Quote:
Originally Posted by tophcfa
(Post 2380391)
Not after we have been paying well over $1,000 per month the last several years through Obamacare for a far inferior plan with a high deductible and max out of pocket and a very limited network. $400 per month for an extensive network, about a $250 per person deductible with 100% of everything covered after that, and no referrals required for specialists, seems like an incredible bargain.
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Yeah, I did the Obamacare thing too. Unbelievable. And nothing like my Advantage plan, which is almost identical to my old employer's PPO plan, except for the cost. Like everyone else who complains about Advantage plans, you seem to think they're all HMO's. They are not, and that is my point.
My PPO Advantage plan does not require referrals and I can see any doctor I want. It just doesn't pay as much if I go out of network, and then the doctor is not limited to negotiated rates. But it also has an annual out-of-pocket limit, after which it picks up everything -- even out-of-network. Yes, the limit is high, but insurance is for disasters, not groceries. The high limit is still within my means, and until the disaster hits, I pocket $400/month.
It worked as expected with my wife's recent stroke. But it was a small stroke and we didn't need to go out of network. My plan documents say I'm adequately insured against a real crises, like cancer.
But, of course, it all depends on how honest the players are, regardless of what kind of insurance you have. I'm sure the insurance company will fight like a pitbull to get out of paying what they contracted to pay, and the doctors' crooked back office operations will bill crazy amounts for things they either didn't do or we didn't need -- just like they did with the stroke. Six month later, we're still getting bills. But that doesn't have a damned thing to do with the fact that we have Advantage PPO insurance.
Like I said -- every one's a crook, these days. Look no farther than your neighbor's new roof and your latest home insurance bill to see what I'm talking about. We're at the mercy of crooks, regardless of what we do, because moral behavior is no longer the standard in this country.
Which is why I see no reason to give the crooks one penny more than I have to, until the day when I need to.