General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsCare First BCBS just dropped me with 10 days' warning due to "ACA"
I have had Care First health insurance for many years and my insurance policy is from Feb 1-Feb. 1. I contacted them this week to ask what the renewal premium will be and was told by email, "Your policy ends on Jan. 1 due to the Affordable Care Act."
I wrote them back and asked what aspect of the ACA caused them to make this decision---basically to end my contract without telling me---- b/c I want let my Congressmen and POTUS know the reason.
Any other ideas?
This comes on the heels of my getting a not-so-good diagnosis and needing some pretty significant care.
This company is a POS.
silvershadow
(10,336 posts)not saying it didn't mean something to you. If it didn't meet the ACA's minimum requirements and they chose not to upgrade it to satisfy ACA, then I'm not sure but sounds like you need to get to shopping ?? Maybe someone else can come along with more.
wordpix
(18,652 posts)It has paid for the annual maintenance visit to primary care doc, blood work, etc.
I also recently needed some tests and visits to a specialist. It paid for those, too (along with my copays).
CreekDog
(46,192 posts)pnwmom
(108,977 posts)pnwmom
(108,977 posts)Someone I knew was offered a policy that was supposed to be good -- and it only paid 50% of hospital bills. Also, it topped out at $100K.
JaneyVee
(19,877 posts)JDPriestly
(57,936 posts)They may have dropped the policy because you can do better. Sounds like it did not measure up to the ACA standards in some way. Either that or it is too pricey. The insurance companies have to refund to you any profit they make over 20% or something along that line.
wordpix
(18,652 posts)it's literally taking all day b/c you have to check the different companies and what they cover, what docs and hospitals are in the network---it's a real research project.
JDPriestly
(57,936 posts)We had it for our family when we lived in Europe. I remember in one country I was looking for a doctor and could change and try a different doctor every few months. It was great. All the doctors were on the same system. You had a limited choice of insurers. We took the least expensive which was what most people had. I had very complicated health conditions at the time related to the births of my children and my care was excellent especially in France.
We could make our health care insurance cheaper and more efficient if we had single payer. You would not have to compare plans to the extent you do here.
I wish you luck. Of course, it is much easier here if your employer just picks a couple of plans. I used to pick the plans for one of my employers. Big employers probably have and advantage and can bargain for the business but I worked for a very small non-profit. We looked for the lowest offer we could get that would provide some decent care. I think that a lot of people who have insurance paid for by their employer may get good coverage but many don't and just don't realize how bad the coverage is until they really need it.
wordpix
(18,652 posts)That was in the '80's and the only bills I saw were for the quarterly premium, which was based on our household income and was reasonable.
mn9driver
(4,425 posts)I think a lot of companies are using the ACA as an excuse when the real reasons are purely profit driven.
wordpix
(18,652 posts)we shall see what they say on Mon.
Blanket Statements
(556 posts)wordpix
(18,652 posts)Blanket Statements
(556 posts)The true believers will smite you for your lack of faith.
I've found I will not be one of the fortunate ones should my current insurance not continue
pnwmom
(108,977 posts)and his income is too high to qualify for a subsidy.
Blanket Statements
(556 posts)Ours will go up about $700/mo
pnwmom
(108,977 posts)Did it have annual and lifetime limits on coverage?
How many people are on your policy?
Have you compared multiple policies, or are you just comparing your old policy's price to whatever new policy that company suggested you take? (If that is the case, you should shop around.)
Blanket Statements
(556 posts)They could drop coverage.
The increase for a comparable plan is $700/month
pnwmom
(108,977 posts)The ACA was designed so that individuals who had been locked out of the market could get insurance.
My husband's insurance is through work, too, and every year the premiums have been going up. Also, employers have ALWAYS been able to drop insurance, unless they had union contracts to deal with.
Now, thanks to the ACA, you won't be out of luck if they do.
Blanket Statements
(556 posts)With the $700 a month, extra, that I would have to pay if I am forced into the individual market?
pnwmom
(108,977 posts)And then you would have been worse off. Obamacare didn't do this to you. It it happens, it will be because of your employer's choice.
