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In Response to Few Options for Obama to Fix Cancellations Problem:
Kidboy used very flawed logic when he wrote, "Yes it is going to be expensive to the taxpayers and it will be free health care for many. Why is that so hard for anyone to understand?"
But of course that completely contradicts what he said earlier when he wrote, "Kidboy said, "The low and middle income can not afford the high co payments in Obamacare"
Let me get this straight. It will be FREE health care for many but they cannot afford the co-payments. Once again, Kidboy is saying it's FREE Health Care which they cannot afford!
Is there any reason I shouldn't be LOL at this seriously flawed logic?
Posted by CriticalThinking
Yes, could very well happen under O'care
- They get a subsidy based on the amount of their verified income and the silver plan
- They can use the subsidy to get any plan but they choose a bronze which with the subsidy will have $ 0 monthly premiums
Thus to here, they have NO cost; to them it is FREE
The bronze plan has the highest cost share.
They have their bronze plan choice payiing no premiums out of their own pocket
- they go to the doctor and he runs test, maybe he sends them to the in-network hospital to have an MRI
- they get their bill and find out that the plan of their choice covers nothing until they have met their deductible - the deductible is usually higher under the bronze plan and could be as high as $ 6350.
Time to pay the piper up to the deductible - will they have the money to pay? Yes, some could definitely find it TOO expensive.
So, yes, I see what Kid was talking about.
Under the bronze plan, they get no cost-share help from our tax dollars, the silver plan is the only plan available for this cost share help from the taxpayers if their income is less than 250% of the FPL
If they had purchased a silver plan, even with perhaps having to pay a monthly premium in addition to the premium subsidy, they could receive a cost share reducing their total out of pocket expenses - these cost share reductions will reduce the deductibles, copayments, and other out-of-pocket charges that people eligible for cost-sharing reductions will pay when they use benefits covered by their health plan.
The amount of this cost sharing based on their income is, I believe, figured at the time they talk to a knowledgable person about their sign-up. If that is the way that they determine to do it.
I don't know how the Healthcare.gov website handles this cost-share computation but I think it is suppose to be there once the income verification is made.
If they go in and think about monthly premium cost alone - which many of them will have the desire to do, they could get really burned with an (up to) $ 6300 bill.
If they enroll in one of these (especially) EPO plans and don't understand the network of providers and go outside of this limited realm, they could be on the hook for the whole amount cause that type plan covers NO out of network.
There are many moving parts to O'care.
Then after all of this, come tax time in 2015, they have gotten a raise and are having to pay back some of the premium subsidy - there is NO way to recoop the cost share reduction amount, the way I understand it, taxpayer will just have to eat that amount.