General Discussion
In reply to the discussion: My saga to find a dr. to accept my Obamacare Blue Cross Insurance [View all]Honeycombe8
(37,648 posts)Question is...why are you offended that someone had a problem with it? Do you think that bill, or any bill, works for everyone or is perfect?
You say that I "insisting that there are different rules for the part you call Obamacare (there' aren't aside from the subsidies)." You are wrong. Please don't try to discuss things you don't understand fully.
I've been buying it every year since 2014 and have spent well over 100 hours studying policies and rates and coverages and provisions. I have a good grasp of how it works. YES...it has different rules. Any time you use someone else's money to pay for something, there will ALWAYS be different rules. (Example: Medicaid. It has different rules, too.)
One rule is...what can an insurance co. do when an insured or entity it has contracted with failed to pay a premium? Answer: It can cancel the policy immediately, in accordance with its stated policies and procedures...UNLESS you bought a policy through the exchange. In that case, the ins. co. cannot cancel it for three months. BUT the ins. co. can refuse to pay for any claims turned in after the date the policy was paid up through. This would stiff any providers who had provided treatment.
And THAT is one reason that providers are picky about taking the exchange-purchased individual insurance policies.
And YES...I called over 20 or so providers in Dallas, TX ( a mecca of medical provider), from the "network provider list," and did not find one doctor who'd take it within a reasonable distance of me. I finally found one in a suburb...I found him on my own through Google searches (not using the provider list). He was about 2 hours away; I didn't go to him, because by then I was moving. The only other two I found were not doctors: I found a nursing assistant (who required me to pay upfront $100 for initial exam, despite that being against the law), and a Medicaid Clinic that would have taken me over an hour to get to. The Medicaid Clinic ALSO required a "meet and greet" and "orientation" meeting for a fee, before going there.
So yeah, I know what I'm talking about.
Do you have any other questions? I'll be glad to tell you anything you want to know about Obamacare. I've done a lot of research on it, and of course, have experienced it firsthand for four years.