Maybe now is the right time to organize

MAKAVELI

Well-Known Member
Benefits were NOT lowered. An unlimited annual cap is an increased benefit from before. A yearly annual out of pocket cap fixed at the stated deductible is an increase in benefits compared to unlimited 'co-insurance.' Annual visits, x,rays, cancer screenings, immunizations etc not subject to a deductible or copay is an increase in benefits. Most care not being subject to the deductible is an increase. Having a total deductible for a family, which each only having a share of the deductible is an increase. A couple with an $8000 deductible may only have a $4000 deductible per person. And even then, the deductible does NOT apply to most medical care under the ACA. If fedex chose to put you in the bronze plan coverage area, that is not the fault of the ACA.
Higher deductibles, higher out of pocket maximums, higher prescription costs. That's the definition of lowered benefits. And to be clear I don't blame the ACA. Like I said , FedEx used the excuse of the ACA to increase our costs, lower theirs and increase their profit.
 

Nolimitz

Well-Known Member
Higher deductibles, higher out of pocket maximums, higher prescription costs. That's the definition of lowered benefits. And to be clear I don't blame the ACA. Like I said , FedEx used the excuse of the ACA to increase our costs, lower theirs and increase their profit.
Im on my wife's plan at work. Dropped Fedex plan early on as it kept getting more expensive. Post ACA my wife's plan got a bit more expensive but the benefits went up regarding wellness coverage, drug costs etc.
 

dmac1

Well-Known Member
Higher deductibles, higher out of pocket maximums, higher prescription costs. That's the definition of lowered benefits. And to be clear I don't blame the ACA. Like I said , FedEx used the excuse of the ACA to increase our costs, lower theirs and increase their profit.
Except that your out of pocket max is definitely lower under the AC, flat out, you are wrong on that. Every plan offered to middle class workers had annual and lifetime caps on coverage that made your max out of pocket UNLIMITED if you reach the cap. Same for lifetime caps.Premiums went up because coverage is GREATLY increased but even with the premium increase, if you had copays for cancer screenings or annual checkups, or had to meet your full deductible before any insurance kicked in, you can still easily have lower total cost. And for those getting premium assistance, based on income and size of family, the advertised premium is NOT what you will be paying.

The ACA made prescription not subject to ANY deductible, and your deductible doesn't apply to most of the care you will get AT ALL. If you go to the doctor and your deductible is $6000 but you don't need to pay a deductible for an office visit as under the ACA, vs previously you may have had to pay the full deductible, you EFFECTIVELY have a lower deductible if you never have to meet it. And so many services are required to be offered with ZERO copay AND zero deductible, that your annual out of pocket is much lower, and if you get hospitalized, you will ONLY face the deductible, and not tens of thousands in 'co-insurance.'

No one with a brain can only look at deductibles and say coverage is lower.

" The Affordable Care Act ("ACA") mandates that new qualified health plans provide prescription drug coverage as an Essential Health Benefit. "

That means that prior to the ACA, many plans had NO prescription benefits, so requiring coverage is an INCREASE in required coverage. Just because you may not like having prescription coverage does NOT make it a decrease in coverage.
 

dmac1

Well-Known Member
My point was I have ins thru employer, it got worse under ACA,FACT.how is my ins better if a hospital visit was $100 yrs ago ,max and now my deductible is around 4K and max roughly 9k. Before ACA. Emerg room visit 100, surgery 100 etc.went to hospital rlast year and Bill was 17k, 4500 on me, thats 4400 more than before ACA.the ACA stiffed the middle class for those that had to use it to cover the lower income that got govt subsidies which is the taxpayer.

An annual visit is covered with NO added co=pay or deductible. If your hospital stay had lasted 3 months, your out of pocket would be the same under the ACA, but you would have had thousands in co-insurance prior. I remember bread was 15 cents a loaf years ago, and now it's $1.50 due to Obamacare!!!!!!

