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Gravitycollapse

(8,155 posts)
Thu Jan 16, 2014, 03:23 AM Jan 2014

So I'm pretty sure I was just ripped off by the healthcare exchange and BC/BS...

I feel like I should be worried. I signed up for a specific plan over the phone.

This plan to be exact:



Which has this plan summary on the exchange website:




And after I opened the Blue Cross/Blue Shield pdf summary for the plan, I realized that none of the figures stated on the exchange website match. The name of the plan matches but nothing else.

https://www.azblue.com/~/media/AZBlue/Files/SBCs/IU65/EverydayHealthSelect4000.pdf

Annual deductible: $4,000
Maximum out-of-pocket: $6350


Copays-

Primary care - $30
Specialist - $60


Prescription tiers -

1: $15
2: $50
3: $100




It's important to note that NONE of the information provided in the BC/BS brochure matches the information on the exchange website. None of it. The plan I was shown on the website and sold on the phone has essentially nothing to do with the BC/BS plan in the pdf.

Has anyone else run into this?
16 replies = new reply since forum marked as read
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So I'm pretty sure I was just ripped off by the healthcare exchange and BC/BS... (Original Post) Gravitycollapse Jan 2014 OP
I believe you can change plans up to march 31, 2014 since it is open enrollment. Cannot comment lostincalifornia Jan 2014 #1
I'm aware I can change plans. I wasn't aware I would be fed a pile of bullshit... Gravitycollapse Jan 2014 #2
Did you contact them? Ellipsis Jan 2014 #4
Not yet. I literally just found the inconsistencies 30 minutes ago. Gravitycollapse Jan 2014 #6
If that's what it says on the screen I think they are contractually obligated. Ellipsis Jan 2014 #8
I suspect they are not contractually obligated based on their website. Gravitycollapse Jan 2014 #9
Not necessarily. A summary of a plans coverage usually has in fine print that it may not represent lostincalifornia Jan 2014 #16
Did you sign up for an individual plan Control-Z Jan 2014 #3
I'm looking at the individual plan. Gravitycollapse Jan 2014 #5
This message was self-deleted by its author HangOnKids Jan 2014 #7
Did you notice the individual totals seem correct? Live and Learn Jan 2014 #11
Your plan matches what was the ACA site said for an individual, Live and Learn Jan 2014 #10
I just found the inconsistencies about 90 minutes ago. Gravitycollapse Jan 2014 #12
Good, Hopefully,they are just giving you your costs if it was a family plan. Live and Learn Jan 2014 #13
On the pdf, take a Sharpie pen and black out anything that says "family". I think what's left will NYC_SKP Jan 2014 #14
It definitely looks like Exchange info was wrong, very wrong. $50 deductible? Hoyt Jan 2014 #15

lostincalifornia

(3,639 posts)
1. I believe you can change plans up to march 31, 2014 since it is open enrollment. Cannot comment
Thu Jan 16, 2014, 03:32 AM
Jan 2014

on your specific situation though I would think you should be able to get and exact copy of the polcy

Isn't that required


Gravitycollapse

(8,155 posts)
2. I'm aware I can change plans. I wasn't aware I would be fed a pile of bullshit...
Thu Jan 16, 2014, 03:37 AM
Jan 2014

By being sold a plan that doesn't exist.

I'm currently searching for the paperwork on the BC/BS website.

Gravitycollapse

(8,155 posts)
6. Not yet. I literally just found the inconsistencies 30 minutes ago.
Thu Jan 16, 2014, 03:44 AM
Jan 2014

I'm going to be so angry if my suspicion is correct. I've been trying to get health insurance for so goddamn long and I finally breathed a sigh of relief this afternoon thinking my journey was complete.

Ellipsis

(9,124 posts)
8. If that's what it says on the screen I think they are contractually obligated.
Thu Jan 16, 2014, 04:01 AM
Jan 2014

Mixed up paper work I'd bet --- deep breath, walk it off, try to relax... wait till you find out before you get your freak out on and be nice on the phone. Don't kill the messenger they are on your side, and should be able to make things right for you some how. If you treat them badly they may not go out of their way for you.

Gravitycollapse

(8,155 posts)
9. I suspect they are not contractually obligated based on their website.
Thu Jan 16, 2014, 04:13 AM
Jan 2014

Because anything stated on the health care exchange is technically a summary and thus not anything that could be considered legally binding.

lostincalifornia

(3,639 posts)
16. Not necessarily. A summary of a plans coverage usually has in fine print that it may not represent
Thu Jan 16, 2014, 01:06 PM
Jan 2014

the actually policy.

You need to see the actual policy

To me that should not be allowed, but it is

Control-Z

(15,682 posts)
3. Did you sign up for an individual plan
Thu Jan 16, 2014, 03:38 AM
Jan 2014

or a family plan? You may be looking at the family vs individual. The summary I was given was for individual instead of family and was way off because if it. I panicked until my insurance agent set me straight.

Response to Gravitycollapse (Reply #5)

Live and Learn

(12,769 posts)
10. Your plan matches what was the ACA site said for an individual,
Thu Jan 16, 2014, 04:24 AM
Jan 2014

as far as I can see. It looks like the insurance company thinks you signed up for more than 1 person. Have you called to ask?

Live and Learn

(12,769 posts)
13. Good, Hopefully,they are just giving you your costs if it was a family plan.
Thu Jan 16, 2014, 04:43 AM
Jan 2014

If that is the case, all is well. Do let us know.

 

NYC_SKP

(68,644 posts)
14. On the pdf, take a Sharpie pen and black out anything that says "family". I think what's left will
Thu Jan 16, 2014, 05:14 AM
Jan 2014

will match what your screen shot says you would pay.

Give that a shot.

The numbers for an individual look about the same to me.

 

Hoyt

(54,770 posts)
15. It definitely looks like Exchange info was wrong, very wrong. $50 deductible?
Thu Jan 16, 2014, 05:55 AM
Jan 2014

The plan name indicates it had a $4000 deductible.

If I had seen that Exchange summary, I would have jumped on it too and told everyone I know they should get it. That's a shame.

Will be interested in BCBS's response. I still think the actual plan is pretty good if the premium is accurate.

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