I'm not saying health insurance isn't complicated. Consumers should ask questions about coverage and medications before seeing a doctor. Only health insurance becomes more complicated and more expensive at the same time. All was great in healthcare land. Politicians could've taken a mere FRACTION, covered the uninsurables, and left everything alone, but now they had to go and mess the whole system up, designed obsolescence, to institute single payor.... Keep what you have!!! Someone break this down for me, what can I do? Yup, today’s post is going to be a mini rant on health insurance. It barred the use of pre-existing conditions and required guaranteed issue for those with the ability to pay. Typically the only reason a business will push you off a product is because they can make more money elsewhere, and not because it's good for you. But there is one glaring exception: health insurance. Make sure you're really, really certain before you switch. Updated October 2, 2019. A smart way to shop for any insurance is to find out how you would fare in a worst-case situation. The more complex it is, the easier they can get out of paying for things. The young and health are still paying for the care of the old and sick. But for some reason health insurance is legally required to cover things like routine check-ups. “Nobody knew that health care could be so complicated.” ... More people now have health insurance, but about 12 percent of adults aged 18 to 64 remain … Healthcare is also complicated because of the wide variety of needs it must satisfy. The Motley Fool. A lot of the confusion this year is because the Trump Administration is changing parts of the ACA. Health care seems totally fucked up right now. Why it matters. It can be billed weekly, monthly, or however often the insurance company/your employer decides. Insurance now wants to make money so they deny any case they are legally allowed to. Health insurance can reimburse the insured for … Before public policies change, consider getting the least expensive insurance and saving the difference for out of pocket expenses. There is a huge difference between when you can enroll and when it is best to enroll. It skews the amount of risk a health plan takes on when insuring someone, so the entire health insurance industry tries to prevent it. So I talked to the office [manager], who said if I paid up front and agreed not to report the procedure to Blue Cross, that it would be $580.” “I have insurance, but it’s not very good …. This massively drives up costs, additionally it is mostly illegal for health insurance companies to charge different rates for people with different levels of risk. Cookies help us deliver our Services. "We understand you have **** but the doctor classified it as only stage 2 and per our guidelines we only cover when it reaches stage 4". It’s important to understand your costs and key health insurance terms, so you’ll know what services your plan will pay for and how much each visit or medicine will cost. Then medical equipment and supplies rose in price because they could. English. There is a huge difference between when you can enroll and when it is best to enroll. I've talked to independent brokers I know and they are all quoting me similar rates to what I'm paying. But there is one glaring exception: health insurance. No two people have the same needs so the insurance companies are trying to meet the various demands by consumers for health coverage. Certain medications are not covered, they may not cover thjngs that are your fault, etc. HealthCare.gov. Originally Hospitals charges a flat fee. I have friends that are paying well over $1000 for not-too-spectacular insurance. Medical insurance is complicated because of the layers of payers and service providers. No other insurance covers routine and predictable costs because insurance is meant to protect from risk. Why are health insurance choices this confusing? To answer this question, we have to start at the beginning. That’s unlike regular health insurance, which has an annual renewal period. 18k/year in premiums with a 5k deductible and still only 80/20 up to 12k OOP. Affordable Care Act (ACA) Major Medical Insurance Plans I would also like to go back and find out just why it’s so expensive for insurance to cover triptans too – what is it about these meds that causes them to be so … The best of News. It’s sickness insurance. . The Patient Protection and Affordable Care Act of 2010 was a bold attempt to reform the health insurance industry and promote coverage among millions of Americans that did not have insurance. Now we know why the GOP is truly terrified of “Medicare for all”: It will wipe out the Republican Party’s control of the House, Senate, White House, and most state governments. But Republicans and Democrats alike have to be willing to take a … Lanhee Chen, fellow at the Hoover Institution, explains. Why is it so hard to get good mental health treatment in the U.S.? Most of these insurance policies work well and are fairly priced. The number of people blaming insurance companies in this thread is interesting if insurance companies are deliberately making things difficult why do they only do it in this one industry? creating an incredibly regressive system where the poorest, sickness people get screwed. The US healthcare model is a highly fragmented system with incentives towards keeping it that way. This is why car insurance doesn't cover oil changes. The below-listed items describe the major types of managed care. 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