And there is zero chance you only had a $100 copay for a hospital stay in the last 20 years under your prior plan. Maybe $100 a day copay, PLUS 20% co-insurance after you meet your full deductible. You probably even believe that nonsense yourself, though no one else will.
 

dmac1

Well-Known Member
Yea Obama was doing us a favor, remember Gruber. Jonathan Gruber, who helped write the Affordable Care Act, committing gaffes. the hated law was designed to fool the public. Gruber “said that lack of transparency was a major part of getting ObamaCare passed, and that it was written in such a way as to take advantage of ‘the stupidity of the American voter,’” Gruber was one of main writers of the bill in case you forgot.
You can't even say why you hate it and make statements that aren't incorrect. You are hung up stupidly on 'deductibles' rather than quality of the care, and total out of pocket for normal care and what is covered and the potential of saving your home and all your assets. One bout with pneumonia, or back pain, or anything else determined to be a 'prior existing condition' and you would have been screaming for your repub clowns to pass the ACA so you would have coverage at all.
 

MAKAVELI

Well-Known Member
Except that your out of pocket max is definitely lower under the AC, flat out, you are wrong on that. Every plan offered to middle class workers had annual and lifetime caps on coverage that made your max out of pocket UNLIMITED if you reach the cap. Same for lifetime caps.Premiums went up because coverage is GREATLY increased but even with the premium increase, if you had copays for cancer screenings or annual checkups, or had to meet your full deductible before any insurance kicked in, you can still easily have lower total cost. And for those getting premium assistance, based on income and size of family, the advertised premium is NOT what you will be paying.

The ACA made prescription not subject to ANY deductible, and your deductible doesn't apply to most of the care you will get AT ALL. If you go to the doctor and your deductible is $6000 but you don't need to pay a deductible for an office visit as under the ACA, vs previously you may have had to pay the full deductible, you EFFECTIVELY have a lower deductible if you never have to meet it. And so many services are required to be offered with ZERO copay AND zero deductible, that your annual out of pocket is much lower, and if you get hospitalized, you will ONLY face the deductible, and not tens of thousands in 'co-insurance.'

No one with a brain can only look at deductibles and say coverage is lower.

" The Affordable Care Act ("ACA") mandates that new qualified health plans provide prescription drug coverage as an Essential Health Benefit. "

That means that prior to the ACA, many plans had NO prescription benefits, so requiring coverage is an INCREASE in required coverage. Just because you may not like having prescription coverage does NOT make it a decrease in coverage.
No our out-of-pocket maximums were lower before FedEx switched over to their consumer based plans. Like I said FedEx use the ACA lower our benefits. They could have kept our benefits the same even with the ACA but chose to to lower them.
 

fdxsux

Well-Known Member
No our out-of-pocket maximums were lower before FedEx switched over to their consumer based plans. Like I said FedEx use the ACA lower our benefits. They could have kept our benefits the same even with the ACA but chose to to lower them.
The benefits were definitely better under the old plan but the premiums were outrageous. If I remember correctly, the good plan was pushing $400/mo for a family. I actually prefer the new plan. You have to pay more, but only when you are really sick. The health reimbursement account, coupled with pcp vists that are not subject to the deductible, is usually enough to cover the small stuff. I actually think Fedex gives us pretty decent insurance considering how incredibly expensive healthcare is.
 

vantexan

Well-Known Member
Except that your out of pocket max is definitely lower under the AC, flat out, you are wrong on that. Every plan offered to middle class workers had annual and lifetime caps on coverage that made your max out of pocket UNLIMITED if you reach the cap. Same for lifetime caps.Premiums went up because coverage is GREATLY increased but even with the premium increase, if you had copays for cancer screenings or annual checkups, or had to meet your full deductible before any insurance kicked in, you can still easily have lower total cost. And for those getting premium assistance, based on income and size of family, the advertised premium is NOT what you will be paying.

