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Rising health insurance deductibles fuel middle-class anger and resentment

latimes.com

11–20 of 91 posts

Re: Rising health insurance deductibles fuel middle-class anger and resentment

#11
All I know is that in 2013 I was able to get insurance in the private market to cover myself. It was ~$80 a month and the deductible was $2000.

Now, there is only one company left in my state that will even offer plans in the private market. The closest plan to what I used to have has gone up ~6x in price and the deductible has tripled.

The prices started going up immediately after the ACA came into being I think the cause and effect are pretty clear.

Re: Rising health insurance deductibles fuel middle-class anger and resentment

#12
post #9
post #3

Earlier quoted context omitted.

Just give consumers access to a price list before service is provided. That will go a long way towards helping the problem. (Not that you are going to price shop for every service--a trip to the emergency room for a broken bone wonte get shopped--but some portion of health Care is discretionary or is deliberate enough it can be shopped.)

Price lists and comparisons are available for health insurance plans. That hasn't stopped premiums and deductibles from rising to the point of popular furor.

Where are these lists?

Re: Rising health insurance deductibles fuel middle-class anger and resentment

#14

I have $6,500 deductable. It's insane how much work I need to do to get healthcare. The biggest issue is price transparency. To get a price, I need the tax-id of the medical office and the procedure code. Often times the procedure code is unknown because I might have any number of different procedures, depending on what the diagnosis is. So, I take my list of codes to the health insurance company with the tax ID and…

I can't agree more. I also went the self employed route just after ACA went into effect and the level of stress this entire process causes every year is mind boggling. To add insult to injury, my premiums are increasing at astonishing rates - orders of magnitude more than a typical standard of living salary increase.

Re: Rising health insurance deductibles fuel middle-class anger and resentment

#15
Health insurance should be decoupled from employment. Its tax advantaged treatment causes distortions in the costs and coverage offered. I’d rather see people get more of their compensation in cash rather than a health insurance benefit. It would especially help poorer workers who would have more flexibility and choice.

Re: Rising health insurance deductibles fuel middle-class anger and resentment

#16

I have $6,500 deductable. It's insane how much work I need to do to get healthcare. The biggest issue is price transparency. To get a price, I need the tax-id of the medical office and the procedure code. Often times the procedure code is unknown because I might have any number of different procedures, depending on what the diagnosis is. So, I take my list of codes to the health insurance company with the tax ID and…

Medical offices will bill anybody who might pay like the insurance you had 3 years ago...

Re: Rising health insurance deductibles fuel middle-class anger and resentment

#17
post #9

Earlier quoted context omitted.

Price lists and comparisons are available for health insurance plans. That hasn't stopped premiums and deductibles from rising to the point of popular furor.

Where are these lists?

I was able to find one for some hospital procedures on their website recently. It was not helpful. It was both incomplete and inscrutable.

Re: Rising health insurance deductibles fuel middle-class anger and resentment

#18
post #9

Earlier quoted context omitted.

Price lists and comparisons are available for health insurance plans. That hasn't stopped premiums and deductibles from rising to the point of popular furor.

Where are these lists?

I'm not talking about price lists for procedures, I'm talking about price lists for deductibles and premiums on health insurance plans.

Visit healthcare.gov and navigate to your state marketplace. They typically provide a detailed price comparison based on several adjustable factors (expected income, expected visits, number of medications, etc).

If readily available and detailed price comparison tools haven't stopped health insurance deductibles from tripling in the past year[1], why should we expect price comparison tools at the point of healthcare service to reduce costs?

[1]https://www.latimes.com/politics/la-na-pol-health-insurance-...

Re: Rising health insurance deductibles fuel middle-class anger and resentment

#19
I wonder if the "you can keep your private health insurance if you want it" is a dogwhistle for "we won't blow a hole in your stock portfolio."

The only people I know who like their health insurance are union members, government employees, and people on Medicare or medicaid.

Re: Rising health insurance deductibles fuel middle-class anger and resentment

#20

I have $6,500 deductable. It's insane how much work I need to do to get healthcare. The biggest issue is price transparency. To get a price, I need the tax-id of the medical office and the procedure code. Often times the procedure code is unknown because I might have any number of different procedures, depending on what the diagnosis is. So, I take my list of codes to the health insurance company with the tax ID and…

I once tried to find out how much some blood tests were going to cost me. This entailed a 3-hour ping-pong session between Quest Labs and my insurance company, each claiming the other would be able to tell me. Finally after reaching what sounded like some people in a basement somewhere -- who were baffled at the idea I was calling them, by the way -- I was able to get the "list price" for each individual test and add them up (came to about $1200). When I tried to find out from my insurance company how much I would actually pay, they said "well, it's got to go through claims then we'll know." I asked to speak to someone in claims -- nope. Not possible. The only way to find out what I would be paying is do go through with the tests and get the real price afterwards. Pretty insane stuff.

The most insulting part was after all this when the insurance "customer service" guy said to me, "We know what it's like to be unsure of your finances." What? I'm sure about my finances. You aren't -- you can't even tell me the price!

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