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yodermon

(6,143 posts)
Thu Jan 2, 2014, 01:04 AM Jan 2014

"The Affordable Care Act is leaving my children uninsured as of January"

Smells like propaganda, need help debunking?

http://karrikinder.blogspot.com/2013/12/normal-0-false-false-false-en-us-x-none.html#comment-form

December 22, 2013

The Affordable Care Act is leaving my children uninsured as of January – so how can this law have the word Care in it?

An Open Letter to the Obama Administration and American Citizens:

My family’s journey with securing our new insurance under the Affordable Care Act (ACA) started on October 1, 2013. I have decided to write this letter to let the American people know what it has been like for us. We are a family of four, with two little boys’ ages seven years old and three years old. My husband and I have had full time jobs for 6 years and 13 years respectively. We have been with the same two companies for those years. We are a middle class family; we own our three bedroom two bath house, we own two cars, and previously provided our own insurance for the four of us. We have coverage through Individual Blue from Blue Cross Blue Shield of Alabama until 12/31/13. Our premiums have been $380.00 a month, which also included dental coverage for all four of us.

On October, 1, 2013 we received our letters like other Alabamians about our new premiums and plans for 2014 from Blue Cross Blue Shield (BCBS) of Alabama. When I opened our letter to say I had sticker shock was an understatement. Our premiums for the Blue Saver Silver would now be $753.26. This included the ACA tax but did not include the additional $75.00 we would need to pay in order to keep dental for me and my husband. So we would need to pay total $828.26 to keep health and dental insurance for the four of us. This payment is roughly $64.00 less than what we pay for our mortgage each month. I was outraged that anyone thought we could afford this. Sure we have some savings, but with that price tag we would whittle it down to almost nothing very quickly. I consider savings as a rainy day fund, a start to saving for the kid’s college, our retirement, etc. I never dreamed in a million years we would need to use it to pay our insurance premiums each month – how in the world could this help the economy too?

Throughout the month of October we read everything we could on what our plan would cover, and tried to get the information we needed about the ACA. I was also blown away when I realized that my son’s medical care, he has Attention Deficit Hyperactivity Disorder (ADHD), would cost us so much more out of pocket than it was currently costing us. My son has to go to his doctor every other month for his care. If we need to see a therapist we do that monthly, so you see on top of the premiums there are other out of pocket cost we have to factor in. He is also on medication that he takes daily. His medicine is a life saver for him and helps him function like a normal seven year old, without it he can’t focus, his grades slip and his mind literally goes back to the mind of a three or four year old. When he was first put on his medicine his reading went up 20 points and he went from writing one to two sentences to paragraphs, all in the course of a week. He is a straight A student and very bright, but without the proper medical care that could slip away from him. Under our new plan for 2014 we would need to pay a $55.00 co-pay, and then it would be covered at 80 percent once we reached his deductible, which would be $2,000 individual $4,000 family. Out of pocket max numbers are $6,350 individual and $12,700 family. All of this is enough to make anyone’s head spin. We were then forced to look at other options as none of this was affordable for our family.

I started to dig deeper into healthcare.gov. I was hearing all the horror stories through the news about the subpar website. I was reading right off their healthcare.gov Facebook page about other people’s terrible experiences trying to get coverage. Then the government announces that they are going to be working on the site and making it a better experience as well as making it more secure. They had already had three years to make this happen but they said would need the month of November to get it running right. So I waited patiently for them to get the site running so I could see if we would qualify for the subsidy and continue our health insurance through that route.
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13 replies = new reply since forum marked as read
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Ed Suspicious

(8,879 posts)
1. Just saw this on the news feed of one of the nicest, most compassionate, strongest advocate against
Thu Jan 2, 2014, 01:22 AM
Jan 2014

childhood cancer that there is. Makes me sad. I told her we need single payer - Medicare for all. Thinking her republican friends will be along to trounce me any minute now.

lostincalifornia

(3,639 posts)
7. Exactly. Even before the ACA, there was no way that a comprehensive policy would cost 380/month for
Thu Jan 2, 2014, 01:46 AM
Jan 2014

four, and this isn't through an employer, but bought straight from the insurance company. Either it is a catastrophic plan with a cap, or some other restrictions that we are not being told.

napi21

(45,806 posts)
4. Did you call the 800 #?
Thu Jan 2, 2014, 01:34 AM
Jan 2014

I was helping my cousin get coverage. We began last Friday afternoon. She lives in Pa.(I live in Ga. and she's visiting here.) and the pub governor didn't participate in the AFA program. I went directly to healthcare.gov. We checked all the options and found one that would work for her. We clicked on the sign up link and entered some preliminary information, and reached the screen that said they would send an email with a link to continue. Well, she couldn't remember her google password, so I had no option but to call the 800# and complete the application online. The person online was very helpful, and even found a much better option for her.