The ACA made prescription not subject to ANY deductible, and your deductible doesn't apply to most of the care you will get AT ALL. If you go to the doctor and your deductible is $6000 but you don't need to pay a deductible for an office visit as under the ACA, vs previously you may have had to pay the full deductible, you EFFECTIVELY have a lower deductible if you never have to meet it. And so many services are required to be offered with ZERO copay AND zero deductible, that your annual out of pocket is much lower, and if you get hospitalized, you will ONLY face the deductible, and not tens of thousands in 'co-insurance.'

No one with a brain can only look at deductibles and say coverage is lower.

" The Affordable Care Act ("ACA") mandates that new qualified health plans provide prescription drug coverage as an Essential Health Benefit. "

That means that prior to the ACA, many plans had NO prescription benefits, so requiring coverage is an INCREASE in required coverage. Just because you may not like having prescription coverage does NOT make it a decrease in coverage.
Love it when the liberals attack their own, especially the ones who like to call people stupid. Makaveli was talking about FedEx healthcare coverage, not the ACA. SMH.
 

NC man

Well-Known Member
An annual visit is covered with NO added co=pay or deductible. If your hospital stay had lasted 3 months, your out of pocket would be the same under the ACA, but you would have had thousands in co-insurance prior. I remember bread was 15 cents a loaf years ago, and now it's $1.50 due to Obamacare!!!!!!

And there is zero chance you only had a $100 copay for a hospital stay in the last 20 years under your prior plan. Maybe $100 a day copay, PLUS 20% co-insurance after you meet your full deductible. You probably even believe that nonsense yourself, though no one else will.
Again, wrong. I had hernia surgery under our old plan. Paid 100 and that was it. Yrs ago had broken leg, went to emergency room, 100 no more,that was it.say what you want I know what I. Paid. No need to reply ,I’m done here.
 

MAKAVELI

Well-Known Member
The benefits were definitely better under the old plan but the premiums were outrageous. If I remember correctly, the good plan was pushing $400/mo for a family. I actually prefer the new plan. You have to pay more, but only when you are really sick. The health reimbursement account, coupled with pcp vists that are not subject to the deductible, is usually enough to cover the small stuff. I actually think Fedex gives us pretty decent insurance considering how incredibly expensive healthcare is.
The newer one is over $400 for family with lower benefits. Lol
 

dmac1

Well-Known Member
Love it when the liberals attack their own, especially the ones who like to call people stupid. Makaveli was talking about FedEx healthcare coverage, not the ACA. SMH.
Again, your ignorance is showing. The ACA covers ALL health plans by requiring minimum coverage including the 10 essentail benefits and the elimination of caps. along with many completely FREE benefits. Are you trying to claim that the fedex plan prior to the ACA had NO annual or lifetime caps and NO coinsurance that extended beyond your annual deductible??????? Are you claiming that you could get preventative care without ANY copay or deductible prior to the ACA??????? Your premiums went up because your benefits went up. Your annual deductible was NOT a cap on your expenses. Co-insurance applied even AFTER you met the deductible. You were likely ignorant of that unless you had some catastrophic or long term condition while on that plan. If your annual cap was even $3 million before, you now have NO annual cap, so potentially you can collect $billions- an OBVIOUS (to everyone else) benefit INCREASE that vastly outweighs ANY premium increase, especially if the new premium saves you out of pocket on your now FREE, no copay or deductible benefits.

