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-   -   Pre-existing Conditions (https://www.talkofthevillages.com/forums/current-events-news-541/pre-existing-conditions-311131/)

biker1 09-24-2020 03:53 PM

Huh? What I did say was that I didn't see any difference between what my wife has (Medicare and a Supplemental Plan) and my private insurance except that her cost is less; we see some of the same Drs so there is no issue of accessibility to the Drs we want to go to. However, to your point, Medicare is less expensive than private plans, at least the obamacare plans in Sumter County (assuming no subsidy). Medicare is about $145 per month (we will eventually go to $400 per month each) and a Plan F is roughly $185 per month. My private plan is $1100 per month. Medicare and a supplemental is lower cost than my private plan. Medicare Advantage is lower cost still but typically has network restrictions that we don't experience. If someone else is paying your insurance that doesn't mean it is lower cost - it only means you aren't paying the cost directly. Perhaps you don't realize that if you select Medicare Advantage you still have to pay the Medicare premium ($145 to $400+ based on income).

Quote:

Originally Posted by skyking (Post 1837883)
Many Medicare Advantage plans are offered in this area for $0 premiums. Some even give you back bonuses such as $50 per month in over the counter pharmacy items.

Your original point was that Medicare is less expensive than private plans. That simply is not true.


Bucco 09-24-2020 07:11 PM

An executive order for n pre existing conditions instead of a law while trying to dismantle OBama care in Supreme Court.

Sounds like double talk or another "photo op".

So, we never get to see that wonderful replacement we were promised for many years.

Allow me to add this "Health and Human Services Secretary Alex Azar declined to specify how the administration would guarantee these protections if the Supreme Court overturns the landmark health reform law in a case it will consider this term."

Thus no change. And no health plan as promised.

Northwoods 09-24-2020 07:20 PM

Quote:

Originally Posted by njbchbum (Post 1833866)
Wait! I thought there was a possibility that we could be getting government healthcare where everything will be covered - no?

I think that's only if you're an undocumented alien. I saw a bunch of people on a podium a few months ago raise their hand saying they would make sure they were covered.

Lindsyburnsy 09-24-2020 08:06 PM

It is laughable that an Executive Order was signed today to allow pre-existing conditions even though we already have that in our current healthcare. And yet the Supreme Court is going to decide Nov 10th on whether to get rid of it. Gaslighting at its best.
Quote:

Originally Posted by Boomer (Post 1833599)
(Please pay attention. Pre-existing conditions are on the chopping block, now with Covid as an additional bonus possible for insurance companies.)

It is highly possible, that in the near future, insurance companies -- again -- will be allowed to use pre-existing conditions as their right to deny coverage.

If insurance companies are awarded the unconscionable power to deny coverage for pre-existing conditions, it is not a big leap of the imagination to think that having had Covid 19 could be termed a pre-existing condition.

Why do I think that could happen? — because we do not understand where this virus can take us. But we do know that Covid 19 can sometimes leave very serious, and possibly chronic, health problems in its wake — even after supposed recovery.

I realize that most Villagers are comfortably swaddled in Medicare or good coverage from military retirement or previous employers. But, even so, in this time of overwhelming distraction, it is important to stay informed of what is playing out behind the front-and-center chaos.

Gen X and Millennials and younger boomers who get the virus and recover could find themselves saddled with a pre-existing condition — forever— just for having had the virus — even though nothing else has shown up — yet — after recovery.

Maybe I am overthinking this. Gee, could insurance companies ever even consider reaching into such a pot of gold as Covid recovery as an excuse to deny coverage.

No matter where your loyalties lie, no matter whether you have any younger people in your life to love, please pay attention, stay informed — from a variety of sources.

The ultimate decision to protect or to take away the individual’s right to not be denied health insurance coverage due to a pre-existing condition is in the works — with powerful support to take away that right.

Be careful what you wish (wished?) for.

