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Honeycombe8

(37,648 posts)
56. President Obama disagrees with you. My reference stands. I have not been "trashing" it.
Mon Oct 23, 2017, 08:08 PM
Oct 2017

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.

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I dont understand this at all, Obamacare policies and employer based are all the same as in what Eliot Rosewater Oct 2017 #1
Insurance companies reimburse differently for ACA versus private policies. SalviaBlue Oct 2017 #4
Time for national healthcare and free medical school for those who participate in the system. Eliot Rosewater Oct 2017 #7
I agree! SalviaBlue Oct 2017 #53
Yes, but getting there is the issue. And no healthcare is "free" ehrnst Oct 2017 #78
Yes, we dont disagree, but we do have to recognize that our system has allowed for SOME Eliot Rosewater Oct 2017 #81
We agree on many things. ehrnst Oct 2017 #82
Tuition free would be really easy to do if we created a system that removed the profit Eliot Rosewater Oct 2017 #83
"If we created a system that removed the profit that exists now" ehrnst Oct 2017 #86
I'm with you burnbaby Oct 2017 #79
Because it isn't as simple as it seems. ehrnst Oct 2017 #80
Absolutely and the FIRST person to try it was HILLARY herself Eliot Rosewater Oct 2017 #85
I get that - and that was 1993, and she learned some lessons from that. ehrnst Oct 2017 #87
If I made this sound simple I didnt mean to, I am just lazy when I post sometimes Eliot Rosewater Oct 2017 #84
No matter who started the idea, a socialized medical system ehrnst Oct 2017 #88
That is true, and also the same reasoning some doctors won't accept Medicare or Medicare for still_one Oct 2017 #59
Not true.....can be very different coverages. AncientGeezer Oct 2017 #6
Coverage? No , coverage is the same, deductibles, copays and the way the dr is paid is Eliot Rosewater Oct 2017 #8
Please...Sir...coverage(what is covered) can be vastly different. AncientGeezer Oct 2017 #20
Deductibles are different and copays. All health insurance in America is ACA, fact. Eliot Rosewater Oct 2017 #21
You are confusing coverage and out of pocket costs. tymorial Oct 2017 #30
No I'm not. AncientGeezer Oct 2017 #63
Other posters have tried to explain the difference to you tymorial Oct 2017 #65
It's not a belief....it's a fact. "Coverage" has a definition. AncientGeezer Oct 2017 #72
Do you have a private ACA policy (one of the metals)? nt Honeycombe8 Oct 2017 #13
No, employer based. Eliot Rosewater Oct 2017 #15
Employer provided ins. is not Obamacare. Honeycombe8 Oct 2017 #17
Wrong, with all due respect. ALL health insurance in America is Obamacare, what is Eliot Rosewater Oct 2017 #18
Not in the vernacular. "Obamacare" is the NEW thing: Individual mandated policies... Honeycombe8 Oct 2017 #23
Correct, all the coverage is the same and many doctors and hospitals have gotten used to a rather Eliot Rosewater Oct 2017 #24
Correct tymorial Oct 2017 #31
It covers the same essential benefits as Obamacare...I never got well care under hubs old plan... Demsrule86 Oct 2017 #36
Oh, yes...I know they're gunning for Medicare. But at least I'll get a good chance ... Honeycombe8 Oct 2017 #47
I hope that happens...the GOP are looking to privatize it and kill it. Demsrule86 Oct 2017 #55
Yes, I know. They've been working on it for decades. I fear that this time they will... Honeycombe8 Oct 2017 #58
There is no such thing as Obamacare. That was a derrogatory term created by Republican Ms. Toad Oct 2017 #38
Originally it was. Then Obama himself claimed the name, saying he's proud to call it Obamacare. Honeycombe8 Oct 2017 #40
My spouse was proud to claim the black sheep award for our family Ms. Toad Oct 2017 #46
Not to me or any of the Democrats who use the term. I think you're behind the game on the term. Honeycombe8 Oct 2017 #49
My answer still stands. Ms. Toad Oct 2017 #52
President Obama disagrees with you. My reference stands. I have not been "trashing" it. Honeycombe8 Oct 2017 #56
I've spent a good deal more than that time with the ACA. Ms. Toad Oct 2017 #60