From Healthcare.gov-----All Marketplace health plans and many other plans MUST cover the following list of preventive services WITHOUT charging you a copayment or coinsurance. This is true even if you haven’t met your yearly deductible.
  1. Abdominal aortic aneurysm one-time screening for men of specified ages who have ever smoked
  2. Alcohol misuse screening and counseling
  3. Aspirin use to prevent cardiovascular disease and colorectal cancer for adults 50 to 59 years with a high cardiovascular risk
  4. Blood pressure screening
  5. Cholesterol screening for adults of certain ages or at higher risk
  6. Colorectal cancer screening for adults 50 to 75
  7. Depression screening
  8. Diabetes (Type 2) screening for adults 40 to 70 years who are overweight or obese
  9. Diet counseling for adults at higher risk for chronic disease
  10. Falls prevention (with exercise or physical therapy and vitamin D use) for adults 65 years and over, living in a community setting
  11. Hepatitis B screening This link takes you to a website not operated by the federal government. The site may have different privacy and security policies. for people at high risk, including people from countries with 2% or more Hepatitis B prevalence, and U.S.-born people not vaccinated as infants and with at least one parent born in a region with 8% or more Hepatitis B prevalence.
  12. Hepatitis C screening for adults at increased risk, and one time for everyone born 1945–1965
  13. HIV screening for everyone ages 15 to 65, and other ages at increased risk
  14. Immunization vaccines for adults — doses, recommended ages, and recommended populations vary:
  15. Lung cancer screening This link takes you to a website not operated by the federal government. The site may have different privacy and security policies. for adults 55-80 at high risk for lung cancer because they’re heavy smokers or have quit in the past 15 years
  16. Obesity screening and counseling
  17. Sexually transmitted infection (STI) prevention counseling for adults at higher risk
  18. Statin preventive medication for adults 40 to 75 at high risk
  19. Syphilis screening for adults at higher risk
  20. Tobacco use screening for all adults and cessation interventions for tobacco users
  21. Tuberculosis screening for certain adults without symptoms at high risk
 

bacha29

Well-Known Member
[/QUOTE]
Spot on dmac. A person simply has to acquire a basic understanding of health insurance All this and much much more will go among the missing if the cluckers bite on what the BS red state politicians are feeding them about the ACA. I do hope that VT for the sake of his own well being moves to a country that has a national healthcare plan and lives out the rest of his days there. because if the cluckers get their way their won't be one here when he gets back. And given his advancing age and issues no insurer would be required to sell him a policy period and if one does they can charge him as much as they want and pay out in claims as little as they want .

And Medicare? God only knows what they've got in store for that.....You see dmac many Fedexer's for years felt safe and warm in Fat Freddy's bosom with the belief that this aspect of their lives is something he would take care of. Well, that's not the case now because he clearly sees benefit plans as reducible overhead and unnecessary "legacy" costs.
 

dmac1

Well-Known Member
Spot on dmac. A person simply has to acquire a basic understanding of health insurance All this and much much more will go among the missing if the cluckers bite on what the BS red state politicians are feeding them about the ACA. I do hope that VT for the sake of his own well being moves to a country that has a national healthcare plan and lives out the rest of his days there. because if the cluckers get their way their won't be one here when he gets back. And given his advancing age and issues no insurer would be required to sell him a policy period and if one does they can charge him as much as they want and pay out in claims as little as they want .

And Medicare? God only knows what they've got in store for that.....You see dmac many Fedexer's for years felt safe and warm in Fat Freddy's bosom with the belief that this aspect of their lives is something he would take care of. Well, that's not the case now because he clearly sees benefit plans as reducible overhead and unnecessary "legacy" costs.
[/QUOTE]
And Trump's great new medical plan is telehealth to save money. As long as you never see a doctor in person, medical care is cheap!!!!!!
 

dezguy

Well-Known Member
Again, your ignorance is showing. The ACA covers ALL health plans by requiring minimum coverage including the 10 essentail benefits and the elimination of caps. along with many completely FREE benefits. Are you trying to claim that the fedex plan prior to the ACA had NO annual or lifetime caps and NO coinsurance that extended beyond your annual deductible??????? Are you claiming that you could get preventative care without ANY copay or deductible prior to the ACA??????? Your premiums went up because your benefits went up. Your annual deductible was NOT a cap on your expenses. Co-insurance applied even AFTER you met the deductible. You were likely ignorant of that unless you had some catastrophic or long term condition while on that plan. If your annual cap was even $3 million before, you now have NO annual cap, so potentially you can collect $billions- an OBVIOUS (to everyone else) benefit INCREASE that vastly outweighs ANY premium increase, especially if the new premium saves you out of pocket on your now FREE, no copay or deductible benefits.