Cassandra Boomer


Bucco 09-24-2020 08:18 PM

Quote:

Originally Posted by Lindsyburnsy (Post 1837958)
It is laughable that an Executive Order was signed today to allow pre-existing conditions even though we already have that in our current healthcare. And yet the Supreme Court is going to decide Nov 10th on whether to get rid of it. Gaslighting at its best.

Insulting at best.

Why do people continue to take the slaps in the face over and over.

And add this...."Health and Human Services Secretary Alex Azar declined to specify how the administration would guarantee these protections if the Supreme Court overturns the landmark health reform law in a case it will consider this term."

Like I said.....another photo op. Why is not everyone insulted by this ? This is the "beautiful" health plan we were to see 4 years ago.

Dr Winston O Boogie jr 09-25-2020 06:53 AM

Shouldn't we stop calling this INSURANCE? Insurance is basically a wager. You're putting up money and saying that you're going to get sick or that your house will burn down or you'll injure someone or damage property in an automobile incident. The insurance company is saying, "We bet you won't". If you win the bet the insurance company has to pay and if you lose the bet, you lose your money.

By demanding that insurance companies cover an event that has already happened, is a losing bet for them.

What we now have is no longer health insurance. It is basically socialized medicine being controlled by private companies.

Pre-existing conditions is something that politicians have come up with to garner vote by promising to force companies to place bets that they know they are going to lose.

I'm not sure what the answer is. I'm basically against socialized medicine, but insurance companies in collusion with providers and pharmaceutical companies have increased the cost of health care and drugs to the point where no one can afford them any longer. Now the government is going to force companies to lose money which can only lead to an increase in prices.

I don't like to think about the government taking over anything that it shouldn't but what we now have is obviously not working.

But it's not insurance. It's more like pooled health care costs.

Dana1963 09-25-2020 08:40 AM

Quote:

Originally Posted by Lindsyburnsy (Post 1837085)
The decision for our healthcare is currently in the Supreme Court and will be decided November 10, 2020. This is alarming. Pay attention and vote!

Technically they will here the ARGUMENT Nov 10 a ruling will not be heard till after January.

MDLNB 09-25-2020 02:50 PM

Everybody wants something for nothing. "Oh but.....over in THAT country they have........" and it is free from the government. BS! Nothing is free. Try living in Europe as a middle income earner. Our lower class citizens live as well if not better than the "middle class" in other countries. The reason their middle class lives a lower lifestyle is because they pay half their earnings in some form of gov taxes. Sure, the old do OK and the low income folks do OK, but how about everyone else? The hard workers that produce end up paying the way for everyone else. Is that FAIR?
That is exactly what is going to happen here if we get gov run health care.
The President has promised that he will not allow "pre-existing" conditions to preclude anyone from obtaining reasonable healthcare insurance. As far as I can see, whether we like him or not, he has lived up to or is still attempting to succeed at all his campaign promises. I won't go further down that path or end up violating the politics rule on here. However, that is exactly what the subject of the OP is all about, so it has gone this far without being shut down.
That said, you have two choices. You can pay your own way, if you can. Or, you can allow the gov GIVE you a lower quality health care insurance, along with a lower quality standard of living when they make EVERYONE sacrifice 50%+ of their earnings. It will have no effect on the wealthy, but it really lowers the standard of living for the middle class. The lower class of non-achievers or unproductive will always end up living a middle class standard of living in this liberal America. Why? Because some folks believe that instead of the bare minimum of giveaway they should get according to their motivation and work ethic, everyone should live equally. Sorry but that NEVER EVER happens in real life. The middle class hard worker pays the way by having their families sacrificing so that the non-achievers get to live better than the hard workers. NO, I am not against welfare. I am against taking their incentive away from them to reach a higher ambition. I am against seeing those that may be lazy living it up when the middle class has to work hard and sacrifice. Instead of having everyone else sacrifice, why not just work on the small group of folks that really deserve a hand up? There is absolutely no reason why those on welfare cannot be made to earn their welfare, even if it is picking up trash, cleaning gov offices, baby sitting for those that are really working for a living, etc. I would not even discount the idea of work camps. Socialism did not work with the first settlers in America so why should it now? Remember the phrase "no work, no eat?"

