General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsI've just been fed an ACA "horror story" on my Facebook wall by my sister-in-law. Help, anyone?
I find this troubling, even though it is apparently true per Snopes....
http://www.ijreview.com/2013/12/105176-alabama-mom-shares-devastating-experience-obamacare-open-letter-american-people/
Many of us can identify with the frustrating experience that Karri Kinder, a mother of two from Auburn, Alabama, has had with Obamacare. She penned this open letter to share her story. Shout-out to Yellowhammer News for the article:
An Open Letter to the Obama Administration and American Citizens:
My familys journey with securing our new insurance under the Affordable Care Act (ACA) started on October 1, 2013. I have decided to write this letter to let the American people know what it has been like for us. We are a family of four, with two little boys ages seven years old and three years old. My husband and I have had full time jobs for 6 years and 13 years respectively. We have been with the same two companies for those years. We are a middle class family; we own our three bedroom two bath house, we own two cars, and previously provided our own insurance for the four of us. We have coverage through Individual Blue from Blue Cross Blue Shield of Alabama until 12/31/13. Our premiums have been $380.00 a month, which also included dental coverage for all four of us.
On October, 1, 2013 we received our letters like other Alabamians about our new premiums and plans for 2014 from Blue Cross Blue Shield (BCBS) of Alabama. When I opened our letter to say I had sticker shock was an understatement. Our premiums for the Blue Saver Silver would now be $753.26. This included the ACA tax but did not include the additional $75.00 we would need to pay in order to keep dental for me and my husband. So we would need to pay total $828.26 to keep health and dental insurance for the four of us. This payment is roughly $64.00 less than what we pay for our mortgage each month. I was outraged that anyone thought we could afford this. Sure we have some savings, but with that price tag we would whittle it down to almost nothing very quickly. I consider savings as a rainy day fund, a start to saving for the kids college, our retirement, etc. I never dreamed in a million years we would need to use it to pay our insurance premiums each month how in the world could this help the economy too?
<snip> more at link
Okay...so, Snopes has this story as being confirmed. And I do know that there are more than a few stories like this out there, just as there are a lot of success stories.
What I'm trying to find out is, are there any mitigating circumstances in Alabama which would cause this to happen? I know that Alabama and nearly all the other red states are now experiencing a huge "Medicaid donut hole," but this isn't a poor family looking for Medicaid assistance. So, what else is going on in the red states that I'm not familiar with, which could maybe cause stories like that of the Kinder family? Or, is this just the fault of the far-from-perfect-but-it's-all-we-could-get ACA?
Can I provide information to S-I-L to explain why this is a red state-related clusterfuck, or do I just shake my head in sadness and move on?
Any help will be appreciated. Thanks in advance!
P.S. - My wife is now eligible for Medicare thanks to the ACA. Before this, she was stuck using a low-income program in our county for health care, which was horribly underfunded and of very little use. As she is dealing with complications of diabetes, this is hugely important to us, and I think a major "success story!"
Beaverhausen
(24,470 posts)Are neither of them eligible for coverage through their jobs?
too many unknowns to really comment.
JaneyVee
(19,877 posts)Shandris
(3,447 posts)...don't make much money to find $828/month -reasonable-. That's $209/person. I find that pretty damn far from reasonable myself, but maybe I'm too used to looking at things from the 'I have no actual money' angle.
pnwmom
(108,979 posts)than last year, and included, for the first time, maternity benefits.
They were just complaining about nothing. The letter from the insurance company didn't bother to mention that if they bought the same policy on the exchange -- instead of directly from the insurer -- they could qualify for a subsidy. So these people got all outraged for nothing.
Shandris
(3,447 posts)...cost that got me. But like I said, I probably am not a good judge of 'proper' insurance cost either, given circumstances, and I'll freely admit that.
I didn't know about the direct-from-insurer/bought on exchange subsidy thing, though. If that is true, why are so many people buying direct? Or is it just an Alabama thing? I know that at least here in Indiana (and elsewhere if I read it right), if you're offered insurance through work you -can't- buy on the exchange and get a subsidy, you're just SOL. There really needed to be some better preparation for presentation of information I think, but for as huge as the law was they did seem to get it relatively well put together.
pnwmom
(108,979 posts)could qualify for a subsidy if they bought on the exchange.
But others know they make too much for a subsidy so they just buy directly, often taking the policy their current insurer offers them.
The Straight Story
(48,121 posts)Which puts their cost at $205/month which is 175 cheaper than they were paying (but one kid was still not covered at the time).
There are assuredly problems (had some myself actually, which I didn't know about until today) but then again - regular insurance had a SLEW of problems that no one was addressing and tons more horror stories than ACA. Where were all these folks on FB posting about those?
factsarenotfair
(910 posts)What kind of policy do you suppose they had for $380 for four people with dental?
BeeBee
(1,074 posts)blm
(113,063 posts)cancelled the policies of millions in order to raise their profits from 2billion in 2001 to 12 billion dollars by 2009.
Who or what did they blame for rate increases and cancelled policies before the ACA?
Phentex
(16,334 posts)They've been doing this a long time but have a convenient excuse now.
blm
(113,063 posts)And they get paid by the insurance industry to further their lies.
katmondoo
(6,457 posts)1StrongBlackMan
(31,849 posts)Ask your sister what HER insurance/ACA experience has been ... If it hasn't changed or hasn't been a cluster f@#%, offer that any program that affects 100s of millions of people will likely expose a few ... even a few hundred ... odd cases where someone loses out. Then ask her if this one person's experience, even if true, negates the millions of those that have gained coverage, where pre-ACA there was none to be had, at a lower cost that covers more.
If she bucks at this ... shake your head and move on because the fox is in her ears and there is nothing you can say that'll affect that.
Atman
(31,464 posts)"I had awesome coverage! Now I don't!" They don't understand that their high-deductible worthless coverage was not "awesome." Good luck.
pnwmom
(108,979 posts)to keep the cost down to 9% of their income, because they want her to buy directly from them. Instead, she should go onto the exchange and see what's available there, and how much of a subsidy they might qualify for.
Also, her old policy almost certainly didn't cover maternity benefits. All the new ones will.
factsarenotfair
(910 posts)Systematic Chaos
(8,601 posts)That, to me, trumps the source.
Beaverhausen
(24,470 posts)about the subsidy they got, etc.?
DirkGently
(12,151 posts)They say their own insurer jacked up their premiums. As insurers have been doing for decades.
There's no indication the ACA was responsible for the rate hike.
There no indication they couldn't get something better on the exchange.
"My rates went up -- thanks, Obama!"
Applan
(693 posts)Click on the "Breaking" tab and you'll see that all of the linked stories are anti-Obama and anti-Democratic.
Barack_America
(28,876 posts)Neither spouse appears to get coverage through work, thus they are eligible to participate in the exchanges and get a subsidy to cap their premiums at 9.5% of MAGI.
Translation, the ACA is likely to SAVE them money.