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Old 07-15-2011, 08:11 AM
Ohiogirl Ohiogirl is offline
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Quote:
Originally Posted by aljetmet View Post
Interesting you mention that prescriptions go against your annual deductible.

If you hit the max $7,500 out of pocket then everything is paid for including your drugs if you go over?

For me I have a couple of cat scans a year so it runs into lot's of money.
I'm going to bridge to medicare with Cobra. (Cobra is expensive but probably less than I would have to pay for a similar plan as OHIOGIRL has. This way I get to retire at 63.5 yrs. so TV has to wait.
I think it works like this: if you meet the $5,000 deductible, then it pays 80% and you pay 20% until you reach the out of pocket limit of $7,500. This is an annual requirement, so if you are treating for something long-term, or are hospitalized let's say from Dec. 29th-Jan 2nd, you would have to meet the deductible and out-of-pocket max twice, or on and on if it is a chronic, expensive health event.

If you are getting 2 CT scans yearly, then there is an underlying health issue, and I am guessing that your premiums would be very high, if they will even cover you. They can still deny coverage in Florida until (if) the new health care law goes into effect sometime in 2014 (I can't remember which month it goes into effect).

Currently, I was told my annual premiums can only go up for community rating increases (typically 10% per year), or if you change age bands (for instance, turning 60. If you develop some chronic condition they cannot cancel you or raise the premium.

Don't think anyone knows for sure what will happen to premiums after 2014. The idea is that since there will be no uninsured people (or very few), things will balance out.

Boomer, thank you for reminding me that tax time might actually be pleasant this year!