I suggest you call and see if they can help you. Sorry I didn't keep the number after we were done, but you can find it online.

lostincalifornia

(3,639 posts)
5. Putting in the numbers with the assumption of 63K, I come up with the following
Thu Jan 2, 2014, 01:42 AM
Jan 2014

Living in Alabama and based on a household size of four and household income of $63,000:
Eligible for Medicaid and/or CHIP

Person #3 (age 6)
Person #4 (age 13)
These people may be eligible for Medicaid and/or the Children's Health Insurance Program (CHIP) in your state.

This means that you can get free or low-cost care and don't need to buy a health plan for these people.

If you view Marketplace plans here, the plans and prices you'll see won't count people who are eligible for Medicaid or CHIP.

This isn't a final determination. You'll need to submit a Marketplace application to get an actual eligibility statement.


MEDICAID INFORMATION
CHIP INFORMATION
Eligible for help paying for coverage

Person #1 (age 35)
Person #2 (age 35)
These people are probably eligible for a premium tax credit.

This means that you may get a tax credit to use toward the cost of paying for a private health plan that you purchase through the Marketplace.

Note: this isn't a final determination. You'll need to submit a Marketplace application to get an actual eligibility statement.

For the private Silver plan for the two adults the premium comes out to be:

450/Month

Not sure if her point is valid or propaganda, but I also believe a lot of her issues are the way her red state implements this, assuming of course this isn't bullshit rightwing propaganda, since googling this only refers to right wing sites, along with some references to ted cruz

Also, the numbers I put in contradict what she has said. In addition, If she was pay 350 dollars for a family of 4 before the ACA, not through an employer, that does not make any sense that the premium would be that low, and there are so many missing facts from her statement that I do regard it as suspect



bluestateguy

(44,173 posts)
6. $380 a month for a family of 4?
Thu Jan 2, 2014, 01:43 AM
Jan 2014

Either its a junk policy that covered nothing or this story is a made up work of fiction.

I'll need to see receipts and bill statements before believing that.

TxDemChem

(1,918 posts)
11. That's what I said.
Thu Jan 2, 2014, 07:39 AM
Jan 2014

I paid about that much for myself alone. In the words of my daughter: junk, junk, junk!

factsarenotfair

(910 posts)
10. She was outraged that anyone thought they could afford the ACA plan.
Thu Jan 2, 2014, 02:09 AM
Jan 2014

I wonder if she was outraged that millions of Americans DIDN'T HAVE HEALTH CARE before the ACA. I don't see anything on her blog about outrage over the uninsured or food stamp cuts or unemployment insurance cuts or the government shutdown. BUT BOY IS SHE OUTRAGED that anyone would dare to even think that she and her family would pay a few hundred a month more for health care.

I wonder if she is outraged over the number of people in our prisons or the human and financial costs of war or NSA surveillance or all of the illegal foreclosures or a lot of other things that outrage me.


 

SheilaT

(23,156 posts)
12. This bit of nonsense also doesn't
Thu Jan 2, 2014, 01:16 PM
Jan 2014

mention why neither one of the adults has health care through their jobs.

And yeah, a private comprehensive plan that was just $380/month? Why do I think there's something wrong or missing here. Especially given the apparent needs and costs of the one son.

Curmudgeoness

(18,219 posts)
13. I have seen several of this type of story
Thu Jan 2, 2014, 09:07 PM
Jan 2014

and they have pushed the bullshit so far that it is impossible to believe. It is especially unbelievable when you see that they have a child with a pre-existing condition that needs constant care and meds. Also, note that they say the child needed monthly visits to a therapist. Policies had always had minimal coverage for mental health prior to ACA.

There is no way that a family of 4 has better coverage than they say they are now offered for $380 a month. With dental. Not possible.

Also, it might be true that the insurance company offered a plan to them, but that is not their only option. I have heard of many insurance companies cancelling policies and offering policies outside of the website offering, but that is not the best option. I did not go to the article, so I don't know if they ever signed up on the website, but if they really are in dire straits over the offered premium, they should get a subsidy.

And what does she mean by the quoted premium "included the ACA tax"? There is no ACA tax on premiums.

I call bullshit.

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