8
Exactly and these are people who don't listen anyway treestar Jun 2012 #23
Well, I would say their concerns are valid. truedelphi Jun 2012 #6
ACA does a lot to raise the price of the product... Southerner Jun 2012 #10
I agree that there's a lot wrong with the Heritage Foundation solution we're stuck with caraher Jun 2012 #11
Some of what you have said is not accurate. Ms. Toad Jun 2012 #19
That is not what the newspapers that covered the pre-exisiting truedelphi Jun 2012 #20
Newspapers are often inaccurate. Ms. Toad Jun 2012 #21
Well maybe this will help you figure out the cricumstances of the truedelphi Jun 2012 #22
You won't get any argument from me that the bill still leaves far too many people Ms. Toad Jun 2012 #25
The way I understand it EC Jun 2012 #27
When my co-workers started bemoaning ObamaCare this morning... Iggo Jun 2012 #7
Ha! That's what I did, too, today at work! It did shut everyone up! nt Nay Jun 2012 #17
Actually, Larry O'Donnell explained it best. mzmolly Jun 2012 #12
I'd tell them to wait until 12/13 before getting an answer. Igel Jun 2012 #14
My take (this is general and broad - so go lightly) chowder66 Jun 2012 #15
A good thing for seniors socialaidem Jun 2012 #16
Links put together to help explain: Tennessee Gal Jun 2012 #24
Send them to this online calculator... PoliticAverse Jun 2012 #26
This link should help you. DrewFlorida Jul 2012 #28
thanks! <nt> caraher Jul 2012 #29
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