And the ACA will charge your employer a penalty if it drops insurance, so it's less likely to do that than before.
Blanket Statements
(556 posts)For penalties and if the penalties are cheaper than insurance, they could just pay the penalty.
The fact is, prior to the ACA I didn't have to worry about it
pnwmom
(108,977 posts)Every employer has always been free to reduce or drop insurance -- unless it's a union shop. And every year there are many that do so.
Blanket Statements
(556 posts)Kingofalldems
(38,454 posts)Blanket Statements
(556 posts)Regardless of who is blamed
pnwmom
(108,977 posts)If your employer had dropped coverage or you lost your job there, you could have had a great deal of difficulty finding an individual policy that would take you, much less a good one.
It's ironic. Now you're finally concerned -- even though now you will actually have some options if the worst occurs.
Blanket Statements
(556 posts)And I've never had to worry about a company dropping coverage
pnwmom
(108,977 posts)because you were just one job away from not being able to get health insurance. Everybody was at risk under the old laws. My husband has worked at a solid company for decades and they offer excellent coverage -- but we were never naive enough to imagine that we never had to worry about losing coverage. EVERYBODY should have been worried, whether they realized it or not.
Insurers used to decline individual customers on the slimmest of pretexts. And they could take your money for years, and then drop you as a customer as soon as you developed an illness.
Blanket Statements
(556 posts)I've never been concerned with losing it
pnwmom
(108,977 posts)Anyone in any job was at risk, whether you worked at a major corporation or were self-employed.
Blanket Statements
(556 posts)He's a republican troll for thinking about the possibility.
Like I said. I never worried about it before
pnwmom
(108,977 posts)he knew that there was nothing protecting him if he lost his job and had to get new insurance. That's the whole reason Democrats have been pushing for health care reform for decades.
The fact that you never worried about it before proves nothing except you weren't realistic about your situation.
Unless, of course, you ARE the boss and are considering getting rid of your own insurance (as well as everyone else's.)
Blanket Statements
(556 posts)On the private market, so maybe that's why I'm shocked right now.
Hopefully the prices will drop in case I am forced into the exchanges
pnwmom
(108,977 posts)to see if you'd qualify for a subsidy? Some people have been pleasantly surprised to see that they'd do better on the Exchange than with their employer insurance.
One thing you might think about is what your current limit is now, in case you got into a terrible accident, like Christopher Reeve (Superman, who was paralyzed), who hit his limit within a year or two. Or what if you developed a serious cancer? Most existing policies had limits of about a million or less. After that, you were on your own. Now there are no limits. That's a huge difference, to me, anyway.
Blanket Statements
(556 posts)The Kaiser website.
pnwmom
(108,977 posts)so, if the worst happens, check the Exchange and also check the insurance companies directly ( if the Exchange agrees that you don't qualify for a subsidy.)
But hopefully your employers won't decide to do the worst.
Blanket Statements
(556 posts)cleanhippie
(19,705 posts)Why the concern all of a sudden?
Blanket Statements
(556 posts)Up employers dropping insurance, caused me to take a look at private plans.
I know the employer mandate excludes companies under 50 people, with mine at 53 it just got me thinking about what could happen
cleanhippie
(19,705 posts)Then you're overreacting to a nonexistent problem.
Good luck, and good night.
wordpix
(18,652 posts)cleanhippie
(19,705 posts)So please, stop trying to place the blame on it.
Blanket Statements
(556 posts)And, until the ACA, I didn't have the concern.
It doesn't matter if I blame my company, the law or God...I would still have to pay more money than I have for insurance.
While it hasn't happened and it might not, I never had to worry about it before
cleanhippie
(19,705 posts)And neither did your employer, until he realized he could screw over his employees and keep the money for himself.
You need to place the blame squarely on the shoulders of the one responsible for your dilemma: your employer.
