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why is health insurance so complicated reddit 

I’m covered by the VA since I’m a disabled veteran, but I still have to make sure that my wife and child have coverage. 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!!! 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. This means a random amount of things are, and are not covered. The Individual Mandate. So how long are they going to butt rape me? The US healthcare model is a highly fragmented system with incentives towards keeping it that way. 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.. The ACA stuff seems to be appealing to low income and people living hand to mouth, are the people on private plans with high incomes just getting the shaft to subsidize the plans for the poor? remium is now going to be $440 per month starting in November. 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. A smart way to shop for any insurance is to find out how you would fare in a worst-case situation. 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? I can say this, health insurance is confusing because health care is complex. ... so … Medical insurance is complicated because of the layers of payers and service providers. Instead, it’s pre-paid healthcare plans. Insurance now wants to make money so they deny any case they are legally allowed to. 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. Random Quote. Originally Hospitals charges a flat fee. "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". Because what people call health insurance isn't insurance in the United States, it's just prepaid health care. I am an insurance broker, and every time I open a renewal letter for a client, it's heartbreaking. Then, I was laid off. Only health insurance becomes more complicated and more expensive at the same time. In contrast to the … Press question mark to learn the rest of the keyboard shortcuts, the algorithm for medicare reimbursement for hospital stays. Health Insurance. Health care policy is complicated because health care is enormously expensive. IIRC, govornment provided health insurance operates like other forms of health insurance. ... to repeal it are struggling to find a replacement. Multiple Systems Create Waste. Because what people call health insurance isn't insurance in the United States, it's just prepaid health care. Wake Up America # 7 & 64 EHIC E111 European Health Insuran. But Republicans and Democrats alike have to be willing to take a … A friend is one who has the same enemies as you have. Certainly, health insurance is more complex than property and casualty coverage. The premium is the cost of the insurance coverage. We call it Medicare health insurance, but it’s not. 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 … I have to buy it through the ACA website? Mandating health insurance and making the premiums so expensive is untenable, I don’t think it will last. Originally Aired September 4, 2017; Runtime 5 minutes Cheese and crackers, thankful for my work insurance even more now. Someone break this down for me, what can I do? The whole point of ACA was to make it so people didn't go to the ER to get routine care. New comments cannot be posted and votes cannot be cast. There is a huge difference between when you can enroll and when it is best to enroll. Why are health insurance choices this confusing? Your step-by-step guide to choosing a health insurance plan. - Comedy Time Because people aren't as shrewd as the business minded insurance companies that they are clients of. (The ACA currently stipulates insurers cover ten essential health benefits, which a recent Policygenius poll found 78% of Americans can’t identify .) That is dirt cheap compared to what you will pay with an ACA plan for a far worse deductible/out of pocket. The discussion often reveals an assumption that we are just buying a service and paying for it much as we finance a new car. It's not the insurance companies, it's the governments inconsistent, half assed involment. Then take all the people who are to risky to get health insurance (pre-existing conditions) and subsidize their costs through taxes. To fully understand why I’m mad, it’s important to know the back story. “Administrative” costs are frequently cited as a cause for excess … Can health insurance be more like, well, insurance? Before public policies change, consider getting the least expensive insurance and saving the difference for out of pocket expenses. So they recommend going on the gubmint health care marketplace site and looking for other plans, in fact they mentioned the Affordable Care Act no less than 7 times in their notice of rate increase, seems to me that they are just discontinuing all of their old plans and are raising rates until people like me cancel the plan and get something else, I decided "fine, I'll play the game" no big deal I'll just get something else, except I quickly found out that I can't! I think this seems like a lot for a 30 year old man with no health history. Why is it so fucking complicated to get health insurance now? Trump said he had no idea that health insurance can be so complicated. No two people have the same needs so the insurance companies are trying to meet the various demands by consumers for health coverage. It banned discrimination in accepting applicants and stopped the use of pre-existing conditions to deny coverage. The underlying reasons why health care costs continue to soar aren't that complicated, Cutler said. Medicare’s enrollment rules are complicated. 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 … The first confusion is over the very nature of health insurance. “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 … 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.. The insurance through my company is total shit. 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 …. So, the obvious question is: why? Then after I'm out 13.2k for the year in premiums and deductible they still only pay 80% until I spent another 5k OOP. Lanhee Chen, fellow at the Hoover Institution, explains. Lanhee Chen, fellow at the Hoover Institution, explains. No choice in the matter. Insurance plans can differ in which providers you can see and how much you have to pay. Thank the establishment politicians for this. Can health insurance be more like, well, insurance? It's ridiculously expensive because of how insurance works, and because of how drug companies lobby doctors to prescribe expensive branded medication that is identical to cheaper unbranded medicine. Press question mark to learn the rest of the keyboard shortcuts. But I have money, I tell them! No other insurance covers routine and predictable costs because insurance is meant to protect from risk. 16:46. With the aging of the American population and with advances in medical sciences, size and growth are likely to continue. 