ObamaCare Info

Make sure the cost of your current coverage is in the "Cadillac" class of insurance, because you could end up with user tax fee.

I've been concerned about that, but I think we are okay, our price is below the $27,500 threshold (thank goodness, I'd really be freaking out if I was paying that much). And I'm not sure it would affect us even if we DID pay that much because every reference I've read about the cadillac plan talks about 'employer provided health plans' and ours isn't provided by an employer because we buy directly from the insurance company ourselves. It's just one of the joys of self employment. :rolleyes: It's just one of the many many things that I'm not sure I understand correctly in all this.
 
Make sure the cost of your current coverage is in the "Cadillac" class of insurance, because you could end up with user tax fee.

I've been concerned about that, but I think we are okay, our price is below the $27,500 threshold (thank goodness, I'd really be freaking out if I was paying that much). And I'm not sure it would affect us even if we DID pay that much because every reference I've read about the cadillac plan talks about 'employer provided health plans' and ours isn't provided by an employer because we buy directly from the insurance company ourselves. It's just one of the joys of self employment. :rolleyes: It's just one of the many many things that I'm not sure I understand correctly in all this.
 
LovinPooh said:
Pardon me for my dumb question here.. just recently i have been looking into this. And have been trying to keep up with this thread. I m in nh and i guess we have anthem to choose from. I played around with the calculator and it told me that if your employer offers coverage you are not entitled to a subsidy... am i reading this correct? The confusion gets me where a family of four qualifies under $90,000. How many people make that with a company that doesnt offer ins. And i thought all employers had to offer ins now.
So confused! Dh just started a new job...so we are currently without ins. So i figured i would play with this marketplace thing. But when it told me that a person who can get it thru work cant get it thru this i got confused.
I hate how every state is dif. That i dont understand...
Any insight would be great.
Hope everyone is faring well in this crazy time :)

I'm in fl and I got the same thing apparently because my company offers insurance I don't get subsidized, I'm also technically broke enough to recieve Medicaid but they just recently took that away also. I have been trying to make sense of the best way to insure our family of four on around 25k a year.... If i take my jobs insurance it will cost me a large chunk of my little paycheck, which is what the plan is for now.

May I ask what is the point to all this if states are still allowed to do it their own way....doesn't that defeat the purpose of the healthcare for all thing?
 
Pardon me for my dumb question here.. just recently i have been looking into this. And have been trying to keep up with this thread. I m in nh and i guess we have anthem to choose from. I played around with the calculator and it told me that if your employer offers coverage you are not entitled to a subsidy... am i reading this correct? The confusion gets me where a family of four qualifies under $90,000. How many people make that with a company that doesnt offer ins. And i thought all employers had to offer ins now.
So confused! Dh just started a new job...so we are currently without ins. So i figured i would play with this marketplace thing. But when it told me that a person who can get it thru work cant get it thru this i got confused.
I hate how every state is dif. That i dont understand...
Any insight would be great.
Hope everyone is faring well in this crazy time :)

Not all employers are required to provide insurance (I think there's a certain number of employees allowed before it's required), some people don't work full time, and there are many of us who are self employed and don't have an employer to provide insurance for us. And there are also many employers who provide insurance for the employee but not their family members.
 

Originally Posted by LovinPooh
Pardon me for my dumb question here.. just recently i have been looking into this. And have been trying to keep up with this thread. I m in nh and i guess we have anthem to choose from. I played around with the calculator and it told me that if your employer offers coverage you are not entitled to a subsidy... am i reading this correct? The confusion gets me where a family of four qualifies under $90,000. How many people make that with a company that doesnt offer ins. And i thought all employers had to offer ins now.
So confused! Dh just started a new job...so we are currently without ins. So i figured i would play with this marketplace thing. But when it told me that a person who can get it thru work cant get it thru this i got confused.
I hate how every state is dif. That i dont understand...
Any insight would be great.
Hope everyone is faring well in this crazy time
I'm in fl and I got the same thing apparently because my company offers insurance I don't get subsidized, I'm also technically broke enough to recieve Medicaid but they just recently took that away also. I have been trying to make sense of the best way to insure our family of four on around 25k a year.... If i take my jobs insurance it will cost me a large chunk of my little paycheck, which is what the plan is for now.

May I ask what is the point to all this if states are still allowed to do it their own way....doesn't that defeat the purpose of the healthcare for all thing?


If the cost of your employer plan is more than 9.5% of your salary then you can apply for a subsidy. If they offer coverage for dependents, regardless of the cost, the dependents won't qualify for a subsidy.

If you make less than 100% FPL you won't qualify for a subsidy.
 
well day 2 of trying to just see prices....................no luck so far......
 
Totally agree that lots of people are stuck- but is the solution really for McDonalds to pay $20/hr or should the government do something about it so there are real jobs above McDonalds?

I think that like most problems facing our country right now, any realistic solution is multifaceted but people are looking for a single silver bullet fix instead.

I think minimum wage does need to go up, and needs to be indexed to inflation based on an annual review like social security payments, but I don't think $20/hr or even the $15 that the recent fast food protests have used as a rallying point is practical. If the minimum wage had been indexed to inflation right along it would be just over $10/hr now.

