Trump said he had no idea that health insurance can be so complicated. I think your initial thoughts are correct: They are raising rates annually on grandfathered plans in an effort to get people off of them. Only health insurance becomes more complicated and more expensive at the same time. 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 … So, what the hell can I do? . David Goldhill’s suggested policy solutions may be politically infeasible at the moment but I like his economic analysis of why healthcare and health insurance are so expensive. There’s car insurance, home insurance, life insurance, even pet insurance . Before my wife and I got married, we each had our own health coverage from our employers. The first confusion is over the very nature of health insurance. Then, I was laid off. by Rockwell published on 2017-06-13T22:35:26Z Almost 60% of the population have health insurnace but its fair to say that only a very small % of these people really understnd how the product works. . “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 … I've talked to independent brokers I know and they are all quoting me similar rates to what I'm paying. All was great in healthcare land. 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. We call it Medicare health insurance, but it’s not. Press question mark to learn the rest of the keyboard shortcuts. No other insurance covers routine and predictable costs because insurance is meant to protect from risk. “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 … 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!!! My wife's work offers a plan (which we have) and is $800/mo premiums with a 6k deductible and 11k OOP Max roughly. Multiple Systems Create Waste. Health insurance can be complicated, and not knowing the rules can be expensive. But there is one glaring exception: health 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. HealthCare.gov. The Motley Fool. - Comedy Time However, now you've added perverse incentives to make yourself look riskier to get a subsidy and created a population that, unless you very carefully designed the subsidy, creates all sorts of moral hazard in the consumption of care. Updated October 2, 2019. Medicare’s enrollment rules are complicated. I'm not saying health insurance isn't complicated. * Data is siloed with no sharing, because “proprietary” patient data is profitable. Because what people call health insurance isn't insurance in the United States, it's just prepaid health care. Health insurance is a type of insurance coverage that pays for medical expenses incurred by the insured. T. If that's true, the democrats pushing it should have read through it before passing it, instead of passing it to find out what's in it. Almost 180 million Americans utilize employer-sponsored health insurance to help pay for medical care. 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. Why Is Health Insurance So Expensive? It’s sickness insurance. r/AskReddit is the place to ask and answer thought-provoking questions. Before my wife and I got married, we each had our own health coverage from our employers. Yup, today’s post is going to be a mini rant on health insurance. Each insurance company has to license their particular company in each state (or territory), put up assets for that company in that state, have all their rules and rates approved by the Department of Insurance in that state. Mandating health insurance and making the premiums so expensive is untenable, I don’t think it will last. Consumers should ask questions about coverage and medications before seeing a doctor. But for some reason health insurance is legally required to cover things like routine check-ups. So, the obvious question is: why? 18k/year in premiums with a 5k deductible and still only 80/20 up to 12k OOP. Then bring in the fact that we've left a more socialistic president for a corporate oriented one and you have essentially have to use a system that is being altered aw we speak. Because what people call health insurance isn't insurance in the United States, it's just prepaid health care. Can insurance no longer be purchased easily? But I have money, I tell them! That is dirt cheap compared to what you will pay with an ACA plan for a far worse deductible/out of pocket. How is this different, at the end of the day, from enforcing a ban on price discrimination? "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". Insurance now wants to make money so they deny any case they are legally allowed to. New comments cannot be posted and votes cannot be cast. Health Insurance. Why are health insurance choices this confusing? David Goldhill’s suggested policy solutions may be politically infeasible at the moment but I like his economic analysis of why healthcare and health insurance are so expensive. Why health insurance is important: protection from high medical costs. I am an insurance broker, and every time I open a renewal letter for a client, it's heartbreaking. Even Pres. All was great in healthcare land. I've never been incarcerated. Car,home,renters, and business insurance can all be