Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

Grateful for Hope

(39,320 posts)
Tue Oct 8, 2013, 09:19 PM Oct 2013

I have a question about ACA

I work for a very large company, and we are in the "choose your health care benefits" time of year.

We had a conference call today about changes for 2014, and one of these changes, according to the presentation, is that there will be some increases because of ACA. This was stated specifically.

Is this true?

I admit that I am not very knowledgeable about ACA because I have been insured by my company, but my reaction to it has been that it is wonderful for those who have had no insurance in the past. Hence, my avatar.




23 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
I have a question about ACA (Original Post) Grateful for Hope Oct 2013 OP
Many companies have substandard plans, so the new regs are bound to cost a bit more. LAGC Oct 2013 #1
This message was self-deleted by its author Grateful for Hope Oct 2013 #5
Yes Travis_0004 Oct 2013 #2
Thank you for this info Grateful for Hope Oct 2013 #8
My group plan's been going up for YEARS but the insurance co. Lex Oct 2013 #18
EXACTLY Grateful for Hope Oct 2013 #21
10 essential benefits now that your plan may have not had. dkf Oct 2013 #3
They aren't allowed to rip you off quite as badly now, so you have to pay more for that. kestrel91316 Oct 2013 #4
This is what I have been afraid of. We will see. Grateful for Hope Oct 2013 #12
But really, all that free preventive care is pretty nice now. As are the out-of-pocket caps. kestrel91316 Oct 2013 #14
What they are pushing now is preventative care Grateful for Hope Oct 2013 #16
Oh I agree. They should have been doing that all along, but they were kestrel91316 Oct 2013 #23
Sometimes, but not necessarily bhikkhu Oct 2013 #6
This message was self-deleted by its author Grateful for Hope Oct 2013 #13
Have the premiums ever been raised in the past? Mine were. They always go up and blaming it on ACA uppityperson Oct 2013 #7
I think you are right about the blame Grateful for Hope Oct 2013 #10
Color me distrustful: NYC_SKP Oct 2013 #9
Last paragraph - exactly. Why now to blame ACA? Grateful for Hope Oct 2013 #11
A relevant article Azathoth Oct 2013 #15
Pretty interesting article Grateful for Hope Oct 2013 #19
What were the excuses for the increase in premiums Curmudgeoness Oct 2013 #17
I think you are right nt Grateful for Hope Oct 2013 #20
How I understand how all this works is this; Dyedinthewoolliberal Oct 2013 #22

LAGC

(5,330 posts)
1. Many companies have substandard plans, so the new regs are bound to cost a bit more.
Tue Oct 8, 2013, 09:25 PM
Oct 2013

But they should add much better coverage, overall.

This isn't a bad thing, it just goes to show how some companies have tried to cut corners and run things on the cheap for so long.

Do you have to pay for your own insurance out-of-pocket?

Response to LAGC (Reply #1)

 

Travis_0004

(5,417 posts)
2. Yes
Tue Oct 8, 2013, 09:29 PM
Oct 2013

Many changes such as charging men and women the same, having plan pricing closer between old and young, covering dependents until age 26, no lifetime limits, not charging more or refusing insurance for preexisting conditions all cost money, and are going to cause insurance rates to rise.

You could argue that they are good changes, and worth the extra money, but those who deny the ACA will cause increases are just wrong.

Grateful for Hope

(39,320 posts)
8. Thank you for this info
Tue Oct 8, 2013, 09:37 PM
Oct 2013

I think you are right. I do think my company is pretty good in respect to many things. I was just really upset when I saw that there would be increases because of ACA.

Thanks!

Lex

(34,108 posts)
18. My group plan's been going up for YEARS but the insurance co.
Tue Oct 8, 2013, 09:53 PM
Oct 2013

didn't have the ACA to blame for it. Now they do.

 

dkf

(37,305 posts)
3. 10 essential benefits now that your plan may have not had.
Tue Oct 8, 2013, 09:29 PM
Oct 2013

So yes the premium could be more expensive.

