News for hackers. Stuff that matters.
Re:Affordable Care by bduerst on Friday January 13, 2017 @01:21PM (#13393122)
Just being insured doesn't mean you're covered.

Those private plans you researched had crap coverage compared to the standards that the ACA set for all health insurance.

By raising the standard, premiums have gone up on some private plans and overall healthcare costs have been reduced for all Americans.

Re:Affordable Care by ctdonath on Friday January 13, 2017 @01:26PM (#13393185)
Deductibles have shot up as well. Long details short, I have a $30,000 deductible when a pre-ACA plan had a 3-digit deductible. I'm covered, but the ceiling is unreachably high.

Costs have gone way up; they've just re-arranged where the money comes from, and punish you for not putting more money into the system.

Ensuring everyone is covered by making it illegal to not be covered is not an acceptable solution.

Re:Affordable Care by fooey on Friday January 13, 2017 @01:35PM (#13393283)
Yeah, that's not true. There is no legal way for a deductible to be that high

http://obamacarefacts.com/health-insurance/deductible/

> The maximum deductible is equal to the maximum-out-of-pocket limit each year ($7,150 for an individual and $14,300 for a family for 2017).

Re:Affordable Care by bzbarsky on Friday January 13, 2017 @01:39PM (#13393324)
> There is no legal way for a deductible to be that high

That's the theory. As I noted in https://news.ycombinator.com/item?id=13393287 experiment suggests otherwise for the out-of-pocket limit, at least....

Re:Affordable Care by maxerickson on Friday January 13, 2017 @02:33PM (#13393969)
If you click details and click through to the provider summary:

https://content.carefirst.com/sbc/APHMMN5DRXCMMN5MN012017.pd...

The explanation is "it's a typo".

Medical and Prescription Drug combined: $6,550 individual/$13,100 family for In-Network Providers; $13,100 individual/$26,200 family for Out-of-Network Providers.

Re:Affordable Care by bzbarsky on Friday January 13, 2017 @02:46PM (#13394082)
Ah, that explains it. Thank you.
Re:Affordable Care by ctdonath on Friday January 13, 2017 @02:36PM (#13393991)
$26,200 is a typo? or correct? Awful close to my approximation of $30k.
Re:Affordable Care by maxerickson on Friday January 13, 2017 @02:39PM (#13394022)
It's not all that close. It's also an out of network, out of pocket maximum, not a deductible.

Eliminating networks is certainly something the US should do if it wants to do more than pretend that people have good access to healthcare.

Re:Affordable Care by ctdonath on Friday January 13, 2017 @02:50PM (#13394116)
When you're undergoing short-notice heart surgery (trust me), it's very easy to rack up out-of-network costs fast.
Re:Affordable Care by smileysteve on Sunday January 15, 2017 @09:20AM (#13404068)
All emergency services are considered in-network billing though?
Re:Affordable Care by bzbarsky on Sunday January 15, 2017 @11:10PM (#13408144)
Emergency services can't have higher copays or coinsurance for in-network vs out-of-network.

But the out-of-network deductible can still apply, as far as I can tell. So can the out-of-network out-of-pocket maximum.

Re:Affordable Care by bduerst on Friday January 13, 2017 @04:33PM (#13394885)
What was your out-of-network out of pocket maximum before ACA?

You've also confused deductible with out of pocket in your original post, on top of rounding up by 15%.

Re:Affordable Care by bduerst on Friday January 13, 2017 @01:28PM (#13393203)
That doesn't make sense, are you sure you're not being scammed?

Maximum out of pocket for a family on an ACA bronze plan is $14,300, including drug costs.