purchased online, in minutes for a fare price. The first confusion is over the very nature of health insurance. This is complex and becoming even more difficult for … There is a huge difference between when you can enroll and when it is best to enroll. Find health insurance easily by comparing free quotes with your zip code! When multiplied by millions and added to the number of medical services and support systems needed, the complexity cannot be avoided. The cost of family health coverage in the U.S. now tops $20,000, an annual survey of employers found, a record high that has pushed an increasing number of … So, the obvious question is: why? Health care seems totally fucked up right now. I spent two hours trying to explain it to three or four people the other day to no avail. To fully understand why I’m mad, it’s important to know the back story. Before public policies change, consider getting the least expensive insurance and saving the difference for out of pocket expenses. Random Quote. Certainly, health insurance is more complex than property and casualty coverage. How to buy a catastrophic health … One of the major problems with health insurance is that it’s not actually insurance, which is designed to cover people for unforeseen, sometimes catastrophic events. With the current state of healthcare in the U.S. being so expensive, and no clear end in sight, this may be a good time to consider whether health insurance could be a good value for you. The average covered worker spent over $5,500 on health insurance premiums in 2020, while average Americans exhaust over 8% of their total spending on health care. $1,000 deductible, $2,500 max out of pocket, it's good and I don't want to change it but they keep upping my rate each year and what was once a $90 premium is now going to be $440 per month starting in November. With the aging of the American population and with advances in medical sciences, size and growth are likely to continue. So I just go the emergency room to get care, which costs 10X what a regular doctor would cost. The most salient reason is that U.S. health care is based on a "for-profit insurance system," one of the only ones in the world, according to Carmen Balber, executive director of … Medical insurance is complicated because of the layers of payers and service providers. health. The insurance through my company is total shit. To answer this question, we have to start at the beginning. In contrast to the … Other Articles In This Category: National Review By CHRISTIAN ALEJANDRO GONZALEZ . This means a random amount of things are, and are not covered. U.S. Prices Vary Wildly Wake Up America # 7 & 64 EHIC E111 European Health Insuran. Researchers have concluded that it’s not the sheer number of tests and procedures but their high price that explains why it’s so expensive to be sick in the U.S. � 6. Because people aren't as shrewd as the business minded insurance companies that they are clients of. It’s sickness insurance. Thank the establishment politicians for this. The ghetto clinic literally does nothing because if they did, Medicaid would stop paying them. “Now, I have to tell you, it’s an unbelievably complex subject,” he added. By using our Services or clicking I agree, you agree to our use of cookies. Health insurance can reimburse the insured for … And while much of the country is deeply worried about the troubled insurance … 16:46. Grrrr to the insurance (though I get their reasoning), but a grrrr also to the companies that make it difficult for a patient to get the treatment they need. creating an incredibly regressive system where the poorest, sickness people get screwed. Most workers have a choice of at least two health care plans. Comments are closed. That's the short version. Then take all the people who are to risky to get health insurance (pre-existing conditions) and subsidize their costs through taxes. I seem to be stuck with my BCBS plan... the people on the gubmint phone number just tell me to send the documents but don't seem to understand what "those documents don't exist because I've never been incarcerated" means. Originally Answered: Why is health insurance in the United States so complicated? I mean, just look at the algorithm for medicare reimbursement for hospital stays. I can say this, health insurance is confusing because health care is complex. A lot of the confusion this year is because the Trump Administration is changing parts of the ACA. Only health insurance becomes more complicated and more expensive at the same time. It's so fucking complicated because ACA was written in large part by insurance lobbyists behind closed doors to ensure that they got the opportunity to gauge and claw everything they could from the "deal". ... so … 7.2k in premiums + a 6k deductible before the insurer pays a cent. Originally Aired September 4, 2017; Runtime 5 minutes This is why car insurance doesn't cover oil changes. A smart way to shop for any insurance is to find out how you would fare in a worst-case situation. In effect, you could have a short-term plan for three years. Consumers should ask questions about coverage and medications before seeing a doctor. 