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Does anyone know the current definition of a "Cadillac Health Plan"?

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Stinky The Clown Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:20 PM
Original message
Does anyone know the current definition of a "Cadillac Health Plan"?
Is it measured by how much one pays in premiums or what it covers?

I pay OUT THE ASS for an average ***HMO***. Not a PPO. Not a plan where I can go anywhere at any time. No dental. No vision. Just your average HMO coverage. My premiums are more than 20K per year. Do I have a "Cadillac Health Plan"?
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yourout Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:22 PM
Response to Original message
1. Well it costs as much as a Cadillac I supose.
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lapfog_1 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:23 PM
Response to Original message
2. Any health care plan that YOU don't have.
For all instances of YOU.

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rgbecker Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:41 PM
Response to Reply #2
11. BINGO!
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stray cat Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 06:11 PM
Response to Reply #2
19. bad news - most workers with employer subsidized plans qualify for a 40% tax on it
Edited on Wed Oct-07-09 06:11 PM by stray cat
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lapfog_1 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 06:37 PM
Response to Reply #19
23. Ah, the Baucus definition.
Any health care plan that YOU have, for all instances of YOU.
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Cleita Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:25 PM
Response to Original message
3. It's the one all the rich politicians get and that we pay for.
The hoi polloi government employees don't even get that plan. I would love to know what it costs per over fed senator.
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bbinacan Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:25 PM
Response to Original message
4. It seems to be
what members of the AFL-CIO have.
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LiberalFighter Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 06:16 PM
Response to Reply #4
20. Just to be clear...
The members of labor unions that are affiliated with the AFL-CIO don't all have the same health care plan. They also don't all pay the same premium costs.

Just as coverage for all government agencies are not the same. Coverage for local governments varies from town/city to town/city. And it varies from state to state. In each case it also varies in cost.

The federal government employees would not necessarily pay the same premium cost if they moved to a different state. And a good possibility that the coverage may not be the same in a different state.

Back to labor union health coverage. I doubt there are many employees receiving coverage that exceeds $20k. And if the coverage did exceed that amount it wouldn't necessarily mean it would be top of the line coverage. Some groups would cost more to insure and other parts of the country may cost more for insurance.
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bbinacan Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 06:28 PM
Response to Reply #20
22. DU member
OmahaSteve (Ithink it was him) denounced the tax on cadillac plans as being harmful to many union members. Just to be clear.
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bbinacan Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 07:51 PM
Response to Reply #20
29. I found it.
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RUMMYisFROSTED Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:26 PM
Response to Original message
5. Congress' plan.
:think:
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JackintheGreen Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:30 PM
Response to Original message
6. Since you asked a serious question
Edited on Wed Oct-07-09 05:33 PM by JackintheGreen
and have yet to receive a serious answer:

I have heard two answers to this. The first is any plan that costs more than 20K per year. The second is any plan that costs more than 25K per year.

The definition is based on what it costs the consumer, not the amount or quality of coverage. But it is assumed that any plan costing more than 20K/year has got to be pretty swank.

As you have such a plan, is it? Is everything covered, or are you paying for a pre-existing condition?

on edit, and with a little research, according to WaPo (1 Oct):

"Finance Committee Chairman Max Baucus (D-Mont.) initially proposed an excise tax of 35 percent on insurance companies for plans that amounted to $8,000 for an individual and $21,000 for a family. Those amounts were initially set to increase with inflation. "

see http://www.washingtonpost.com/wp-dyn/content/article/2009/09/30/AR2009093004730.html

On the bright side, the beacon of liberal ideal, the WSJ headlines: "Majority Of House Dems Oppose Tax On 'Cadillac' Health Plans"

http://online.wsj.com/article/BT-CO-20091006-714245.html
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RUMMYisFROSTED Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:37 PM
Response to Reply #6
8. My answer was serious.
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JackintheGreen Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:48 PM
Response to Reply #8
13. Then you have my apologies for misunderstanding
Congress's plan *may* be what's called a Cadillac Health plan, but I have yet to hear the it directly described as such in the MSM (consider the source). However, without a definition of what the CHP covers, it doesn't answer the OP's question. Also, nobody seems to be talking about taxing employer-paid healthplans, which removes the CHP from consideration straight off, no matter what it covers.

Still, if I have erred, I apologize.
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Stinky The Clown Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 07:17 PM
Response to Reply #6
26. My plan started out at less thasn 10K 12 years ago. It has gone up each year .......
..... to the current rate. They cover all medical and a small co=pay for drugs. I had a heart attack almost 3 years ago and it cost me zero out of pocket, but my premium exploded. My coverage has remained the same, however.

Over my life, when I was part of company plans, I had better coverage in the sense that, for less money, I also got dental and vision and that included two kids who now grown and gone.
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leveymg Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:32 PM
Response to Original message
7. It's the one that Jack Welch has. 93 days in the hospital w/staph infection, and no co-pay
Don't know if that's really karma, or what.
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kestrel91316 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:37 PM
Response to Original message
9. Cadillac plan = no deductible, no copay, no out of pocket expenses to
insured. No caps or limitations on coverage. Premiums of $2000+/mo paid for by whatever major multinational corporation the insured "works" for. Oh, and spouse and children covered exactly the same, at no cost to insured.

The rich really ARE different from you and me.
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Xithras Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:45 PM
Response to Reply #9
12. Your description covers my health plan, and I ain't rich.
The only exception is the copays...I have a $500 copay limit on hospitalizations, a $50 copay limit on ER visits, and a $10 copay limit on prescriptions. Cancer or kidney stones, I never pay over $500. No coverage limits, no caps. Wife and three kids covered at the same level I am. It's a collectively bargained health plan available to every instructor at the college, and certainly isn't for the rich.