Blanket Statements
(556 posts)Will it
cleanhippie
(19,705 posts)Will it?
You said that he was cutting several employees so that he could force the rest into the individual exchanges.
Why are you unable to see where the problem really lays?
Blanket Statements
(556 posts)Won't change the fact that I didn't have to worry about it before it passed
cleanhippie
(19,705 posts)For his own gain. Why is it so difficult for you to accept that it is your employer that is the problem?
Blanket Statements
(556 posts)cleanhippie
(19,705 posts)For penalties and if the penalties are cheaper than insurance, they could just pay the penalty.
The fact is, prior to the ACA I didn't have to worry about it
Maybe the better question is: what the fuck are you talking about if you still have your insurance?
Blanket Statements
(556 posts)What they could do
Reading is key to understanding the conversation you've inserted yourself into.
Not everyone will do better under the ACA. If my employer cuts insurance, my family is going to be hurt
cleanhippie
(19,705 posts)So again, I ask: what the fuck are you talking about?
Blanket Statements
(556 posts)You've inserted yourself into.
I work for a small employer, they may or may not continue insurance when the employer mandate goes into effect.
This is something I've never had to worry about, previously.
Separating employment from insurance would cause a problem for my family.
It's not like jumping to a new job is a guarantee of insurance benefits in the future
cleanhippie
(19,705 posts)And my drop you when they are required to provide you insurance because it would be required to do something they already do?
Again: what the fuck are you even talking about?
Blanket Statements
(556 posts)With just a few staffing changes.
It is a concern, not an imminent event
cleanhippie
(19,705 posts)Do you think your employer would do that? Why?
And how would your employer cutting employees in order to drop everyone else's insurance be the fault of the ACA and not just a greedy employer exploiting the system in order to save himself money?
Blanket Statements
(556 posts)Following the financial crisis, like so many others did.
But, if it's in their interest to cut the expense to be more competitive they might just do it. I'm not saying they will but, with the size of the company it is a concern.
cleanhippie
(19,705 posts)We're back to the start. You blaming the ACA for the potential greed of your employer.
It's clear that you are trolling with this nonsensical bullshit "concern".
Blanket Statements
(556 posts)If you're having problems reading ask me a question. Don't just make something up so you can attack me
cleanhippie
(19,705 posts)And that's the fault of the ACA?
You've proven yourself to be full of it. Thanks for playing. And enjoy your stay. Say hi to rimjob for us, wont you?
Blanket Statements
(556 posts)I haven't had to worry about it before
cleanhippie
(19,705 posts)Blanket Statements
(556 posts)N
cleanhippie
(19,705 posts)Do you think your employer would do that?
If not, why are you worried all of a sudden?
cleanhippie
(19,705 posts)That you didn't have before.
Imagine how expensive your policy would be if your employer dropped your insurance and the was no ACA.
THAT would be something to worry about.
Currently, you are overreacting to a pretend problem that you created in your head. Relax, take a deep breath, and get a grip.
tkmorris
(11,138 posts)ProudToBeBlueInRhody
(16,399 posts)....it's excused and blamed on the mean government.
That's how this is supposed to work.
Blanket Statements
(556 posts)Why is reading so hard?
ProudToBeBlueInRhody
(16,399 posts)Blanket Statements
(556 posts)ProudToBeBlueInRhody
(16,399 posts)Heh....
Blanket Statements
(556 posts)But they didn't do layoffs after the financial meltdown. We've gotten raises, we've gotten some bonuses over the years.
It's a good company
Yo_Mama
(8,303 posts)And that, for many small employers, is proving to force a big premium hike. However a small company can stick the employees with it.
For his employer, which apparently is above the employer limit, they must either provide ACA-compliant insurance at no more than 9.5% of the employee's wage, or pay a fine. And for many of them, it is far, far cheaper to pay the fine.
So his concern is not irrational. There are a bunch of companies that will do just this.
JDPriestly
(57,936 posts)Just to show Obama?
