Out-of-Pocket Maximums and Deductible Limits For 2017 Each year the ACA sets new limits for out-of-pocket maximums and deductibles. Here are the limits for 2017 plans for individuals and families. For 2017, your out-of-pocket maximum can be no more than $7,150 for an individual plan and $14,300 for a family plan before marketplace subsidies. For 2017, your maximum… Read More
Understanding ObamaCare’s 2017 Open Enrollment Period Open Enrollment 2017 started November 1, 2016 and ended January 31, 2017. Open enrollment is the only time you can enroll in a health plan on the individual market without qualifying for special enrollment. That means if you wanted to get cost assistance and avoid the monthly fee for 2017,… Read More
Mylan, the maker of the EpiPen, is blaming consumers noticing a recent price increase on ObamaCare, but the fact that consumers are price shopping might be a sign ObamaCare is working.
HillaryCare Explained – The History of Hillary Clinton’s Healthcare Reform Efforts HillaryCare describes healthcare reform efforts by Hillary Clinton. This includes her healthcare reform efforts in 1993 that paved the way for CHIP and the ACA, and all efforts since. If Hillary gets elected HillaryCare will describe healthcare reform under her Presidency. Below we discus: Hillary’s… Read More
ObamaCare News Archives Below you will find our archive of news articles on the Affordable Care Act from 2012 – 2014, see our current ObamaCare news section for recent news related to the ACA. ObamaCare News November 2014 Should I Shop Inside or Outside of the Marketplace? Published November 20th, 2014 by ObamaCare Facts Most of… Read More
Below we provide some common sense insight into 2016’s sticker shock for ObamaCare’s premiums and deductibles.
Using a Sec. 1332. Waiver for State innovation states can create their own ACA alternative, including a state-based single payer system.
Despite improvements to the ACA (ObamaCare) being a smart focus for Democrats, Single Payer must remain on the table and in the Democratic party platform.
A Quick and Simple Guide to Health Insurance Costs and Assistance Types of health insurance costs include: monthly premiums and out-of-pocket costs / cost sharing (copays, coinsurance, deductible, out-of-pocket maximum). Here the premium is what one pays for the policy, and then cost sharing is a reference to the part of the costs the plan covers… Read More
Whether it is individual costs, insurers costs, or costs as a nation, drug price increases go hand-in-hand with rising costs under the ACA. This is a monetary and moral issue, but where is congress and where is the code of ethics?
When it comes to Advanced Premium Tax Credits, it is always tempting to take the maximum amount you qualify for. However, repayment limits can mean owing back credits.
About 71% of Americans made less than $50,000 last year. I can’t verify the following facts, but your blood should boil
Here is a quick guide for enrolling in Healthcare.Gov coverage at the last moment.
What we need is a government plan modeled after the Canadian health plan of which everyone is treated the same and paying his own fair share.
I don’t care what I read from this site or opposing sites. I care about what actually is happening. What actually has happened with my insurance is the cost has gone up every year since this bill was passed. the coverage has gotten worse every year, while the deductibles and premiums have gone up. Every… Read More
Profit creates competition on a good day, on a bad day a 32 year old ex hedge fund guy under investigation hikes an AIDS drug from $13.50 to $750 to profit off the sick and taxpayers. This event raises the question: How do we avoid price-gouging on taxpayer subsidized items and how much profit and regulation belongs in drugs and treatments that treat chronic illness?
College students have a number of health plan options including the Marketplace, Medicaid, school health plans, catastrophic plans, and their parents plan. Below we take a look at student health options under the Affordable Care Act (ObamaCare). FACT: A university health plan counts as Minimum Essential Coverage for ObamaCare if it’s fully insured or self insured. Aside… Read More
March 1, 2015 A new health insurance policy with Blue Cross Blue Shield of NC (BCBSNC), subsidized by Healthcare.gov begins. The subsidized rate is $257.83. This replaces my policy with BCBSNC that, on Jan 1, increased from $295 to $405 due to me turning 50. April 23, 2015 I called the Marketplace 800# (Healthcare.gov) to… Read More
A recent survey from KKF.org shows that people like their non-group insurance under ObamaCare. The findings are pretty remarkable showing that Republicans are more likely to dislike their insurance then independents or democrats, more people are benefiting from plan costs under the ACA then not, and the only thing people like less than ACA-compliant plans are plans that aren’t ACA compliant.
Generally someone needs to have Original Medicare to get supplemental coverage. Some insurances allow deferment of Part B without a penalty, but TRICARE requires Part B.
Under the ACA cheaper plans typically have high deductibles, the ACA limits what these can be, but it can still be costly. Here are some tips and tricks.
An allowed amount is the maximum amount an insurer will pay for a covered health service, the remainder owed by the insured is called “balance billing”. Allowed Amount Versus No Dollar Limits No lifetime or annual dollar limits means there is no limit to what an insurer will spend on all care as a whole,… Read More
Health insurance premiums aren’t regulated, they are just subsidized based on income, but cost sharing and benefits are regulated by the ACA.
The best health insurance plan for an individual or family is going to depend on the income and needs of that family. With that said, many will find a marketplace plan that qualifies for cost assistance to be the best value for them. Very generally speaking the best health plan when it comes to benefits… Read More
We’ve simplified King V Burwell, the ObamaCare subsidy lawsuit. We explain the Supreme Court case, its history, ideology, and outcome in simple terms. King V Burwell Summary King V Burwell was a lawsuit heard by the Supreme Court in 2015. It challenged the legality of subsidies issued by the IRS on behalf of states that used… Read More