But I also think government needs to encourage real job growth, particularly small business growth, and that means narrower and more focused regulation. Stop worrying about lobbyists and level playing fields, and write legislation and rules that address the issue at hand. Right now, too many business regulations were/are written by and for the biggest companies in the effected industry in the name of "expert advice" and have become a means of keeping down competition with non-scaleable costs of compliance.

BUT from what i gather you have to give them your life history which they verify with every government entity under the sun (immigration, SS, IRS, Etc) AND EVEN PULL A CREDIT REPORT to confirm your employer- JUST TO GET PRICING.

It seems they insist on figuring out your subsidy information first before showing you pricing. I'd like to see the pricing first and i think so would many others. Probably wouldn't break the website so bad if they allowed a simple price check first.

...

Seems I'm the only one here that is actually interesting in an exchange plan right now? I'm kind of surprised by that.

I'm interested, but I always give a new system a week or two to blow the dust off before I jump in, rather than spending my time fighting an overloaded server.

I'm not surprised they want all that information. If they did it without, they'd be getting hammered in the court of public opinion for doing the same thing in the exchange that many health insurance web sites do - providing the "preferred" (lowest rate) quote and then jacking it up when you attempt to purchase because of the specifics of your circumstances.

Are they just pulling a credit report to verify your employer, or will credit rating play into the rates? It does for privately purchased policies, and since the exchange is a collection of policies offered by the same companies that take credit score into account when they set private-purchase premiums I assume they probably will for exchange plans too unless they're prohibited from doing so.

. I played around with the calculator and it told me that if your employer offers coverage you are not entitled to a subsidy... am i reading this correct? The confusion gets me where a family of four qualifies under $90,000. How many people make that with a company that doesnt offer ins. And i thought all employers had to offer ins now.

If you employer offers "affordable" insurance (premium under 9.5% of your income) you aren't eligible for subsidies.

And it really isn't that difficult for a family to make 90K without employer-based insurance, particularly if they are a dual-income family... Many small companies don't offer benefits, but they do employ educated and skilled professionals. And many skilled professionals, particularly in tech or creative fields, are successful in a freelance/contract/self-employed arrangement rather than a traditional job.

Businesses under a certain size - 50 employees, IIRC - are exempt from the requirement of providing coverage. In my town I doubt there's more than 1 or 2 businesses that will be effected by that aspect - most are one or two location, family-owned, and employ a few dozen people at most.
 
Someone says minimum wage needs to go up. Then prices go up Whoops minimum wage has to go up. One vicious circle.
 
I own a Pearle Vision Franchise in Philly and we have always paid our employee's insurance without them having to pay anything but their co-pays. And we are way under the 50 people mark. We get hammered every month for the premiums.
Nancy
 
Someone says minimum wage needs to go up. Then prices go up Whoops minimum wage has to go up. One vicious circle.

It is simply not valid economics to state that an increase in the minimum wage results in a corresponding and equivalent increase in prices because 100% of a product's cost is never tied to labor and 100% of the workforce is not paid minimum wage.

The actual net positive impact on buying power greatly outstrips inflationary pressures caused by an increase in the minimum wage, and due to the fact that lower wage workers tend to spend a dramatically larger portion of their take home pay than higher wage workers on consumable goods, it actually puts more money back into the economy.
 
well day 2 of trying to just see prices....................no luck so far.....

They knew this was coming for four years - couldn't they have been better prepared? It's scary to think of ever needing to talk to someone with questions on a claim! Anyone who has ever had to deal with the IRS on the phone knows the waits, lack of knowledge etc. - very frightening to imagine the same with healthcare.
 
They knew this was coming for four years - couldn't they have been better prepared? It's scary to think of ever needing to talk to someone with questions on a claim! Anyone who has ever had to deal with the IRS on the phone knows the waits, lack of knowledge etc. - very frightening to imagine the same with healthcare.
To me the scary part is the IRS overseeing this. I guess if they aren't after you for your political beliefs, you should be fine.

Oh what am I talking about. It is all going to be just fine. :goodvibes No problem.:thumbsup2
 
well day 2 of trying to just see prices....................no luck so far......

Same problem here. I have tried at various times throughout the last 36 hours and am unable to access any information. It's extremely frustrating as my state did not release any pricing ahead of time, and I was hoping to get an idea of prices for my brother who is currently unemployed.
 
I've been concerned about that, but I think we are okay, our price is below the $27,500 threshold (thank goodness, I'd really be freaking out if I was paying that much). And I'm not sure it would affect us even if we DID pay that much because every reference I've read about the cadillac plan talks about 'employer provided health plans' and ours isn't provided by an employer because we buy directly from the insurance company ourselves. It's just one of the joys of self employment. :rolleyes: It's just one of the many many things that I'm not sure I understand correctly in all this.

obama care website said 22k but who knows
 
I was able to see the plans and pricing and use the subsidy calculator on the CT exchange website without giving any personal information at all beyond the ages of everyone in my family and our zip code. I guess that it is just different for different states.