Don't worry. Obamacare is intended to help people who really can't afford their own insurance. So if you really don't have the money you need to buy your insurance, you will probably be eligible for a subsidy.
Your employer will probably continue to insure you.
It is unhealthy to worry about things that might happen unless you can do something to prevent them. Think of all the people who work hard and don't have insurance and have not been able to afford it until Obamacare. Up to now, you have enjoyed a free ride. Be thankful and hope that you continue to get a free ride.
If your boss drops your insurance, ask for a raise to help you cover new insurance. The insurance is part of your compensation package. If your employer stops paying for your insurance, you have had a pay cut. You should either ask for an increase in pay to make up for the cut or look for a new job. Doing both is the best bet because the fact that your boss cuts your insurance in other words pay may mean the company is not doing well.
Blanket Statements
(556 posts)It may not happen but I took the time to look into it just in case.
JDPriestly
(57,936 posts)want to risk losing you by dropping your insurance, and 2) if you must, you can find the money in your budget to cover the cost of a good insurance policy. The subsidies are pretty generous.
I paid for my own insurance for several years before I retired. My employer did not provide it. You have to change your life a bit but you will find the money if you don't qualify.
But if you are earning a higher than average income and that is the most likely reason you don't qualify for a subsidy, your employer probably values your work enough that he won't drop your insurance. And as I said, if you think your employer is going to drop your insurance, you should look for another job. If you are earning too much to qualify for a subsidy, your skills are probably in demand.
I'm guessing, but I'm pretty good at guessing. I don't think you have a serious problem. You will be OK.
Blanket Statements
(556 posts)First look at it compared to what I pay with my employer
JDPriestly
(57,936 posts)Your insurance costs may already be subsidized by your employer.
I thought you hadn't lost your employer-paid insurance yet. Your story is getting confusing.
Blanket Statements
(556 posts)No I have not lost insurance
redstatebluegirl
(12,265 posts)Blanket Statements
(556 posts)Change them
Kingofalldems
(38,454 posts)Blanket Statements
(556 posts)Who could decide to drop coverage when the employer mandate goes into effect
cleanhippie
(19,705 posts)Blanket Statements
(556 posts)Could make it too much to keep.
All I've done is look at my options should it actually happen. I never had to worry about it before
cleanhippie
(19,705 posts)Keep trying to blame the ACA. Your "concern" is noted. Maybe it would be better appreciated over at FR.
Blanket Statements
(556 posts)I said I was never worried about losing insurance before
tkmorris
(11,138 posts)MineralMan
(146,288 posts)Right now, you don't feel the cost of the health insurance you have, since your employer pays a good portion of it. If your employer suddenly decided to stop paying for your health insurance, fired you, or closed the business down, you'd be in the position of having to pay for your own health insurance, just like all of those independent contractors and the self-employed already do now.
But, you have no reason to believe that your employer will do any of those things. If, however your employer did do one of those things, ACA means that you'd be able to purchase individual health insurance, regardless of any pre-existing conditions. That wasn't true before ACA. My wife, who is self-employed, was paying $1000/month for her individual health insurance policy. Before I went on Medicare, I was paying $700/month for mine. Under ACA, an equivalent policy that's even a little better than what she had costs half that much, under $500. We save 50% over what we were paying.
We don't have employers who pay most of our health insurance. You're now seeing what the actual costs are and are panicky. Get familiar with those costs, because you're always a day away from not having an employer pay for most of your health insurance. That's reality. But with ACA, you will at least be able to buy your own if that happen. Yes, you'll have to pay the part your employer is now paying. That's reality knocking on your door.
Go ask your employer about his plans. Find out what he's thinking. That's my recommendation.
redstatebluegirl
(12,265 posts)Blanket Statements
(556 posts)Drops coverage when the employer mandate goes into effect?
cleanhippie
(19,705 posts)His story is falling apart with basic questioning.
Blanket Statements
(556 posts)And now claim my story is falling apart
pnwmom
(108,977 posts)You had a false sense of security before, and NOW you're worrying about something that hasn't happened.
