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Grapesoda 02-17-2016 07:53 AM

obama care
 
let's see.. my premiums went from $325 to $577, my deductions went from $2500 to $5000, the health ins is being turned down by doctors in my area.

I'm paying full price for several medications. my health ins just canceled a medication I've been on since 2003 for a chronic eye infection, (think about that for a second, I am a photographer) because it's to expensive. went to two Dr's to get the prescription reestablished. one Dr's office turned my health ins down. the medication was once again denied by blue shied. I had to pay for the pills myself.. $555.24 for 53 pills, and that does not count against my deductible because the medication is not approved....

so that cleaned out my personal account for the week leaving with $65.28 to pay for $140 in shoulder therapy, buy food and gas until Monday

:1orglaugh:1orglaugh:1orglaugh

so there are possibly grammatical errors in the post... so what?? get the fuck over yourself lol!!

pornguy 02-17-2016 08:11 AM

But the administration is patting themselves on the back for insuring sooooo many people that before did not have.... well might have... well they have insured people.

They never mention the fines or anything that can come for NOT having insurance.

Sorry to hear man.

Do you shoot in my niche?

SuckOnThis 02-17-2016 08:11 AM

If you've had an infection for 13 years did it ever occur to you that maybe the medication doesn't work?

Barry-xlovecam 02-17-2016 08:14 AM

Most insurers will only pay for in-network primary care doctors and specialists. You got to jump through their hoops and have your in-network primary care doctor refer you to the in-network specialist (if a ophthalmologist is involved). Call the insurance co (Blue Shield) and ask. They cannot sell insurance that no one will accept in your local area.

I had a similar problem with a branded drug that was a time release capsule that worked a lot better for tachycardia (beta blocker). The branded cap was $220 a month and the generic that was not time release was $12 a month -- in the end I take 2 to 3 of the generic a day (low dose) -- not as good but it works OK. So, is there a generic equivalent that the insurer will pay for?

Did you try any of this?

shiraz9944 02-17-2016 08:16 AM

the point is not his eye infection, the point is premiums are going thru the roof and it's not bullshit...........since coverage for a male 29 silver ppo is 300 dollars! Try getting a family plan LOL. Plus an appoint without coverage, ONE appointment at sutter here in cali was 523.00 for a GP visit.

It was a good if not great idea but in reality the follow thru was terrible and it needs to be not be repealed but reworked greatly, and I hope they do.

suesheboy 02-17-2016 08:24 AM

Funny 2 years ago my premium was $529 a month $1,000 deductible and max out of pocket per year was $5,000 (52 year old Male)

Now I am paying $679 a month with a $1,000 deductible and max out of pocket per year was $1,500 (54 year old Male)

Should I be upset?

suesheboy 02-17-2016 08:27 AM

Quote:

Originally Posted by pornguy (Post 20731399)
They never mention the fines or anything that can come for NOT having insurance.

Boy are you uninformed. Your keyboard should be taken away.

Barry-xlovecam 02-17-2016 08:28 AM

Quote:

Originally Posted by shiraz9944 (Post 20731404)
the point is not his eye infection, ...

That is the immediate problem -- if it was my eyes I would be upset too.

A Silver HMO here is $650 - $980/mo for just me a 60 yo male I did a Bronze with a $6,900 deductible for $426/mo. You are not in a unique situation at all.

@suesheboy -- No, you may need it (I hope not)

arock10 02-17-2016 08:29 AM

So without obamacare how much would your insurance gone up anyway? Medical costs keep going up and you keep getting older...

pornguy 02-17-2016 08:29 AM

Quote:

Originally Posted by shiraz9944 (Post 20731404)
the point is not his eye infection, the point is premiums are going thru the roof and it's not bullshit...........since coverage for a male 29 silver ppo is 300 dollars! Try getting a family plan LOL. Plus an appoint without coverage, ONE appointment at sutter here in cali was 523.00 for a GP visit.

It was a good if not great idea but in reality the follow thru was terrible and it needs to be not be repealed but reworked greatly, and I hope they do.

If you live in SoCal. lots of the doctors have offices down in TJ so you can pay cash. And fucking cheap compared.

Grapesoda 02-17-2016 08:30 AM

Quote:

Originally Posted by pornguy (Post 20731399)
But the administration is patting themselves on the back for insuring sooooo many people that before did not have.... well might have... well they have insured people.