I need to get more information. It looks like its kind of a wash between my current plan and the exchange plans. My plan is more expensive but has better coverage. I could save a couple hundred each month by buying an exchange plan, but then I'd be subject to high deductibles that I don't currently have and my current plan pays 100% of cost above my copays, which the exchange plans don't. I'm definitely going to have a lot of thinking to do as I weigh my options. But I'm not ruling the exchange plans out yet.

Is this the beginning of the rest of the story coming out? Maybe yes. Maybe no.
 
Is this the beginning of the rest of the story coming out? Maybe yes. Maybe no.

This is what im saying just because you can get insurance at lower price? maybe

doesn't mean the coverage is good or that you will be able to afford medical care.
 
I was able to see the plans and pricing and use the subsidy calculator on the CT exchange website without giving any personal information at all beyond the ages of everyone in my family and our zip code. I guess that it is just different for different states.
....

well day 2 of trying to just see prices....................no luck so far......

Well- finally at about 6:10 got on the site for NJ (reun by the feds like most states)

I WANT TO SCREAM- it refuses to give prices without filling out and 'submitting' a 'signed' ap. Fine - i go through like 20 pages of info. But i still refuses to give me pricing becasue it needs to "verify" me and the credit report that they pulled apparently doesn't have the right info for me.

I balked at giving my SS- gave my name, DOB, and address and rather instantly it pulled up credit report sort of questions (confirm last address, employer, and phone number). It got me "previous address' as an address i use for shipping, it nailed my employer, but then it gave me a pile of phone mumbers that weren't for me. When i picked none of the above it balked. Now i need to scan a pile of docs and submit them and then wait around till someone reviews them.

I told it i know Im not elgible for subsidies and to ignore that and still it needs to verify me just to give me stinking prices.

calming down-
other tidbits-

the site desperately tries to get your SS #s. It asked at least 4-5 different places for each person. All marked optional if you read carefully so i ignored. In the end I went back and gave it mine to try and help it "verify" me but still it says i dont exist...

It asks bunch of questions over (and sometimes over again) even though i entered them already. Sometimes it is smart enough to prefill the page with what you entered last time, but other times it needs you to reenter it. Weird- like different groups made different pages on the website- and didn't talk to each other.

Oddly it asked questions about my kids that i have never been asked before. It wanted to know all sort of relationship info. I get that it wanted to know if me and my wife were the parents of each child, but once it knows that shouldn't it know that each kid is the other's siblings and not ask me how they are related with a dropdown of about 8 things?

it also went for race info on everyone- i just skipped those- I dont really care but was trying to get the prices asap.

Just like the directions to pick a username suck- there's a spot to "submit a signed app" but all it has is an empty box to type something. Not sure if they want my typed name, typed email address, or what. Usually they tell you what they expect for an e-sig

anyway- totally annoyed i can't even get a stinking price becasue the NSA is having trouble finding me. lol.
 
...

I'm not surprised they want all that information. If they did it without, they'd be getting hammered in the court of public opinion for doing the same thing in the exchange that many health insurance web sites do - providing the "preferred" (lowest rate) quote and then jacking it up when you attempt to purchase because of the specifics of your circumstances.

Are they just pulling a credit report to verify your employer, or will credit rating play into the rates? It does for privately purchased policies, and since the exchange is a collection of policies offered by the same companies that take credit score into account when they set private-purchase premiums I assume they probably will for exchange plans too unless they're prohibited from doing so.
....

they don't want any important info in the "signed app" nothing more than ages and sexes- actually didn't even ask about smokers and I think they are supposed to pay a 50% penalty.

my understanding it the credit check is just to verify employment/employer. I think the pricing is basically the same for everyone with very little leeway- just smokers are allowed to get abused. Maybe a small component is age. That's why i dont understand why they lock up the prices like fort knox- there is no preferred rate. It's basically no-smoke or smoke as far as i can tell from reading on the net (so take that for what the source is)

edit: may be NJ law that smokers can't get charged more?
 
they don't want any important info in the "signed app" nothing more than ages and sexes- actually didn't even ask about smokers and I think they are supposed to pay a 50% penalty.

my understanding it the credit check is just to verify employment/employer. I think the pricing is basically the same for everyone with very little leeway- just smokers are allowed to get abused. Maybe a small component is age. That's why i dont understand why they lock up the prices like fort knox- there is no preferred rate. It's basically no-smoke or smoke as far as i can tell from reading on the net (so take that for what the source is)

edit: may be NJ law that smokers can't get charged more?


If i was you. I would pretend it was Sept 15th and walk away from the site.

Sounds like a true nightmare. Don't worry they will work out the bugs they have till Dec 31.
 
Its not funny. Its sad, how would you like to show up to work and be told to go home we don't need you, oh maybe tomorrow but where not sure.

This isn't all doom, but we will all be affected if they carry this past the full budget and go into default of national debt, even a hint of it will effect us.

plus bbc is calling the US aragent teenagers on the sirus radio new channel

I'm laughing about what that poster said which had nothing to do with the government shut down but was just a regurgitation of the most bat **** crazy right wing talking points.
 














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