Blanket Statements
(556 posts)It's just an initial shock from never having thought about it
ShazzieB
(16,382 posts)But blaming the ACA won't solve it, either.
Blanket Statements
(556 posts)pnwmom
(108,977 posts)Now change is happening and your bubble isn't protecting you, so you're worried. But you're actually better off now than when you were kidding yourself that you had nothing to worry about.
Blanket Statements
(556 posts)When you've never thought about it before
pnwmom
(108,977 posts)I remember when I first had a serious illness. Up till then I had been young and healthy and just imagined it would always stay that way. It was other people who got sick. What a shock to find myself in that category.
But sooner or later everyone has to join the real world. Where bad stuff happens.
Blanket Statements
(556 posts)pnwmom
(108,977 posts)and that you get to spend several decades griping about paying for health insurance that you'll always believe you didn't really need.
There could be worse things than that, right?
wordpix
(18,652 posts)take a look at the execs' salaries, they'll blow your socks off.
But little old me - they're going to dump my contract for the last month without telling me ahead of time.
Lifelong Dem
(344 posts)gulliver
(13,180 posts)Incredible. Just not to be believed.
Blanket Statements
(556 posts)grantcart
(53,061 posts)going out of his way to spread news about how terrible the ACA is with personal experiences that don't really match anyone else.
Here he is the only poster who recs a post predicting the self destruction of the ACA
http://www.democraticunderground.com/10024206545
Blanket Statements
(556 posts)And not everyone will have the same experience.
The article made a good point
grantcart
(53,061 posts)will be eligible for the OP is without a factual context and without any point what so ever, good or bad, its just a person complaining that they will have to change their policy for something that they know nothing about.
The facts are that people who are losing their insurance are losing it because they are getting replaced by much better policies at lower costs:
http://www.kaiserhealthnews.org/Stories/2013/November/26/california-insurance-cancellations-upside.aspx
Blanket Statements
(556 posts)Perhaps the prices will come down but it's just a shock to me because I've always been on an employer plan
wordpix
(18,652 posts)I do qualify for the exchange but it takes hours to go through all the plans and now I'm doing it at the last minute with a Mon. deadline to decide. I thought I had some weeks to decide but thanks to Care First, I have 3 days.
AND they never would have told me I'm getting dumped unless I had asked about the new rate for the new policy year. They did not give 30 days' notice or anything close. It seems to me they could get sued for breaking a contract with no notice.
CreekDog
(46,192 posts)you don't even know the way in which it differs from ACA requirements.
so clearly you don't know and though you can know how it was deficient, but you're making pronouncements without knowing.
FarCenter
(19,429 posts)https://member.carefirst.com/individuals/about-us/company-overview.page?
At least is not one of those for-profit health insurance companies.
https://member.carefirst.com/individuals/about-us/our-history.page?
wordpix
(18,652 posts)for the first time ever, I'm costing them money. Before the past month or two, I was just paying every month, year after year, and getting nothing. Now I need services and they're getting some bills.
geek tragedy
(68,868 posts)Hassin Bin Sober
(26,325 posts)pnwmom
(108,977 posts)because of your health condition.
If they're on the exchange you might be eligible for a subsidy. If your income is too high for that, you can still go through the exchange -- or you can just go to their website, see what policies they're offering for individuals now, and apply.
But you really might be better off considering all your insurance options now -- not just this one company.
The Wielding Truth
(11,415 posts)you feel that your company has the option now to abandon you or cause you to pay open market premiums.
You must now see how that has been a major concern of all Americans and why a big change had to be made and why the restraints to protect our citizens and promote our general welfare had to be enacted. If because now you feel the threat, it did not appear because of the ACA, it was coming for us all and you are just now seeing it.
wordpix
(18,652 posts)Of course I know our health care system is a huge disaster. However, when you have a contract with someone, you expect they'll honor that contract or at least give some reasonable time period, the usual is 30 days, to let you know they no longer want to do business.
