Here’s some information I hope you will read to the end then share with your friends if you see fit.
It regards my findings on the American Health Care Reform Act, referred here out as Obama Care.
I had to research Obama Care against my current healthcare program because my daughter has graduated college and now requires health insurance.
I originally posted this to friends and family online informing them what I had found through my personal due diligence. One of them, a good friend, asked me to post this story here on Volkalize.com to share what I found with you.
Because you don’t know me here’s a little background; I’m a husband, father, business owner, Board of Director for our local Economic Development Authority and a twenty-two year retired disabled veteran. I’m by no means a writer, or paid very close attention in writing class, so don’t overly criticize my poor grammar/writing skills. So now that you’re up to speed with who I am, it’s time to share with you what I found out about Obama Care.
I researched both types of health care insurance for my daughter in regards to putting her on my policy or letting her use Obama Care for her insurance needs. What I found was very shocking on both sides of the fence (Public/Private).
I first spoke with a woman who works for the State of Nevada Health Care Exchange who I met at a party. She ran over the basics about the Obama Care program and how it will work in Nevada. She was very cheery about the program and explained there were 3 tiers to the program and the insured’s earnings and number of dependents will determine how much the insured paid for insurance. She told me the federal government would provide 100% of the coverage costs to the various state health exchanges, but as the years go by, the burden would fall to the states to cover most administrative costs of Obama Care. Because my daughter lives in Arizona we didn’t get in-depth about the program and she told me I needed to call Arizona’s health care exchange for their requirements. Different requirements I say? Yes she replied, each state will administer their own program. Does that mean different qualifying requirements or services from state to state? It could she replied; all states will have a budget and have to live within that budget. Wow, I said…
I contacted the Arizona office of medical services and inquired into Obama Care for my daughter. Although the woman was not overly knowledgeable about the program, she did tell me some surprising information. Because my daughter’s employer is a small business owner that doesn’t provide insurance coverage she is qualified for Obama Care. In figuring costs for Obama Care she said because your daughter is a single, childless, adult, and at her current income level it would cost her about $350.00 per month for 60/40 coverage. I will explain the 60/40 coverage later. She continued to say her office had not yet received any formulas to determine price for coverage, but those figures was based on what she was told in training classes. $350 dollars is a lot per month for a single healthy person I said. She replied; that’s not the actual cost, just my best guess. I said; if it’s that much for a single person, how much would it cost for a family with children? She said; because they have dependents they will get deductions and credits, it will probably cost them not as much. So you mean it’s like when my 34 y/o single brother wanted to keep more money for himself, he went out and bought a house as a tax deduction? She said; yes, exactly!
Ahhh I say, once again we penalize the hard working single young. She didn’t reply to that comment.
I than contacted my health insurance provider and confirmed what some of my friends had told me.
Remember when President Obama said: “You can keep your children on your current health care plan until they turn 26 years of age without an increase in premiums?”
Not so true: I just cut a check to my health insurance company for $373 to have my 23 y/o daughter on my plan (now that she graduated college) and I will have to pay an additional $190 per month every month starting in October 2013. Where the hell is the “no increase in premiums?”
In speaking with my insurance company I ask them why I had to pay more for my daughter when the President said I wouldn’t? They replied; your health coverage is military government sponsored, therefore you have to pay more. I asked isn’t Obama Care government sponsored coverage? She replied; you have to pay the increase in premiums if you want your daughter on the program. No straight answer to my question as to why I have to pay more when some of my friend’s employer based coverage doesn’t charge for their 23 y/o to remain on their program. The term do as we say or we’ll kick your daughter off the program is how I felt.
Although I already knew this part, many others don’t.
President Obama: American Health Care Reform Act will provide insurance for all Americans who currently don’t have insurance.
Only 50% true: The U.S. currently has 60 million uninsured American’s (not including illegals) and the Congressional Budget Office says Obama Care only provides insurance to 30 million of them. The other 30 million will go without insurance. My question is; “WHY” would we create all this hate and discontent between business, government, and political parties over a healthcare program that does not cover 100% of all American’s?
Obama Care leaves the remaining 30 million Americans and illegal aliens to continue visiting emergency rooms for care and not pay their bills.
Other facts I found out are:
President Obama: The American Health Care Reform Act will provide “Affordable” coverage for everyone.
Not true again! According to the AFLAC representative I just had breakfast with Obama Care has 3 tiers as also stated to me by the women from the Nevada program; Silver 60/40, Platinum 70/30, Gold 80/20.
Most employers currently provide Gold coverage for employees at 80/20 (80% covered 20% subsidized co-pay) or better. Some businesses (although very few) provide 100% coverage for their employees.
As an example in “very simplistic terms:” while playing softball in Denver my younger daughter injured her shoulder and we went to the ER. When I arrived back to Nevada the bill was for $2,000.09 for the ER visit, x-rays and doctor. Using pre-negotiated Medicare payments as an example; the visit to the ER and Doctor plus x-rays, they get paid 50 cents on the dollar, or $1,000.04 or what every the allowable Medicare payment is. So with the 60/40 plan Obama Care pays the 60% @ $600.00 and the insured pays $400.00 co-pay. The reason the co-pay seems so high is because under Obama Care there is no employer subsidization kicking in to reduce those co-pay costs.
Under current Obama Care exchange pricing as per the AFLAC representative, on the anticipated low level, the Silver plan (60/40) will cost Approx. $240 for family coverage per month.