No, Obamacare is not a policy. It is a law, and it does cover employer provided insurance. ehrnst Oct 2017 #89
Blue Cross is widely accepted brokephibroke Oct 2017 #2
In CA Blue Cross (Anthem) through the ACA marketplace SalviaBlue Oct 2017 #3
This is sadly true, while WHAT is covered is the same, how it is paid is different which is why Eliot Rosewater Oct 2017 #10
This is what I found. But they wouldn't refund me. I just paid and didn't have access to care. Honeycombe8 Oct 2017 #19
More reason to make blue cross and blue shield and the rest of them a thing of the past. Eliot Rosewater Oct 2017 #22
Well, it's too late for me. nt Honeycombe8 Oct 2017 #25
How is it too late? Eliot Rosewater Oct 2017 #26
My daughter in Ohio was on Blue via the ACA. Demsrule86 Oct 2017 #37
ACA covered me. sheshe2 Oct 2017 #57
Depends on the plan.... Phentex Oct 2017 #5
Untrue, there are many blue cross plans , too many to count. kacekwl Oct 2017 #12
Either flu shots are considered preventive by ACA or they are not, pretty sure they are and if Eliot Rosewater Oct 2017 #27
I'm going to try elsewhere so kacekwl Oct 2017 #34
I am , find a pharmacy that gives the shots that takes your card. Eliot Rosewater Oct 2017 #35
I couldn't get an answer to that question from Blue Cross, so I didn't get one. Honeycombe8 Oct 2017 #61
Blue cross makes you pay upfront if you have not met your deductible but if you file a claim, they Demsrule86 Oct 2017 #39
Not for preventive care which this is, by law there is no copay or deductible. Eliot Rosewater Oct 2017 #41
I have Blue of CA brokephibroke Oct 2017 #33
I want a unicorn and have as much chance of getting that as getting single payer anytime soon...The Demsrule86 Oct 2017 #42
Polka dot unicorn? brokephibroke Oct 2017 #48
I don't say this with happiness...but because just as you say...we are anchored by conservatives. Demsrule86 Oct 2017 #50
What is that? Is it CA single payer? Do the doctors like it and take it? nt Honeycombe8 Oct 2017 #62
Every plan is required to cover flu shots with no copay. LeftyMom Oct 2017 #67
Apparently not the case. I couldn't find a dr for years who would take mine. Honeycombe8 Oct 2017 #14
Until 10/1 I had an ACA plan from Cigna - silver brokephibroke Oct 2017 #32
not true. BCBS is not just one plan Bradshaw3 Oct 2017 #44
I didn't have a problem treestar Oct 2017 #9
Free medical school if you agree to participate in AmericaCare , the new single payer Eliot Rosewater Oct 2017 #11
That was not the case for me, unfortunately. Honeycombe8 Oct 2017 #16
Yes. Nobody referred to that. treestar Oct 2017 #28
May be the difference. I've been in 2 red states. The ins cos have been paid... Honeycombe8 Oct 2017 #29
Why can't you get it after this year? Demsrule86 Oct 2017 #45
Oh...I can't afford it..the subsidies are up in the air. Honeycombe8 Oct 2017 #69
That is just not true... Demsrule86 Oct 2017 #43
I have not had any trouble at all. I have to wonder about your states. Two states myself. Mediumsizedhand Oct 2017 #51
Texas and Louisiana. Two red states. Big city...small city. Honeycombe8 Oct 2017 #64
I was in one of those states and had no problem at all. I bought the higher end one. Mediumsizedhand Oct 2017 #70
Did you buy through the exchange? And have an HMO? Honeycombe8 Oct 2017 #74
I better understand. I had the Bluecross HMO before I did ACA. Mediumsizedhand Oct 2017 #75
Wow. That sounds great. You are younger so can afford more... Honeycombe8 Oct 2017 #77
I personally, love ACA. it has allowed me to do all my work ups, and get a plan as I get older. Mediumsizedhand Oct 2017 #71
Your insurance plan has a list of providers in your area Merlot Oct 2017 #54
Of COURSE I started w/the provider lists. Honeycombe8 Oct 2017 #68
My saga to find a dr to accept my ACA plan. I made a phone call. They gave me a list. LeftyMom Oct 2017 #66
You have been paying for healthcare for 4 years without being able to get a doctor? Not Ruth Oct 2017 #73
Good for you ... LenaBaby61 Oct 2017 #76
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