From Healthcare.gov-----All Marketplace health plans and many other plans MUST cover the following list of preventive services WITHOUT charging you a copayment or coinsurance. This is true even if you haven’t met your yearly deductible.

  1. Abdominal aortic aneurysm one-time screening for men of specified ages who have ever smoked
  2. Alcohol misuse screening and counseling
  3. Aspirin use to prevent cardiovascular disease and colorectal cancer for adults 50 to 59 years with a high cardiovascular risk
  4. Blood pressure screening
  5. Cholesterol screening for adults of certain ages or at higher risk
  6. Colorectal cancer screening for adults 50 to 75
  7. Depression screening
  8. Diabetes (Type 2) screening for adults 40 to 70 years who are overweight or obese
  9. Diet counseling for adults at higher risk for chronic disease
  10. Falls prevention (with exercise or physical therapy and vitamin D use) for adults 65 years and over, living in a community setting
  11. Hepatitis B screening This link takes you to a website not operated by the federal government. The site may have different privacy and security policies. for people at high risk, including people from countries with 2% or more Hepatitis B prevalence, and U.S.-born people not vaccinated as infants and with at least one parent born in a region with 8% or more Hepatitis B prevalence.
  12. Hepatitis C screening for adults at increased risk, and one time for everyone born 1945–1965
  13. HIV screening for everyone ages 15 to 65, and other ages at increased risk
  14. Immunization vaccinesfor adults — doses, recommended ages, and recommended populations vary:
  15. Lung cancer screening This link takes you to a website not operated by the federal government. The site may have different privacy and security policies. for adults 55-80 at high risk for lung cancer because they’re heavy smokers or have quit in the past 15 years
  16. Obesity screening and counseling
  17. Sexually transmitted infection (STI) prevention counseling for adults at higher risk
  18. Statin preventive medication for adults 40 to 75 at high risk
  19. Syphilis screening for adults at higher risk
  20. Tobacco use screening for all adults and cessation interventions for tobacco users
  21. Tuberculosis screening for certain adults without symptoms at high risk
Spot on dmac. A person simply has to acquire a basic understanding of health insurance All this and much much more will go among the missing if the cluckers bite on what the BS red state politicians are feeding them about the ACA. I do hope that VT for the sake of his own well being moves to a country that has a national healthcare plan and lives out the rest of his days there. because if the cluckers get their way their won't be one here when he gets back. And given his advancing age and issues no insurer would be required to sell him a policy period and if one does they can charge him as much as they want and pay out in claims as little as they want .

And Medicare? God only knows what they've got in store for that.....You see dmac many Fedexer's for years felt safe and warm in Fat Freddy's bosom with the belief that this aspect of their lives is something he would take care of. Well, that's not the case now because he clearly sees benefit plans as reducible overhead and unnecessary "legacy" costs.
Uh oh...
 

bacha29

Well-Known Member
Deductible is $2000, out if pocket max is $5000, prescriptions are $5 generic, 30% copay if it’s not. (If I remember correctly)
Sounds about what is just about everywhere else. You've got two choices. Take lower copays and deductibles in exchange for higher premiums or the opposite. It's all relative. I like what an insurer advisor told me. Take the premium difference and put that in the bank to pay for the higher deductibles and copays. If you never need it, you're dollars ahead. Now I know that this doesn't happen everywhere but the insurance rep who wrote my policy laid it all out in front of me and showed me how the increased coverages were in perfect lockstep with higher premiums. It takes discipline to set that money aside every month and resist the temptation to use it elsewhere but the potential pay back is no doubt there.
 

