Talk of The Villages Florida

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-   Medical and Health Discussion (https://www.talkofthevillages.com/forums/medical-health-discussion-94/)
-   -   Affordable Care Act (hope not political) (https://www.talkofthevillages.com/forums/medical-health-discussion-94/affordable-care-act-hope-not-political-107577/)

Taltarzac725 04-22-2014 10:39 AM

Quote:

Originally Posted by Lahaja (Post 866142)
Taltarzac - Why are you making this more complicated than it needs to be? If you are just looking for health car coverage, apply and get it. My husband is 64 - has had three heart attacks - was dropped from Aetna in 2012 and )thank God for the fact they can no longer judge on pre-existing conditions), picked up Florida blue Cross/blue Shield at the rate of 400.00 per month. This is NOT through the government Affordable Health Care Act (healthcare.gov). This is by calling an insurance broker and getting insured. THAT SIMPLE. I am 50 with high BP (medicated) and mine is under 300.00 per month.
It's out there …all you have to do is call them. Not send 110 pages of history.

That's pretty expensive. I am trying to appeal my Marketplace denial of Medicaid because I did not file a tax return as my individual income was under the amount which you need to file. http://www.irs.gov/Filing I do not think my parents should continue footing my medical and dental bills. I am trying to explain with the 120 copies of documents-- dating from 1990 through 2006-- mainly from other State, Federal and International Governmental agencies why I have had such a hard time finding suitable work with four degrees, 24 nominations to Marquis Who's Who publications from 1992 through 2002, and other stuff. I believe the problem is that I ****ed off some very powerful people by fighting for the underdogs in the legal system and I have tried very hard to document everything as carefully as possible.

I need to send the appeal people a few more documents.

Chi-Town 04-22-2014 10:42 AM

A single payer system a la Medicare appears to be the natural progression towards universal health care. It will be interesting to see how all this plays out. In the meanwhile we can look to Massachusetts to see how their plan worked as it mirrors the ACA.

mulligan 04-22-2014 11:38 AM

Having recently moved from Ma. , I can tell you it almost bankrupted the state.

Chi-Town 04-22-2014 12:31 PM

Quote:

Originally Posted by mulligan (Post 866213)
Having recently moved from Ma. , I can tell you it almost bankrupted the state.

Well, that's not good. But thanks for the info.

Tal, head to BCBS of Florida and check their rates. I think your window for the ACA is closed until November.

mickey100 04-22-2014 12:54 PM

Quote:

Originally Posted by mulligan (Post 866213)
Having recently moved from Ma. , I can tell you it almost bankrupted the state.

From what I've read, the original 2006 Massachusetts law did not contain cost controls, which were added back in 2013. The Affordable care act has had cost controls built in right from the beginning.

Taltarzac725 04-22-2014 01:34 PM

Quote:

Originally Posted by Chi-Town (Post 866229)
Well, that's not good. But thanks for the info.

Tal, head to BCBS of Florida and check their rates. I think your window for the ACA is closed until November.

Not according to their website. I tried to get medical insurance but could not afford their rates for Florida according to the web-site. So, I wanted to explain my lack of resources to the Federal Government and hoped that they would authenticate the documents I had sent them AND help me convince the State of Florida to put me on Medicaid. The woman I talked to in a phone call a few weeks ago thought I had a good chance. I suppose it would be best if I could afford medical insurance on my own but I am not there yet.

If not, I will probably have to pay the fine. It should help me find some kind of work though if I can explain why there is such a huge gap in my work history. I never had the resources to authenticate these documents myself. The Federal Government should have these resources.

Remember that I fought rather hard to get information of a practical nature into libraries or accessible through libraries from 1991 through 2005 or so. I kind of threw in the towel after we moved to the Villages in 2005. I had based why I was fighting so hard on my own experiences with the Michelle Mitchell murder on my birthday of 2-24 in 1976 in Reno, Nevada and my failure to find much of any real practical value. I tried to get an international dialog after 1993 about this niche and attempted to bring in every one and any one who might be affected by violent crime. That included many associations, celebrities, large companies, etc. I tried to put a public health spin on it after being involved with a 17 week study at the University of California San Francisco Health Campus as subject #613 in 1992-1993. I wrote hundreds of thousands of e-mails about my experiences from 2000 through 2005 or so. One of these popped up on a student blog of a major Boston area university in 2011 even though I sent this in 2003. Remember that my training is as a Law Librarian and I had cataloged all the computer files on WESTLAW for a National Project from 1988 through 1991 while at the University of Minnesota Law Library.

Gat0r 04-22-2014 02:04 PM

Nothing came out of the aca but preexisting conditions.

Bay Kid 04-23-2014 06:20 AM

Last month my Athem insurance took a big price jump. Well I called the agent and requested quotes for a different policy. She sent 2 that looked pretty good so I called her to pick one. To my surprise they will not be available until October/November. She said under the ACA all new policies aren't available to then. I asked why and she said it is in the ACA. I guess I should of read the ACA?????