They never mention the fines or anything that can come for NOT having insurance.

Sorry to hear man.

Do you shoot in my niche?

I shoot solo these days... stills and video teens/exotics/milf/hairy

just a punk 02-17-2016 08:31 AM

Quote:

Originally Posted by Grapesoda (Post 20731393)
let's see.. my premiums went from $325 to $577, my deductions went from $2500 to $5000, the health ins is being turned down by doctors in my area.

$577 a month for one single male? Every month even if you don't actually receive an actual monthly medical treatment? Oh :(

Grapesoda 02-17-2016 08:31 AM

Quote:

Originally Posted by shiraz9944 (Post 20731404)
the point is not his eye infection, the point is premiums are going thru the roof and it's not bullshit...........since coverage for a male 29 silver ppo is 300 dollars! Try getting a family plan LOL. Plus an appoint without coverage, ONE appointment at sutter here in cali was 523.00 for a GP visit.

It was a good if not great idea but in reality the follow thru was terrible and it needs to be not be repealed but reworked greatly, and I hope they do.

lol!! the eye infection is a career killer for me.. spent 5-6 days with red burning eyes that would not stay focused... :2 cents:

Grapesoda 02-17-2016 08:34 AM

Quote:

Originally Posted by suesheboy (Post 20731409)
Funny 2 years ago my premium was $529 a month $1,000 deductible and max out of pocket per year was $5,000 (52 year old Male)

Now I am paying $679 a month with a $1,000 deductible and max out of pocket per year was $1,500 (54 year old Male)

Should I be upset?

I'm trying, with much help from the state of California, to lower my income so I can receive some benefit from Obama care :1orglaugh:1orglaugh:1orglaugh

Sly 02-17-2016 08:45 AM

Quote:

Originally Posted by SuckOnThis (Post 20731400)
If you've had an infection for 13 years did it ever occur to you that maybe the medication doesn't work?

I have a similar situation. Eye infection that without medicine will flare up very badly. Multiple ophthalmologists in multiple states all came to the same conclusion. Cannot fix, can only manage.

Fortunately my pills only cost $.50 a day.

poncabare 02-17-2016 08:58 AM

gotta pay for all the illegals and deadbeats who dont work. The money has to come from somewhere, and thats the taxpayers

atom 02-17-2016 09:18 AM

I cancelled my insurance this year. I will pay the fine, fuck Obamacare. My premium almost doubled in 2016 and is almost the equivalent of my mortgage.

Sly 02-17-2016 09:29 AM

Quote:

Originally Posted by atom (Post 20731470)
I cancelled my insurance this year. I will pay the fine, fuck Obamacare. My premium almost doubled in 2016 and is almost the equivalent of my mortgage.

Not sure what's going to happen when more insurance companies dropout, they are already talking about it. Add to that the doctors that are dropping out, as mentioned in this thread. Then add people like you dropping out and paying the penalty instead, leaving even less money in the coffers.

Less coverage. Fewer doctors. Less money.

suesheboy 02-17-2016 09:45 AM

Quote:

Originally Posted by Grapesoda (Post 20731419)
I'm trying, with much help from the state of California, to lower my income so I can receive some benefit from Obama care :1orglaugh:1orglaugh:1orglaugh

My income is not low. My state just offers a better deal on the exchange than yours.

suesheboy 02-17-2016 09:47 AM

Quote:

Originally Posted by atom (Post 20731470)
I cancelled my insurance this year. I will pay the fine, fuck Obamacare. My premium almost doubled in 2016 and is almost the equivalent of my mortgage.

What happens if you get cancer or have a heart attack and you have assets and no insurance?

arock10 02-17-2016 09:58 AM

Quote:

Originally Posted by suesheboy (Post 20731508)
What happens if you get cancer or have a heart attack and you have assets and no insurance?

Same thing that happened before obamacare

Rochard 02-17-2016 10:30 AM

Here is the thing I don't understand about Obamacare.... If you don't like what you are getting through Obamacare, go out and get better insurance. Here in California we have Kaiser Permanente, and when my employer isn't paying for my insurance I've used them. I've been using Kaiser for the past six or seven years, no issues.

My costs have gone up through the years, but not dramatically.... They would have gone up no matter what.