vilger 09-25-2020 04:43 PM

Quote:

Originally Posted by Dr Winston O Boogie jr (Post 1838052)
Shouldn't we stop calling this INSURANCE? Insurance is basically a wager. You're putting up money and saying that you're going to get sick or that your house will burn down or you'll injure someone or damage property in an automobile incident. The insurance company is saying, "We bet you won't". If you win the bet the insurance company has to pay and if you lose the bet, you lose your money.

By demanding that insurance companies cover an event that has already happened, is a losing bet for them.

What we now have is no longer health insurance. It is basically socialized medicine being controlled by private companies.

Pre-existing conditions is something that politicians have come up with to garner vote by promising to force companies to place bets that they know they are going to lose.

I'm not sure what the answer is. I'm basically against socialized medicine, but insurance companies in collusion with providers and pharmaceutical companies have increased the cost of health care and drugs to the point where no one can afford them any longer. Now the government is going to force companies to lose money which can only lead to an increase in prices.

I don't like to think about the government taking over anything that it shouldn't but what we now have is obviously not working.

But it's not insurance. It's more like pooled health care costs.

Do you have Medicare? Are you happy with it? Perhaps the government should charge higher Medicare premiums to those of us that have pre-existing conditions - how would you feel about that? The truth is that most people our age have pre-existing conditions.

vilger 09-25-2020 04:52 PM

Quote:

Originally Posted by MDLNB (Post 1838300)
Everybody wants something for nothing. "Oh but.....over in THAT country they have........" and it is free from the government. BS! Nothing is free. Try living in Europe as a middle income earner. Our lower class citizens live as well if not better than the "middle class" in other countries. The reason their middle class lives a lower lifestyle is because they pay half their earnings in some form of gov taxes. Sure, the old do OK and the low income folks do OK, but how about everyone else? The hard workers that produce end up paying the way for everyone else. Is that FAIR?
That is exactly what is going to happen here if we get gov run health care.
The President has promised that he will not allow "pre-existing" conditions to preclude anyone from obtaining reasonable healthcare insurance. As far as I can see, whether we like him or not, he has lived up to or is still attempting to succeed at all his campaign promises. I won't go further down that path or end up violating the politics rule on here. However, that is exactly what the subject of the OP is all about, so it has gone this far without being shut down.
That said, you have two choices. You can pay your own way, if you can. Or, you can allow the gov GIVE you a lower quality health care insurance, along with a lower quality standard of living when they make EVERYONE sacrifice 50%+ of their earnings. It will have no effect on the wealthy, but it really lowers the standard of living for the middle class. The lower class of non-achievers or unproductive will always end up living a middle class standard of living in this liberal America. Why? Because some folks believe that instead of the bare minimum of giveaway they should get according to their motivation and work ethic, everyone should live equally. Sorry but that NEVER EVER happens in real life. The middle class hard worker pays the way by having their families sacrificing so that the non-achievers get to live better than the hard workers. NO, I am not against welfare. I am against taking their incentive away from them to reach a higher ambition. I am against seeing those that may be lazy living it up when the middle class has to work hard and sacrifice. Instead of having everyone else sacrifice, why not just work on the small group of folks that really deserve a hand up? There is absolutely no reason why those on welfare cannot be made to earn their welfare, even if it is picking up trash, cleaning gov offices, baby sitting for those that are really working for a living, etc. I would not even discount the idea of work camps. Socialism did not work with the first settlers in America so why should it now? Remember the phrase "no work, no eat?"