 

kestrel91316

(51,666 posts)
14. But really, all that free preventive care is pretty nice now. As are the out-of-pocket caps.
Tue Oct 8, 2013, 09:49 PM
Oct 2013

Don't know if you get that with your company plan.

I think companies should be barred from providing health insurance. I think EVERYBODY should buy standardized plans on the exchanges. And the companies will have to attract top workers by providing other benefits and a better workplace, and by being less assholish.

Well, actually I think we should have Single Payer, but we will get there in stages.

 

kestrel91316

(51,666 posts)
23. Oh I agree. They should have been doing that all along, but they were
Wed Oct 9, 2013, 01:14 AM
Oct 2013

STOOPIT. The people with the big bucks are always STOOPIT.

bhikkhu

(10,718 posts)
6. Sometimes, but not necessarily
Tue Oct 8, 2013, 09:34 PM
Oct 2013

but anyway, I don't know how far you have to go back to find a year where there was not an increase in health insurance premiums, even while lowering coverages. Its convenient now to blame it on Obamacare, but it has gone on for decades.

I'm fairly confident that most of the pieces have been put in place now, finally, for a good long-term solution to rising health-care costs. If it costs a bit more now, its still much better in the long run.

Response to bhikkhu (Reply #6)

uppityperson

(115,677 posts)
7. Have the premiums ever been raised in the past? Mine were. They always go up and blaming it on ACA
Tue Oct 8, 2013, 09:36 PM
Oct 2013

seems inaccurate, to be polite.

ETA, or it could be there is more being offered under the plan, as required by the ACA.

Either or both of these could be it. Standard increase. More being offered and hence charged for.

Grateful for Hope

(39,320 posts)
10. I think you are right about the blame
Tue Oct 8, 2013, 09:42 PM
Oct 2013

but, two things that did change were dental and "eyeglass". Those two have become cheaper.

 

NYC_SKP

(68,644 posts)
9. Color me distrustful:
Tue Oct 8, 2013, 09:38 PM
Oct 2013

Among all the folks I've asked or help with calculating differences in costs between what they have and the cost for comparable ACA plans, all have been more affordable under ACA.

What I find, however, is that people often make the mistake of comparing an ACA plan to the cost of their contribution to the employer provided plan, rather than the full cost, so of course that specious comparison makes ACA look expensive.

I don't think this is happening in your case, but I do think that if there's going to be a difference in costs, it won't be the fault of ACA.

Among other things, an employer might be planning to shift the burden more toward the employees, or they might be losing a kickback arrangement.

Finally, we've seen rates rise every single year. Who's to say that "ACA caused" rises would be higher or lower than the pace with which rates would inevitably rise without ACA?

Curmudgeoness

(18,219 posts)
17. What were the excuses for the increase in premiums
Tue Oct 8, 2013, 09:52 PM
Oct 2013

for all the preceding years??? Every year, the prices went up way beyond the rate of inflation, and there was no such thing as the ACA. Any excuse, I suppose, and this time the insurance industry has a scapegoat.

Dyedinthewoolliberal

(15,577 posts)
22. How I understand how all this works is this;
Tue Oct 8, 2013, 10:58 PM
Oct 2013

the Insurance companies set the rates (sometimes companies can negotiate deals based on number of claims and total $ paid out by the Insurance co. etc) and then your company turns to you and either negotiates (if you are in a union) your share or assigns you a share ($ what you pay each month to be covered whether you use it or not). Because the ACA no longer allows exemptions due to pre-existing conditions, cannot charge women more than men, cannot cap the total $ spent on care it stands to reason the Insurance companies will try to recoup some of that money by raising the premium. However the ACA says that 80% of the premium dollars must be spent on care. So they can't jack up the rate and put the money in their pocket.
I think the ACA will expose how predatory insurance companies are and pave the way for single payer. We can't get to single payer without going through ACA first...........

Latest Discussions»General Discussion»I have a question about A...