I rarely agree with most posts to some extent, but being on both sides of this each one of you have said things that apply. I really hate agreeing with pdog, but his sign has hit the nail on the head depending on which state you live in. In Florida anyone making under 100% of FPL will not be penalized because we did not expand Medicaid this still leave's many without insurance unless they can scrape money together to purchase a plan off exchange and pay full price and let's face it many can't. Then there are people making just above 100% that don't file taxes, yep you guessed it, have to file taxes to receive a subsidy, so they are left out and they would have to pay penalty. One such woman this week would have ended up with about $75.00 premium for a decent plan, but she is over 60 and drawing wndow's ss and 135% of FPL, H & R Block told her two years ago she didn't have to file taxes because she would owe none. Well she might be able to get in to project her 2014 income but it's going to be hard. IRS is going to want to know why she hasn't filed.
Premium's will not be lower but higher. Subsidy + what you pay equals premium, which is quite a bit higher except for a few company's that won't make it in Florida.
The company's that pulled out of Nebraska except for Aetna and Humana are smaller player's and two of them have been cited by different state's over the years for their tactics. Aetna, Humana and UHC are public company's and it's hard to figure out what they have done in different state's. Aetna and UHC pulled out of California because of the state exchange's, but then went into other state's with them. Aetna is in our state playing on the Fed exchange and also Humana, but UHC is not, but UHC individual plan is golden rule and not a big share in Florida. I suppose the actuary's made these decisions.
I saw where UHC fired all those doc's in Ct I believe, that's a lot of doc's. Usually you will see a hospital or provider dump an insurance company for slow paying or contract purposes or an insurance company doing the firing for one's who are not living up to their contract by not accepting the monies agreed upon. I wonder if that was an HMO in CT, that would make a difference.
While I have stated that I believed this was good for people with uninsurable conditions or pre existing conditions, this was the only part I agree with. I can never see with this system the cost of health insurance or treatment going down. People with good subsidy's might see it this way today, but what about 3 year's down the road? I wrote a 28 yr old female the other day off exchange, best platinum all copay plan no deductible and max out of pocket $2000. Premium $345 per month. She paid about $100 more a month for maternity a benefit now mandated and all the copay's. Yep, $1200 more a year doesn't sound like much for all this now but I have a feeling if she keep's this plan her premium will be $500 per month when she turns 30. She did qualify for a subsidy, but could not use it because her husband is offered insurance at work for under 9.5% of HIS income. Yep, family glitch.