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 … I have money, but no income at the moment, so I am by default on Medicaid. So.... We basically have catastrophic only coverage for $7200 a year. AJ+ - Why Are Lebanese Politics So Fricking Complicated-Love is Blind. To answer this question, we have to start at the beginning. Why is health insurance so complicated, while car insurance and life insurance are so simple? But for some reason health insurance is legally required to cover things like routine check-ups. And while much of the country is deeply worried about the troubled insurance … ... so … Car,home,renters, and business insurance can all be purchased online, in minutes for a fare price. However, from a consumer standpoint, things are not all that complicated. Why Is Health Care So Complicated? 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. But if you’ve spent any time comparing plans or networks lately, then you know that healthcare is still mind-numbingly complicated. Can health insurance be more like, well, insurance? r/AskReddit is the place to ask and answer thought-provoking questions. Can insurance no longer be purchased easily? Most of these insurance policies work well and are fairly priced. 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. Comments are closed. NerdWallet. life insurance, even pet insurance . Affordable Care Act (ACA) Major Medical Insurance Plans I mean, just look at the algorithm for medicare reimbursement for hospital stays. . 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. Other Articles In This Category: National Review By CHRISTIAN ALEJANDRO GONZALEZ . $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. Why is health insurance so complicated, while car insurance and life insurance are so simple? Why So Complicated? Buying health insurance is an individual decision based on family or personal needs and preferences. 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. March 08, 2018 Understanding key health insurance terms. Nope, I have to wait 4 months to go to a ghetto clinic to be seen by a third rate doctor. This is why car insurance doesn't cover oil changes. No other insurance covers routine and predictable costs because insurance is meant to protect from risk. Health insurance is a type of insurance coverage that pays for medical expenses incurred by the insured. It’s sickness insurance. Why health insurance is important: protection from high medical costs. So I just go the emergency room to get care, which costs 10X what a regular doctor would cost. 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. In contrast to the limited replacement value of your home or car, there’s no natural limit on what an illness might cost. The Motley Fool. I have friends that are paying well over $1000 for not-too-spectacular insurance. There’s car insurance, home insurance, life insurance, even pet insurance . It would be the lowest risk policy holders who pay more. English. The below-listed items describe the major types of managed care. So, the obvious question is: why? creating an incredibly regressive system where the poorest, sickness people get screwed. Honestly, there is no single answer that would satisfy that question. * Data is siloed with no sharing, because “proprietary” patient data is profitable. 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. 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. That’s unlike regular health insurance, which has an annual renewal period. . 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. I've never been incarcerated. Updated October 2, 2019. 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. 9:45. Lanhee Chen, fellow at the Hoover Institution, explains. As an agent, I would highly recommend you stick with that plan as long as you possibly can. Almost 180 million Americans utilize employer-sponsored health insurance to help pay for medical care. Can health insurance be more like, well, insurance? 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. This is complex and becoming even more difficult for … All was great in healthcare land. The primary reason, in my opinion, is that insurance is regulated at the state level. We have so many corporations making it that way in order to make as much money as possible. Certainly, health insurance is more complex than property and casualty coverage. The law affected Medicare, Medicaid, and the CHIP. I've had BCBS since I was 22 (29 now) and since the ACA I've had a 25% increase every following year. Health care seems totally fucked up right now. I'm not saying health insurance isn't complicated. Both were high deductible plans with an HSA. I think this seems like a lot for a 30 year old man with no health history. The Medicare number that should shock you the most. 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. Before my wife and I got married, we each had our own health coverage from our employers. The best of News. Health insurance is a type of insurance coverage that pays for medical expenses incurred by the insured. Why is it so hard to get good mental health treatment in the U.S.? I've talked to independent brokers I know and they are all quoting me similar rates to what I'm paying. 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. $440/month is actually cheap. Even Pres. I'm not old and I'm in good health. It can be billed weekly, monthly, or however often the insurance company/your employer decides. Yup, it sucks. The discussion often reveals an assumption that we are just buying a service and paying for it much as we finance a new car. 0:47. 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. 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. Regulated at the beginning enroll and when it is best to enroll Administrative ” costs are frequently cited a. Enemies as you have to start at the same enemies as you have you. But there is one who has the same time ’ ve spent any comparing...... to repeal it are struggling to find a replacement that are paying well over 1000... 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