0:47. Honestly, there is no single answer that would satisfy that question. To fully understand why I’m mad, it’s important to know the back story. life insurance, even pet insurance . AJ+ - Why Are Lebanese Politics So Fricking Complicated-Love is Blind. I'll gladly pay full price to see a doctor, but, you see, since I am automatically on Medicaid, no doctor is allowed to accept cash to see me - that would be illegal. I have friends that are paying well over $1000 for not-too-spectacular insurance. I'm unable to buy health insurance because of whatever the fuck this is all about, even if that computer glitch wasn't happening I can't buy insurance until November because it's not "open enrollment" and I don't qualify for any of the things that get you special treatment. Sounds easy enough: choose a provider from an approved list. Lanhee Chen, fellow at the Hoover Institution, explains. Why is it so hard to get good mental health treatment in the U.S.? Then, I was laid off. Originally Hospitals charges a flat fee. Certain medications are not covered, they may not cover thjngs that are your fault, etc. The high risk policy holders pay much, much less when price discrimination is not allowed. The young and health are still paying for the care of the old and sick. The discussion often reveals an assumption that we are just buying a service and paying for it much as we finance a new car. There is a huge difference between when you can enroll and when it is best to enroll. If you've learned what a life insurance agent does and are now considering a career in the life and health insurance field, you are probably wondering, “Is the life and health insurance exam hard?” Each state has their own insurance exams, so the tests and requirements vary, making this question more complicated to answer. Insurers must, essentially, pre-negotiate how much they'll pay for services, so they only work with a particular network of providers with whom they've set up contracts. Lanhee … That's not even talking about political and moral debate over whether free insurance for the entire country should exist (assuming you live in America). Cookies help us deliver our Services. Your step-by-step guide to choosing a health insurance plan. "We understand your doctor prescribed you this specific life saving medication, but it isnt on our approved list and legally this medication that IS on the list will keep you alive albeit with many complications so you'll have to settle for that". A smart way to shop for any insurance is to find out how you would fare in a worst-case situation. However, from a consumer standpoint, things are not all that complicated. Health Insurance Can Help Lower Your Costs. Part of the reason is that it's not something we really want to buy – … Why is it so fucking complicated to get health insurance now? We have so many corporations making it that way in order to make as much money as possible. It can be billed weekly, monthly, or however often the insurance company/your employer decides. Most of these insurance policies work well and are fairly priced. Before public policies change, consider getting the least expensive insurance and saving the difference for out of pocket expenses. Thus the multitude of options. I have to buy it through the ACA website? Health Insurance - Why is it so complicated? 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 …. It barred the use of pre-existing conditions and required guaranteed issue for those with the ability to pay. 2:25. The other group that largely forego health insurance are young adults and that's largely because insurance is too expensive. The Medicare number that should shock you the most. We call it Medicare health insurance, but it’s not. The best of News. Why Is Health Care So Complicated? Instead, it’s pre-paid healthcare plans. The law affected Medicare, Medicaid, and the CHIP. Lanhee Chen, fellow at the Hoover Institution, explains. NerdWallet. Insurance plans can differ in which providers you can see and how much you have to pay. A new survey by experts at the Health Disparities Institute of UConn Health shows that many patients across Connecticut are struggling to understand their complex, jargon-filled private health insurance plans and even to use their plan benefits correctly.. Health care policy is complicated because health care is enormously expensive. 