Please explain how the President will not allow "pre-existing" conditions to preclude anyone from obtaining reasonable healthcare insurance? He has had over 3 1/2 years to come up with the "terrific" Obamacare replacement plan that he promised during the last election. Instead we get some bulls**t executive order 5 weeks before the next election that does nothing but promises to look into protecting pre-existing conditions. Oh yes, and the President has joined a lawsuit that the Supreme Court will hear on November 10 to abolish Obamacare, and a bribe of a $200 Medicare prescription card to get the senior vote.

John41 09-25-2020 05:07 PM

Quote:

Originally Posted by Lindsyburnsy (Post 1837958)
It is laughable that an Executive Order was signed today to allow pre-existing conditions even though we already have that in our current healthcare. And yet the Supreme Court is going to decide Nov 10th on whether to get rid of it. Gaslighting at its best.

Not laughable unless you have ACA which many can’t afford or even get.

Topspinmo 09-25-2020 05:16 PM

Quote:

Originally Posted by Boomer (Post 1833599)
(Please pay attention. Pre-existing conditions are on the chopping block, now with Covid as an additional bonus possible for insurance companies.)

It is highly possible, that in the near future, insurance companies -- again -- will be allowed to use pre-existing conditions as their right to deny coverage.

If insurance companies are awarded the unconscionable power to deny coverage for pre-existing conditions, it is not a big leap of the imagination to think that having had Covid 19 could be termed a pre-existing condition.

Why do I think that could happen? — because we do not understand where this virus can take us. But we do know that Covid 19 can sometimes leave very serious, and possibly chronic, health problems in its wake — even after supposed recovery.

I realize that most Villagers are comfortably swaddled in Medicare or good coverage from military retirement or previous employers. But, even so, in this time of overwhelming distraction, it is important to stay informed of what is playing out behind the front-and-center chaos.

Gen X and Millennials and younger boomers who get the virus and recover could find themselves saddled with a pre-existing condition — forever— just for having had the virus — even though nothing else has shown up — yet — after recovery.

Maybe I am overthinking this. Gee, could insurance companies ever even consider reaching into such a pot of gold as Covid recovery as an excuse to deny coverage.

No matter where your loyalties lie, no matter whether you have any younger people in your life to love, please pay attention, stay informed — from a variety of sources.

The ultimate decision to protect or to take away the individual’s right to not be denied health insurance coverage due to a pre-existing condition is in the works — with powerful support to take away that right.

Be careful what you wish (wished?) for.

Cassandra Boomer

Insurance companies have great lobbyists, they suck career representatives Like drug addicts on drugs when money thrown in their face. If they would of just read it before passing it they would of known what they passed.


The representative’s had several changes to get healthcare right ANd the failed miserably and IMO made it worse.

Northwoods 09-25-2020 08:53 PM

Quote:

Originally Posted by biker1 (Post 1837350)
Please explain how private insurance is "a lot better" than Medicare. I have private insurance and my wife is on Medicare. We can, and do, see the same Drs. The only difference I have detected is she pays less.

I can't say private insurance is a lot better, but I can tell you when I went on Medicare, one medication that I was taking went from $0 to $45 a month. My other medication went from $90 to $395 a month. I was very surprised at this. But that has been my experience.

biker1 09-25-2020 09:08 PM

Please explain. Pretty much everyone should be able to get an obamacare plan unless their income is too low and forces them into Medicaid ??? If your MAGI is below $64K you will get an obamacare subsidy. I agree that the deductibles and out of pocket maximums are onerous.


Quote:

Originally Posted by John41 (Post 1838350)
Not laughable unless you have ACA which many can’t afford or even get.


biker1 09-25-2020 09:10 PM

Are these Part D prices?

Quote:

Originally Posted by Northwoods (Post 1838427)
I can't say private insurance is a lot better, but I can tell you when I went on Medicare, one medication that I was taking went from $0 to $45 a month. My other medication went from $90 to $395 a month. I was very surprised at this. But that has been my experience.



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