Tuesday, November 12, 2013

Who's to blame?

The Barack Obama Administration claim that Obamacare didn't cancel private insurance plans is a total farce. They claim that those plans were eligible under the "grandfather" clause. But here's the thing, even grandfathered plans have to still update to certain Obamacare requirements, and after doing so they are NOT allowed to make up the monetary difference by significantly cutting other benefits or raising rates.

The following is from Healthcare.gov (https://www.healthcare.gov/what-if-i-have-a-grandfathered-health-plan/)

What grandfathered plans do and don't have to cover
Here's a quick look at the consumer protections that do and don't apply to grandfathered plans:

All health plans must:

1)End lifetime limits on coverage
2)End arbitrary cancellations of health coverage
3)Cover adult children up to age 26
4)Provide a Summary of Benefits and Coverage (SBC), a short, easy-to-understand summary of what a plan covers and costs
5)Hold insurance companies accountable to spend your premiums on health care, not administrative costs and bonuses

Grandfathered plans DON'T have to:

Cover preventive care for free
Guarantee your right to appeal
Protect your choice of doctors and access to emergency care
Be held accountable through Rate Review for excessive premium increases

In addition to the above, grandfathered individual health insurance plans (the kind you buy yourself, not the kind you get from an employer) don't have to:

End yearly limits on coverage
Cover you if you have a pre-existing health condition
Note: Some grandfathered plans offer protections they're not required to. Check with your insurance company or benefits administrator to learn if your grandfathered plan offers the rights and protections listed above. -end quote

The numbered items all ADD cost to the provider, but they are NOT allowed to compensate for the cost by raising rates or reducing benefits.
Insurance, ALL insurance, is a risk/reward business. The company agrees to cover your needs in exchange for a certain amount of money over a period of time. The company assumes the risk of you using 100X the amount you paid in, but hopes to be rewarded with more money coming from healthy clients than unhealthy.
In the world of private plan insurance, the premium will be based on what you want/need covered and your current health status. Even the ability to cancel your insurance (which only affects future claims) factors in to get you a lower cost. Under Obamacare, if you become diagnosed as a hypochondriac, not only must they continue to provide care for that diagnosis, but they cannot cancel your policy, even if you run to the Dr every day with a new fake symptom. They cannot change your co-pay, or increase your cost, or they lose the grandfathered status. And they cannot cancel your coverage of future bogus claims or they lose their license to sell insurance to ANYONE.

I will point out that I am not linking to some far right, wacko, infowars moron's website. This link is to Obama's own website and directly counters everything his spokespeople have been saying as they blame insurance companies for the cancellations. Stop falling for spin and do your own research. You will find that Barack Hussein Obama and his cronies, Sebelius and Carney, CONTINUE to lie and mislead the American public.

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