You’ve got coverage!

The saga may be at an end. Blue Cross mailed my ID card on January 10thfor coverage they say began January 7th, 2014 – despite them being paid on December 5th and saying my coverage started January 1st.

Illinois informed me they decided my coverage ended the day my movers unpacked, so I was uninsured for about 6 weeks, less than the 60 day HIPAA requirement which doesn’t mean anything unless Obamacare is repealed.

So we arrived at the point I warned about maybe 4 months ago – I have guarantee issue coverage in place without claiming any subsidy. People attempting to “repeal Obamacare” are now my adversary if they don’t have a coherent “replace” strategy.

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25 Responses to You’ve got coverage!

  1. CC1s121LrBGT says:

    Your “affordable” rate was calculated on the assumption that young people would pay for much of your care. If they don’t then the insurance companies get a bailout from you and the other taxpayers and your rate is adjusted for less of a taxpayer bailout next year.

    • Art Stone says:

      I accept that – while I’m not getting an explicit subsidy, there is a hidden subsidy based on the flattening of the premium curve. Obamacare is trying to fix the problems from the revenue side rather than the over treatment and over utilization because people are not paying the costs so they don’t care.

      Dave Ramsey had a caller yesterday who had been living on the edge. Near the end of her story, she added in she almost wound up with a $150,000 hospital bill from a copperhead snake bite, but Jesus intervened and got her insurance company to pay.

      • Nidster says:

        There was a ‘snake handling’ case in Tennessee a couple months ago that involved a preacher who kept a den of venomous snakes for religious reasons. The judge decided it was better to restrict the preacher’s freedom to practice his religion than to allow the possibility that he would be killed by a snake bite.

        Yet another setback for natural evolution.

      • CC1s121LrBGT says:

        Good thing for her that Jesus beat Ritt Momney in ’12.

      • briand75 says:

        It is all a huge craps game. The table works in favor of the government. Money you never see once it’s stolen from you goes to pay for subsidies and lines politicians pockets – oh yes, and it pays crappy computer contractors too. People who want to repeal Obamacare are on the money as far as it goes, but I would want the government completely out of healthcare. I realize Medicare and Medicaid are vital to a generation or two of citizens, but we need to put health care back in the hands of the doctors and the associated costs back in the hands of the patients.

        • Nidster says:

          I’m ‘all in’ on your idea briand, to put healthcare into the hands of doctors, but with the caveat that they would also have to consider the ability of the patient to pay for it. Another way to bring health care expenses down would be to petition POTUS to use his NDAA authority to ‘detain’ all those lawyers who chase ambulances. Of course the only right thing to do after that would be to allow any detainee to be released back into society once they prove their innocence.

          I support the health care plan that Dr. Benjamin Carson proposes, and I support Ben Carson for president in 2016.

          • Art Stone says:

            My neighbor in his 30s is completely blind because the medical facility he was in hooked up the equipment wrong and fed 100% oxygen into his neonatal enclosure destroying his retinas. Do you really think shooing the lawyers away is a good idea?

          • CC1s121LrBGT says:

            I do and I don’t. Medical claims are paid out based on diagnosis codes and procedure codes – there is not a lot of negotiation on the rates at the patient level. Malpractice and other types of compensation could be paid the same way to eliminate the need for so many lawyers.

          • Nidster says:

            Well I do support the right for lawyers to practice their profession, judges included since they are invariably lawyers too, once they prove their innocence.

            Besides, the case you cite is a no-brainer, just have it investigated by competent professionals, let the case go to mediation or arbitration and be done with that part. Then hold the people who made the mistake accountable to an established standard. Was it a human error, a mechanical type failure, or whatever?

            The way the system is setup now is an adversarial, antagonistic system. Pits each side against each other and it has devolved into an expensive mess, fraught with corruption and lengthy delays.

        • Art Stone says:

          Anyone who has done fortune 500 computer work knows the reputation of Accenture, formerly known as Anderson Consulting (before Arthur Anderson imploded over Enron)

          Accenture lets you believe they are working for the client, but they are working to maximize the income for Accenture. They are proficient at creating documentation, but they don’t “do” code.

          What they do do is log onto their laptops and gather corporate intelligence and pass it on to other clients and take the senior management out to lunch a lot.

          There is still a lot to do. Getting signup to work is the 20/80 rule at work. Now they have to work on things like non payment of premiums, adding and removing dependents, dealing with people who die to stop paying the subsidy, people becoming eligible after open enrollment and verifying that, dealing with a provider pulling out during the year, etc

          • CC1s121LrBGT says:

            Yes. Companies hire them and companies like them to learn “industry best practices”, aka information they just stole and repackaged from their previous clients. 🙂

            Richard Nixon could have avoided Watergate if he had just opened the checkbook to the right people. lol

        • Art Stone says:

          When the house just makes more chips and hands them over to friends, it makes the entire game pretty pointless.

  2. Art Stone says:

    On my “to do” list is to visit this supermarket

    http://comparesupermarkets.com/

    Have a look at their web site and ad and tell me your impressions…

  3. Art Stone says:

    Blue Cross / Shield of Michigan finally mailed me my plan summary. The document was dated February 8th, but the post mark on the envelope was March 3rd. It states what I already believed – my “bronze” plan has a $5,500 annual deductible, which means (other than preventative care like flu shots), the first $5,500 comes right from me, giving me a good incentive to never see the doctor. After I fork up the $5,500, then as long as I stay “in network”, the costs are 100% covered. Even those expenses I pay for the deductible are limited to what BCBS says is allowable, not what the doctor / hospital thinks I’m capable of paying without suing them for fraud.

    Still to research is if I can fund an HSA account for the deductible expenses, although if I am not working and have no income, that becomes a non-issue.

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