Chi-Town 04-23-2014 06:59 AM

Quote:

Originally Posted by Bay Kid (Post 866627)
Last month my Athem insurance took a big price jump. Well I called the agent and requested quotes for a different policy. She sent 2 that looked pretty good so I called her to pick one. To my surprise they will not be available until October/November. She said under the ACA all new policies aren't available to then. I asked why and she said it is in the ACA. I guess I should of read the ACA?????

It is normal for companies that have health insurance for their employees to have enrolment periods. You can make changes or keep it the same at that time. After that period is over you have to wait until the next one, usually one year. I guess the ACA is the same.

DaleMN 04-23-2014 08:46 AM

Quote:

Originally Posted by Chi-Town (Post 866178)
A single payer system a la Medicare appears to be the natural progression towards universal health care. .

Let's hope so.

Bay Kid 04-24-2014 08:11 AM

Quote:

Originally Posted by Chi-Town (Post 866653)
It is normal for companies that have health insurance for their employees to have enrolment periods. You can make changes or keep it the same at that time. After that period is over you have to wait until the next one, usually one year. I guess the ACA is the same.

I am not with any company. I have been paying my own way for 38 years. We have always been able to shop and buy a new policy anytime. Now I am told by the agent no new policies are available until November, per the ACA. This just isn't right for private business to be put on hold until November.

jflynn1 04-24-2014 08:43 AM

Your agent is incorrect

jflynn1 04-24-2014 08:44 AM

Again agent is not correct. He or she just has to look harder for you or find another insurance agent.

Parker 04-24-2014 09:24 AM

Quote:

Originally Posted by jflynn1 (Post 867307)
Your agent is incorrect


According to a news article I read just last week, the OP is correct. Just one of the many things we were not told about the ACA. Many more fun surprises to come.

DaleMN 04-24-2014 11:06 AM

I love surprises. :doh:

ilovetv 04-24-2014 08:27 PM

Quote:

Originally Posted by Parker (Post 867335)
According to a news article I read just last week, the OP is correct. Just one of the many things we were not told about the ACA. Many more fun surprises to come.

Quote:

Originally Posted by DaleMN (Post 867393)
I love surprises. :doh:

You're hoping for "surprises" like this (below) for our whole nation of 314 million people??
(CNN) -- At least 40 U.S. veterans died waiting for appointments at the Phoenix Veterans Affairs Health Care system, many of whom were placed on a secret waiting list.

The secret list was part of an elaborate scheme designed by Veterans Affairs managers in Phoenix who were trying to hide that 1,400 to 1,600 sick veterans were forced to wait months to see a doctor, according to a recently retired top VA doctor and several high-level sources.

For six months, CNN has been reporting on extended delays in health care appointments suffered by veterans across the country and who died while waiting for appointments and care. But the new revelations about the Phoenix VA are perhaps the most disturbing and striking to come to light thus far.

Internal e-mails obtained by CNN show that top management at the VA hospital in Arizona knew about the practice and even defended it....."

See video by Anderson Cooper.....

A fatal wait: Veterans languish and die on a VA hospital's secret list - CNN.com

Bucco 04-24-2014 08:40 PM

Quote:

Originally Posted by Parker (Post 867335)
According to a news article I read just last week, the OP is correct. Just one of the many things we were not told about the ACA. Many more fun surprises to come.

Most of the taxes associated with this bill have been delayed. That includes the old "Cadillac" tax. Many surprises for sure.

mickey100 04-25-2014 06:34 AM

Quote:

Originally Posted by ilovetv (Post 867641)
You're hoping for "surprises" like this (below) for our whole nation of 314 million people??
(CNN) -- At least 40 U.S. veterans died waiting for appointments at the Phoenix Veterans Affairs Health Care system, many of whom were placed on a secret waiting list.

The secret list was part of an elaborate scheme designed by Veterans Affairs managers in Phoenix who were trying to hide that 1,400 to 1,600 sick veterans were forced to wait months to see a doctor, according to a recently retired top VA doctor and several high-level sources.

For six months, CNN has been reporting on extended delays in health care appointments suffered by veterans across the country and who died while waiting for appointments and care. But the new revelations about the Phoenix VA are perhaps the most disturbing and striking to come to light thus far.

Internal e-mails obtained by CNN show that top management at the VA hospital in Arizona knew about the practice and even defended it....."

See video by Anderson Cooper.....

A fatal wait: Veterans languish and die on a VA hospital's secret list - CNN.com

According to CNN, this is a terrible scandal perpetuated by Veterans Affairs managers. To imply that this would happen to the entire country under the Affordable Care Act, is, in my opinion, a little far fetched. Of course there are going to be glitches as this huge, new system rolls out, but in time things will work out.

Bay Kid 04-25-2014 07:10 AM

Quote:

Originally Posted by jflynn1 (Post 867308)
Again agent is not correct. He or she just has to look harder for you or find another insurance agent.

I wish you were right, but you aren't. I talked to another Athem agent and there is nothing can be done until after the 1st of November, you know what is going on there, unless they cancel my policy. I have a friend that got a letter from Athem that he is being canceled in November. All he can do is shop for a new policy, but can't buy it until November. Maybe I can get some old policy from a cut-rate company, but that is all and not sure about that. Check your agent. The 2 I spoke said this is the new ACA government law.


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