This company gave me 3 days to find another company on the exchange or not. It's not a lot of time, considering two of the days are the weekend.
The Wielding Truth
(11,415 posts)You are completely aware and working through your problem in a smart and comprehensive way. I apologize and hope all works out for you. I hope your employer gets wise and starts treating his or her employees better.
wordpix
(18,652 posts)global1
(25,242 posts)and sign up for a new plan.
BCBS was a good company back in the 50's/60's - but they are highway robbers these days. Count your blessings that you don't have to deal with them anymore.
I had them up til August of this year - and every year - like clock work - they increased my premium to where just before I turned 65 and signed up for Medicare - the premium would have been $3700 + every 2 months. I am self-employed and that premium was with a $3000 deductible and only insured me.
I'm now paying in the neighborhood of $400+ per month and have better coverage than I ever had. This includes Medicare Part A&B, a Plan F Humana Supplement - that includes some dental and eye coverage and my Medicare Part D (drugs).
I don't know your specific details - but you should be able to get a lot better coverage with ACA and don't have to worry about pre-existing conditions.
wordpix
(18,652 posts)but thanks for the info. I agree BCBS is a highway robber
SheilaT
(23,156 posts)about health insurance companies are mostly about BCBS. I know that's purely an impression from anecdotes, but still.
There was a time, about 50 years ago, when BCBS was the best health insurance out there. Don't know why it changed, but it did.
Oh, and the up side of your needing a new policy is that now, thanks to the ACA you can't be turned down for the pre-existing condition you now have. My guess is that if this not-so-good diagnosis had occurred three or more years ago, you'd have been dropped then, and would not have been able to get new coverage precisely because of the new pre-existing condition.
SharonAnn
(13,772 posts)SheilaT
(23,156 posts)Hospitals used to be pretty much all non-profit, and I can recall quite clearly when that started changing, in the 1960's. There were some warnings that this wasn't a very good idea, but it all seemed to have happened very much under the radar.
Some hospitals still are non-profit, such as the one I work for, but they still pay the executives pretty hefty salaries while taking away as much as they can from the peons.
WillowTree
(5,325 posts)SheilaT
(23,156 posts)BCBS Michigan is not-for-profit and is still the best in our state.
SheilaT
(23,156 posts)Sometimes it is very nice to be wrong.
MineralMan
(146,288 posts)Blue Cross/Blue Shield is among those here, and it's the company my wife chose in the MNCare exchange. She'll be saving 50% over her previous policy with another company, and keeps her doctors all around. Good deal for her.
frazzled
(18,402 posts)Are you sure you didn't get a letter earlier?
Something in your policy must have been out of compliance with the ACA. But they would have known this for 3 whole years. It's irresponsible that they wouldn't have told you sooner.
NYC_SKP
(68,644 posts)And it will be better.
You do know that non-ACA policies can drop you ro raise your premiums or change coverage and terms any time they like, right?
You did know that.. I hope you knew that.
Of course they're going to blame Obama...
RBInMaine
(13,570 posts)factsarenotfair
(910 posts)wordpix
(18,652 posts)wordpix
(18,652 posts)since I wasn't told I'm being dropped for my last month on this policy until 12/19, I don't know...
Also, I don't necessarily want to renew, I just wanted to look at the option of renewal and compare to the exchange.
Live and Learn
(12,769 posts)in February. Kind of suspicious that they cancelled you after a not-so-good diagnosis which is now illegal.
wordpix
(18,652 posts)and win so I am looking at the exchange.
Yo_Mama
(8,303 posts)Insurance is regulated by states, but I suspect in every state they have to give you more notice than this. It's possible that they sent you notice and you didn't receive it, but I'd call up on Monday, give 'em hell, and tell them that you will be reporting them to the state insurance regulator for cancelling your policy without notice.
Ten days notice doesn't cut it.
Lint Head
(15,064 posts)I think they got off with a fine or settlement. BCBS does NOT care about sick people. They care about profit, They claim to be nonprofit but it is a big obfuscated lie.