The Term “Affordable” derives from the fact “ON AVERAGE” an Obama Care 60/40 family health care plan will cost $240 per month compared to Employer provided family healthcare @ 80/20 for about $450 per month. What most don’t realize is the employer is providing and subsidizing the 80/20 plan or better and Obama care is only providing an unsubsidized 60/40.
Yes… the Obama Care has a Gold Plan at an 80/20 plan, but here’s the numbers; The Gold plan will cost well over $400 per month without an employer subsidizing any of the costs. In a nut shell it’s a straight 80/20 split. So under Obama Care 80/20, I would have had paid a $200 co-pay for my daughters ER visit instead of the $30 co-pay I paid through my healthcare plan.
Although Obama Care has been reported to require businesses with over 50 employees to provide coverage, the number is actually 30 employees. Also, a recent change due to the fear employers will cut people to 29 hours a week now counts 2 part time employees as 1 full time employee.
Most big businesses will actually save a significant amount of money by paying the $2,000 penalty per employee. For many mid to large businesses $2,000 is just a drop in the bucket for what they pay now. $2,000 penalty is what they would have spent on the employee’s health care in 3 months or less.
Here’s another way businesses can crush Obama Care; “Affordable” means that the insurance is affordable to the employee. Therefore, if the business decided to “INCREASE” their employer offered healthcare program to 100% dental and medical coverage with no out of pocket expenses for the employee at a cost of $3,500 or more per month to their employees, the business is still providing insurance as required, but now because the employee can’t afford it, the employee goes on Obama Care and the business doesn’t pay the $2,000 fine. Interesting huh?
Don’t forget that the unemployed and elderly will get subsided or free 60/40 coverage. This is why we have a big push for forcing or penalizing the healthy young to obtain their own health care coverage. Their premiums are desperately needed to pay for the health care of the poor and elderly even though they normally won’t require health care for themselves for many years to come.
Do you honestly think someone who can only afford $240 per month for a 60/40 family plan, will be able to also pay the $400 co-pay when their kid has to go to the ER for x-rays?
The wonderful thing is now that the IRS is involved, they have the authority to go directly to the employer and take that $400 ER co-pay directly out of the person’s paycheck if they don’t pay it themselves.
On other new developments:
They finally read the Obama Care Bill. That’s Right, the individuals that VOTED for Obama Care without READING Obama Care have finally read Obama Care (or the part that affects them) and they don’t like it. The Bill that passed without a single Republican vote or a single law maker reading the Bill, now has the unhappy Law Makers complaining that “THEY” can’t “afford” Obama Care for their staffers. Not surprisingly, President Obama just gave them an exemption from participating in Obama Care. I’m sure that will help with democratic support from the Senate against Congresses attempt to un-fund Obama Care. That’s right… the people who “VOTED” for Obama Care without “READING” Obama Care are now exempt from Obama Care.
Another new development is the Unions that supported Obama Care are now screaming the bill will destroy the 40 hour work week and want an exemption for union members from Obama Care. I’m still waiting to see how that turns out.
We are not yet a socialist country; therefore, businesses still control the purse string on the heartbeat of America. Yes I said businesses!
Private sector business creates wealth, the government taxes and spends the wealth it takes from businesses and consumers. The government has never managed a successful business. Just look at the Postal Service or the Mustang Ranch Brothel just to name a few. Two of the easiest things in the world to sell are sex and alcohol, and the government failed in running the Mustang Ranch Brothel here in Nevada. Now they want to take over and run the largest industry in the nation…. our health care?
On an economic development note: as a director for my local economic development I speak with many business owners every day. Many are just waiting for the other shoe to drop before making a decision on what to do. They can’t get any information from the government on what Obama Care is going to cost them, therefore, they are being wall flowers and not making a move till they have more information. I can personally tell you Obama Care is seriously hampering the country’s recovery efforts. Obama Care is preventing employers from hiring and expanding. When Government and Business go to war against each other; We the People will be the casualties of the war.
Ask yourself If Obama Care is so great, why does:
• All of Nancy Polisi’s constituents’ that requested exemptions from Obama Care have exemptions from Obama Care (go to Whitehouse.Gov for list of exempted businesses)?
• Why are lawmakers that “VOTED” for Obama Care without “READING” Obama Care, now exempt from Obama Care?
• Why are the Unions that supported Obama Care now screaming that Obama Care will destroy the 40 hour work week if they don’t get an exemption from Obama Care?
If Obama Care is so great, why is it those that pushed or voted for it don’t want anything to do with it?
We really need to put Obama Care off (extend) compliance for at least another year like Obama did for businesses. Otherwise we’re all screwed for generations to come.
Since I first put this story on line, I learned today that “Walgreens” a chain of medical retail outlets has just dropped their entire healthcare program for all 150,000 employees nationwide. Those employees will now be forced to enroll in the Obama Care healthcare program. What you say… there’re going to pay a $2,000 fine for each employee?
If you do the math it only makes financial sense. Walgreens pays $2,000 a quarter per employee for their subsidized 80/20 healthcare program or $8,000 per year for each employee. By paying Obama Care $300 million in penalties for not providing healthcare for 150,000 people, they get to keep $900 million per year to their bottom line. Also, look at the savings they will have by firing their staff that used to administer Walgreen healthcare program. Cha Ching… I can hear the savings already!!!
Expect to see more of these employer based healthcare dumps in the near future!