This is why many unions are already on the attack against the "Cadillac Tax"...the coverage limits being discussed would squarely hit most American union workers with union-negotiated employer health coverage.
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kestrel91316 Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Oct-08-09 11:35 AM
Response to Reply #12
32. I don't want my only option to be some pissy "plan" with high premiums and a
high deductible and high copay that will frickin' bankrupt me, while the privileged get plans that cost them next to nothing. This ain't Louis XVI's France.
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Xithras Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Oct-08-09 01:09 PM
Response to Reply #32
33. So you see union workers as "the privileged"? n/t
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kestrel91316 Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Oct-08-09 01:21 PM
Response to Reply #33
34. Compared to ME they are. Doesn't mean I don't support union rights,
BTW. Just means that somebody needs to NOT FORGET ABOUT US LITTLE PEOPLE.
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stray cat Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 06:08 PM
Response to Reply #9
17. wrong - a copay and out of pocket expenses break the barrier for cadillac plan
8000 for a single person and around 10,000 for a family - if you get subsidized health care at work you have a cadillac plan according to the guidelines so a tax of 40% on whatever the employer pays for you - ie at least 3000 for a single person and over 4000 for a family. Hope you have some spare change.
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kestrel91316 Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Oct-08-09 11:33 AM
Response to Reply #17
31. Who says I have health insurance at all??? LOL
And BTW, if what I described ain't a cadillac plan, I don't know what the hell is.

You can whine about taxes on a luxury healthcare plan all you want. You won't get much sympathy from me. I'm one of the Little People you folks like to walk all over.
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Hekate Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:39 PM
Response to Original message
10. Stinky, I feel like this is another divide and conquer Republican meme...
... to turn us against each other so that those on the bottom start pulling those above them back down. Especially when I hear *unions* mentioned in this context I begin to wonder just :wtf: is going on here.

I know this doesn't directly answer the question you posed, but I have a feeling that the subtext of your question is running along the same line of thought.

Rank and file Democrats are so damn easy to distract and to be turned against each other that it makes me want to sit down and cry.

Hekate

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csziggy Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 06:43 PM
Response to Reply #10
24. I think you are exactly right
Many people have accepted lower wages because the benefits were good - that has been one of the trade outs that unions and people who start at minimum wage put up with instead of insisting on more money.


So now the powers that be are talking about taxing those benefits at a higher rate than the top 1% pay? There is so much wrong with that picture!
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Stinky The Clown Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 07:25 PM
Response to Reply #10
27. Right and wrong ......
My question was actually just purely selfish! :) I was wondering how bad I was about to get dinged ..... again. For many years I was always the guy who got a raise but was always at the top tier of having to pay FICA on my whole salary! Now I'm wondering if I pay juuuust enough to get fucked on the taxes.

You're right, however, about the ease with which Dems can get distracted. In may ways we're pitiful.
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TheCowsCameHome Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 05:54 PM
Response to Original message
14. Premiums would equal the price of Cadillac after two or so years.
Like yours...........
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JuniperLea Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 06:01 PM
Response to Original message
15. So Cal Teamsters have what I consider a Cadillac plan...
It costs the union member nothing, except $10 copays on doctor visits, $20 on emergency room visits, and $5 for the drug copay. It covers the union member, spouse, and children... all for the same price.

I raised three kids on that plan... three very healthy kids, thank Goddess... and thank you Teamsters!

Except for the pre-natal doctor visit co-pays, it didn't cost anything for "birthin' babies." $0 for the overnight stay... $0 for childbirth... $0 for all the related testing... and $0 for the sterilization surgery when I wanted to close shop after kid #3;)
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TheCowsCameHome Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 06:26 PM
Response to Reply #15
21. ..and to think unions get bashed.
Edited on Wed Oct-07-09 06:50 PM by TheCowsCameHome
As a happily retired Teamster member I say - "Thank God for unions"

Anyone that thinks they do better without them is clueless.

edit: sp, content.
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JuniperLea Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 06:48 PM
Response to Reply #21
25. We all owe a great debt of gratitude to them!
They single handedly got us volumes of labor laws. They set a good example for life and health insurance bargaining... no wonder the Rapepublicans hate them so.
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ddeclue Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 06:02 PM
Response to Original message
16. "CADILLAC" Health Plan = UNION FOUGHT FOR BENEFIT!
This is another attempt to punish and kill unions.
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stray cat Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 06:10 PM
Response to Reply #16
18. Non-union employees as well - its a way to get rid of decent coverage from employers
it will be cheaper if employers only have to pay for a catastrophic plan for employees with a 1000 or more deductible - thats your cadillac plan
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debbierlus Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 07:31 PM
Response to Original message
28. Cadillac Health Plan = Inflammatory Divisive Political Spin to Confuse Debate

There is NO SUCH THING.

The MOST you can get out of the best health care plan is actual health care coverage with such exotic things as dental and vision care. No health care policies cover optional procedures such as purely cosmetic plastic surgery.

A 'Cadillac Health Care Plan' is one where your health care bills are covered by your insurance.

It is purely political spin. Create a strawman health care policy that does not exist and then, justify cutting benefits and coverage in health care reform as a mean to control costs against these non-existent policies.

It is insurance companies profits that need to go, not full coverage health care benefits for citizens.

It is also divisive. It creates anger at the haves, from the have nots. The politicians know that one of the best ways to cut (or in this case PREVENT) good social programs is to divide the people around the policy. It happened with Welfare Queens (they drove Cadillacs, don't you remember). People at the bottom wrungs tend to direct anger at each other, instead of against the corrupt corporate system where it could stand to change things.

This term is loaded with implications to used in that context.

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inna Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Oct-07-09 08:18 PM
Response to Reply #28
30. i agree with you (and great post btw), but i'm curious what you think of this plan:
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