Re:The cost of two weeks in an pediatric/infant ICU
by leesalminen on Thursday July 29, 2021 @09:00AM
(#27995977)
My uncle-in-law just signed up for health insurance under ACA in Colorado. He pays a $22/mo premium and has a $700 max out of pocket. Yes, 2 zeros. I was totally shocked but I reviewed all his paperwork and it’s true. Meanwhile I’m paying $1,200/mo for a young and healthy family of 3 with a $7,000 max out of pocket.
Re:The cost of two weeks in an pediatric/infant ICU
by wang_li on Thursday July 29, 2021 @11:37AM
(#27997801)
Out of pocket expenses for any individual is capped $8550 regardless of whether they have family coverage or individual coverage. Additionally, those earning less than 250% the federal poverty level qualify for additional cost sharing reductions (CSR) which dramatically lower the out of pocket expenses, e.g deductibles and copays. Details will vary but a family of four with a household income of $30k with CSR would have their deductible reduced to a few hundred dollars and annual out of packet caps also to the hundreds of dollars range. The same plan without CSR might have a $7000 deductible. But CSR is available in the situation you describe.
http://www.healthreformbeyondthebasics.org/cost-sharing-char...
Regardless, this is arguing over the burden that Obama, Pelosi, et. al. decided was appropriate for Americans. It's not a question of whether there is universal health care in the US. There undeniably is.
Re:The cost of two weeks in an pediatric/infant ICU
by only_as_i_fall on Thursday July 29, 2021 @08:48AM
(#27995843)
And people wonder why the us has such poor health outcomes
The folks at the poverty line with a "free" fully subsidized Bronze ACA plan has an enormous deductible that may be $6-12k before that coverage actually starts paying out. The ACA's max out-of-pocket for a family in 2021 is $17,100. (https://www.healthcare.gov/glossary/out-of-pocket-maximum-li...)
That's not meaningful access to healthcare for someone making $30k a year.