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Doctor_J

(36,392 posts)
Mon Nov 23, 2015, 08:09 PM Nov 2015

Good healthcare news

for my insurance company. After raising us to $8350 out of pocket max to celebrate the implementation of Gingrinch/Obamacare two years ago (about 1700% - family coverage), they raised us another 50% this year. Now new people at my place, if they have a family, will have an out of pocket max totaling about 40% of their take-home pay.

Thanks for that public option Mr. President! And thank God Hillary wants to keep Big Insurance's collective finger in the pie! I would hate to pay extra taxes and not get these surprises every year!

4 replies = new reply since forum marked as read
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Good healthcare news (Original Post) Doctor_J Nov 2015 OP
You are SO lucky! tazkcmo Nov 2015 #1
I had two suggestions from hillarians about a year ago Doctor_J Nov 2015 #2
Crazy is as crazy does, I guess. tazkcmo Nov 2015 #3
So your out of pocket max is $12,525 VMA131Marine Nov 2015 #4

tazkcmo

(7,300 posts)
1. You are SO lucky!
Mon Nov 23, 2015, 08:14 PM
Nov 2015

I don't understand why you have a socialist's picture for your icon. You seem like such a good Capitalist with your support of for profit health "care".













sarcasm

 

Doctor_J

(36,392 posts)
2. I had two suggestions from hillarians about a year ago
Mon Nov 23, 2015, 08:17 PM
Nov 2015

One told me to quit my job so I'd qualify for a subsidized policy. Not sure what we'd buy milk with, but whatever. The other one told me to buy insurance stocks and recover some of my money.

Both seemed to be serious. But it's hard to tell conservative self-parody from the real thing.

VMA131Marine

(4,139 posts)
4. So your out of pocket max is $12,525
Mon Nov 23, 2015, 08:33 PM
Nov 2015

which is less than the $13,700 max out-of-pocket under ACA for a family plan. What you don't say is what your deductible is and what percentage of your health care expenses your insurance covers after meeting the deductible. Your post makes it sound like this is employer provided insurance not a plan purchased through the exchange. You don't say what your premium is nor the portion the employer pays for. For example, currently I have an employer sponsored family plan with $3000 deductible $6900 in-network out-of-pocket maximum which covers 80% of costs after the deductible is met. For all that I pay $5400/year and the company pays $10,000. I hit the out-of-pocket maximum every year because my wife has a chronic illness and my daughter has Down Syndrome.

Note that if you have employer provided insurance or your company offers it you can't use the exchange anyway so a public option wouldn't help you. Besides all that, max out of pocket is potential maximum cost liability most people don't come close to spending the max out of pocket in a given year, let alone every year.

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