Robbie 02-17-2016 10:38 AM

Quote:

Originally Posted by Rochard (Post 20731536)
when my employer isn't paying for my insurance I've used them. .

And there you go...

Some of us own our own businesses and don't suck off the teats of "employers".

woj 02-17-2016 10:45 AM

Quote:

Originally Posted by Rochard (Post 20731536)
Here is the thing I don't understand about Obamacare.... If you don't like what you are getting through Obamacare, go out and get better insurance. Here in California we have Kaiser Permanente, and when my employer isn't paying for my insurance I've used them. I've been using Kaiser for the past six or seven years, no issues.

My costs have gone up through the years, but not dramatically.... They would have gone up no matter what.

you are missing the point... many on here feel that as a result of ObamaCare, insurance rates rose faster than they normally would... many, like the OP, experienced almost double increase in insurance premiums in the last few years...

sarettah 02-17-2016 10:49 AM

I will say this much about the healthcare, at least they are more honest than my other insurance. All my other insurance call it a "renewal date" or an "expiration date".

http://www.madspiders.com/images/insurance_plan.png

:thumbsup

Quote:

Originally Posted by Robbie (Post 20731546)
And there you go...

Some of us own our own businesses and don't suck off the teats of "employers".

It is part of the benefit package that you negotiate with an employer. It is not "sucking off the teat" of anything.

.

atom 02-17-2016 10:52 AM

Quote:

Originally Posted by suesheboy (Post 20731508)
What happens if you get cancer or have a heart attack and you have assets and no insurance?

A chance I am willing to take. Is it a gamble? Of course. Both my wife and I exercise, eat well and are lead active lifestyles. We still do yearly Physicals and are both healthy. (knock on wood)

After my monthly premium and my deductible I would have to spend a total of $24k out of pocket in a 1 year period before insurance would kick in. I could break both my arms and legs in the next year and still be ahead. Fuck that.

Sly 02-17-2016 10:53 AM

Quote:

Originally Posted by Rochard (Post 20731536)
Here is the thing I don't understand about Obamacare.... If you don't like what you are getting through Obamacare, go out and get better insurance. Here in California we have Kaiser Permanente, and when my employer isn't paying for my insurance I've used them. I've been using Kaiser for the past six or seven years, no issues.

My costs have gone up through the years, but not dramatically.... They would have gone up no matter what.

You don't understand it because you straight out don't understand it.

If you have income under a certain limit you can get subsidies. A lot of people can get this, a lot of people cannot. Even though you personally cannot get subsidies, that does not mean all of the changes do not have an impact on your personal insurance situation.

I do not get subsidies. My insurance went up 20% this year and I doubled my deductible from last year. There is nothing I can "opt out" of to get away from "Obamacare." This is the current state of affairs. There is nothing you can do to lower your rates except switch plans (which will be worse, for the most part) or significantly reduce your income so that you can get the subsidies.

My plan is $300 a month with a $5000 deductible and I have yet to use it this year, I did not use it last year or the year before either. A friend of mine has the exact same plan and after subsidies he pays $50 a month, I'm not sure on the deductible, but he has a heart condition and has used his insurance thoroughly.

I am thankful that I can now buy insurance, which I could not before Obamacare, but in the process of satisfying my personal needs and needs of some others, a whole swathe of the population is getting royally ass fucked and as more insurance companies and doctors place further restrictions on what they will and will not do, the lube is going to disappear.

marcop 02-17-2016 10:54 AM

Quote:

Originally Posted by Barry-xlovecam (Post 20731411)
That is the immediate problem -- if it was my eyes I would be upset too.

A Silver HMO here is $650 - $980/mo for just me a 60 yo male I did a Bronze with a $6,900 deductible for $426/mo. You are not in a unique situation at all.

@suesheboy -- No, you may need it (I hope not)

Those figures are the about the same here in CA, but from my experience shopping around for health insurance, non-Obamacare insurance is approximately the same price or even slightly more. The problem isn't Obamacare per se, it's the national scam (and disgrace) that healthcare in the US has become.

Sly 02-17-2016 11:10 AM

Quote:

Originally Posted by sarettah (Post 20731559)
It is part of the benefit package that you negotiate with an employer. It is not "sucking off the teat" of anything.

.