vantexan

Well-Known Member
Again, your ignorance is showing. The ACA covers ALL health plans by requiring minimum coverage including the 10 essentail benefits and the elimination of caps. along with many completely FREE benefits. Are you trying to claim that the fedex plan prior to the ACA had NO annual or lifetime caps and NO coinsurance that extended beyond your annual deductible??????? Are you claiming that you could get preventative care without ANY copay or deductible prior to the ACA??????? Your premiums went up because your benefits went up. Your annual deductible was NOT a cap on your expenses. Co-insurance applied even AFTER you met the deductible. You were likely ignorant of that unless you had some catastrophic or long term condition while on that plan. If your annual cap was even $3 million before, you now have NO annual cap, so potentially you can collect $billions- an OBVIOUS (to everyone else) benefit INCREASE that vastly outweighs ANY premium increase, especially if the new premium saves you out of pocket on your now FREE, no copay or deductible benefits.

From Healthcare.gov-----All Marketplace health plans and many other plans MUST cover the following list of preventive services WITHOUT charging you a copayment or coinsurance. This is true even if you haven’t met your yearly deductible.

  1. Abdominal aortic aneurysm one-time screening for men of specified ages who have ever smoked
  2. Alcohol misuse screening and counseling
  3. Aspirin use to prevent cardiovascular disease and colorectal cancer for adults 50 to 59 years with a high cardiovascular risk
  4. Blood pressure screening
  5. Cholesterol screening for adults of certain ages or at higher risk
  6. Colorectal cancer screening for adults 50 to 75
  7. Depression screening
  8. Diabetes (Type 2) screening for adults 40 to 70 years who are overweight or obese
  9. Diet counseling for adults at higher risk for chronic disease
  10. Falls prevention (with exercise or physical therapy and vitamin D use) for adults 65 years and over, living in a community setting
  11. Hepatitis B screening This link takes you to a website not operated by the federal government. The site may have different privacy and security policies. for people at high risk, including people from countries with 2% or more Hepatitis B prevalence, and U.S.-born people not vaccinated as infants and with at least one parent born in a region with 8% or more Hepatitis B prevalence.
  12. Hepatitis C screening for adults at increased risk, and one time for everyone born 1945–1965
  13. HIV screening for everyone ages 15 to 65, and other ages at increased risk
  14. Immunization vaccinesfor adults — doses, recommended ages, and recommended populations vary:
  15. Lung cancer screening This link takes you to a website not operated by the federal government. The site may have different privacy and security policies. for adults 55-80 at high risk for lung cancer because they’re heavy smokers or have quit in the past 15 years
  16. Obesity screening and counseling
  17. Sexually transmitted infection (STI) prevention counseling for adults at higher risk
  18. Statin preventive medication for adults 40 to 75 at high risk
  19. Syphilis screening for adults at higher risk
  20. Tobacco use screening for all adults and cessation interventions for tobacco users
  21. Tuberculosis screening for certain adults without symptoms at high risk
I'm not trying to claim anything. Makaveli was clearly talking about FedEx healthcare, and you assumed he was saying something incorrect about the ACA. You're so sensitive about it that you just wrote me a book. Going on and on about things I didn't even mention or allude to. Get a grip. But as I mentioned before, with no lifetime caps on benefits eventually the system will fail. This is what tax and spend liberals never seen to grasp. There is a limit to just how much can be spent because there's only so much money to go around. For example public pensions. Many states and municipalities promised great pensions but now the realization is that pension payouts will have to be slashed. That or declare bankruptcy and get out of their obligation altogether. So go on believing that the ACA will solve everything. Things were the way they were before because the medical field kept raising costs much faster than the rate of inflation. The ACA is supposed to put a brake on that but ultimately that will retire a lot of doctors and discourage others from entering. With fewer doctors and nurses you're going to see longer wait times as well as rising costs. Good luck with that. Enjoy the panacea that is the ACA while it lasts!
 
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