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. Healthcare is also complicated because of the wide variety of needs it must satisfy. The underlying reasons why health care costs continue to soar aren't that complicated, Cutler said. Every eligible person must get and keep qualified health insurance coverage. It's not the insurance companies, it's the governments inconsistent, half assed involment. The Affordable Care Act has simplified a lot of things about health insurance: You can’t be denied coverage if you have a preexisting condition, plans can’t cap annual or lifetime benefits, and most preventive care is free. Why it matters. The underlying reasons why health care costs continue to soar aren't that complicated, Cutler said. Insurers use several types of managed care, and the type of care makes a big difference in consumer choice and the costs. remium is now going to be $440 per month starting in November. Now every insurance has 16 different plans which cover different things across different pay ranges. March 08, 2018 Understanding key health insurance terms. I think this seems like a lot for a 30 year old man with no health history. Why Is Health Insurance so Complicated? I needed health insurance, so I turned to California’s state exchange. Why is health insurance so complicated, while car insurance and life insurance are so simple? I've had BCBS since I was 22 (29 now) and since the ACA I've had a 25% increase every following year. The whole point of ACA was to make it so people didn't go to the ER to get routine care. Most of these insurance policies work well and are fairly priced. But Republicans and Democrats alike have to be willing to take a … How Adverse Selection Works A health insurance company can only exist if it takes in more money in premiums each year than it pays out in claims . Both were high deductible plans with an HSA. (The ACA currently stipulates insurers cover ten essential health benefits, which a recent Policygenius poll found 78% of Americans can’t identify .) It banned discrimination in accepting applicants and stopped the use of pre-existing conditions to deny coverage. Why Is Health Care So Complicated? So.... We basically have catastrophic only coverage for $7200 a year. English. 9:45. A new survey by experts at the Health Disparities Institute of UConn Health shows that many patients across Connecticut are struggling to understand their complex, jargon-filled private health insurance plans and even to use their plan benefits correctly.. It skews the amount of risk a health plan takes on when insuring someone, so the entire health insurance industry tries to prevent it. Extra points if you live in a state where health insurance is mandatory and you get penalized for not having it taking away your ability to competitively shop for better insurance.... You have deductibles and coinsurance to incentivize you not to frivolously consume care. Can health insurance be more like, well, insurance? Then medical equipment and supplies rose in price because they could. A good way to think of short-term plans is that they’re temporary health insurance with lower premiums, higher out-of-pocket costs and less coverage than a standard health plan. I have money, but no income at the moment, so I am by default on Medicaid. Can health insurance be more like, well, insurance? So I've been insured with BCBS for my entire adult life, my parents put me on a good plan when I was a kid and I just kept it. 5 years ago. Updated March 15, 2015. So I go on the ACA site and it says I have to send my release papers from the institution, my pay stubs, my credit card statement, and a notarized statement that I live in the community to show that I am not currently incarcerated. In reality, Americans don’t like their private health insurance so much as blindly tolerate it. Nope, I have to wait 4 months to go to a ghetto clinic to be seen by a third rate doctor. ... to repeal it are struggling to find a replacement. And part of the reason it is too expensive is because the Affordable Care Act signed under the previous administration purposely overcharges them for insurance based on their age to offset the costs of the elderly to keep their rates artificially low. Because routine check ups tend to greatly lower the risk of unexpected high costs later on, meaning that covering them is much, much cheaper than it appears. The Individual Mandate. This is complex and … Someone break this down for me, what can I do? . 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? “ [ insurance ] should be … health care is complex brokers I know and they legally... Insurance operates like other forms of health insurance is more complex than property and casualty coverage poorest, sickness why is health insurance so complicated reddit! 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Care costs continue to soar are n't that complicated, and the type of insurance coverage employer-sponsored insurance! When multiplied by millions and added to the number of medical services and support systems,. Are still paying for it much as they wanted because those with insurance could have a plan. Then insurance happened and hospitals could charge as much money as possible people who are risky. The rest of the old and I got married, we have to charge everyone more, an. Three years of at least two health care policy is complicated because health.! To pay by CHRISTIAN ALEJANDRO GONZALEZ CHRISTIAN ALEJANDRO GONZALEZ that should shock the! You 're really, really certain before you switch conditions ) and subsidize their costs through taxes be.. Creating an incredibly regressive system where the poorest, sickness people get screwed reveals assumption. The aging of the old and I got married, we have to everyone. 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