Absolutely.

it's also important to note that businesses are slowly lowering their benefits packages in regards to health insurance as they cannot cover the nut anymore either. As more employees that currently received insurance through their employers need to purchase insurance on their own, it's going to make this mess even worse.

beerptrol 02-17-2016 12:02 PM

Before going off on Obama care you should focus on the root cause of the problem which is health care companies gouging everyone and our government who allows them to. Gov agencies could bargain for cheaper healthcare costs but are not allowed to by our bought off gov officials

Grapesoda 02-17-2016 01:02 PM

Quote:

Originally Posted by Sly (Post 20731434)
I have a similar situation. Eye infection that without medicine will flare up very badly. Multiple ophthalmologists in multiple states all came to the same conclusion. Cannot fix, can only manage.

Fortunately my pills only cost $.50 a day.

I have chronic ocular Rosita, be on antibiotics 'til I reach room temperature :1orglaugh

Grapesoda 02-17-2016 01:03 PM

Quote:

Originally Posted by suesheboy (Post 20731503)
My income is not low. My state just offers a better deal on the exchange than yours.

which state?

Grapesoda 02-17-2016 01:04 PM

Quote:

Originally Posted by Rochard (Post 20731536)
Here is the thing I don't understand about Obamacare.... If you don't like what you are getting through Obamacare, go out and get better insurance. Here in California we have Kaiser Permanente, and when my employer isn't paying for my insurance I've used them. I've been using Kaiser for the past six or seven years, no issues.

My costs have gone up through the years, but not dramatically.... They would have gone up no matter what.

Richard I've been on a PPO sine the start.. not so sure getting into Kaiser is a good plan for me

bronco67 02-17-2016 01:05 PM

It's actually obamacare....one word you dunce.

Grapesoda 02-17-2016 01:06 PM

Quote:

Originally Posted by sarettah (Post 20731559)
I will say this much about the healthcare, at least they are more honest than my other insurance. All my other insurance call it a "renewal date" or an "expiration date".

http://www.madspiders.com/images/insurance_plan.png

:thumbsup



It is part of the benefit package that you negotiate with an employer. It is not "sucking off the teat" of anything.

.

blue cross did that to me...told me there were canceling me the next month and raised my rate $75 ... true story :1orglaugh:1orglaugh:1orglaugh

suesheboy 02-17-2016 01:06 PM

Quote:

Originally Posted by woj (Post 20731556)
you are missing the point... many on here feel that as a result of ObamaCare, insurance rates rose faster than they normally would... many, like the OP, experienced almost double increase in insurance premiums in the last few years...

Those massive increases happen when previous insurance was substandard.

suesheboy 02-17-2016 01:11 PM

Quote:

Originally Posted by Grapesoda (Post 20731701)
which state?

I use Florida as my residency.

Grapesoda 02-17-2016 01:13 PM

Quote:

Originally Posted by marcop (Post 20731564)
Those figures are the about the same here in CA, but from my experience shopping around for health insurance, non-Obamacare insurance is approximately the same price or even slightly more. The problem isn't Obamacare per se, it's the national scam (and disgrace) that healthcare in the US has become.

here is another issue Marco, my health ins is being denied at Doctors offices because I am single pay... i.e. I do not work for 'x corporation' and must buy my own health ins. I am not accepted.

Sly 02-17-2016 01:15 PM

Quote:

Originally Posted by Grapesoda (Post 20731718)
here is another issue Marco, my health ins is being denied at Doctors offices because I am single pay... i.e. I do not work for 'x corporation' and must buy my own health ins. I am not accepted.

My friend that I mentioned earlier recently had to switch cardiologists because his prior cardiologist will no longer take his insurance. That's a pretty big deal.

Grapesoda 02-17-2016 01:16 PM

Quote:

Originally Posted by beerptrol (Post 20731653)
Before going off on Obama care you should focus on the root cause of the problem which is health care companies gouging everyone and our government who allows them to. Gov agencies could bargain for cheaper healthcare costs but are not allowed to by our bought off gov officials

what a fucking dump ass... thanks to fucking god YOU figured that out when no one else could... you are fucking amazing!!!

BUT are you sure it wasn't the fucking US GOV stealing Mexico from the peaceful natives that caused all the issue we currently experience with healthcare?:thumbsup


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