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Ask HN: Freelancers in the US: What do you do for health insurance?

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Re: Ask HN: Freelancers in the US: What do you do for health insurance?

#51
post #34
post #17

I just had to purchase health insurance two week ago in the state of MI(Just turned 26). I had 3 options: 1. Obama Care - I qualified for a $16 subsidy... 2. Individual plan from a health care provider in state 3. Health Share plan (think Credit union for health care) Obama care cost 2x as much as an individual plan, and almost 3x as much as a health share plan, so even after the subsidy, this was not an option. Heal…

The cost went up because of the pre-existing condition situation. Pre Obama Care, if you had any kind of pre-existing condition, you wouldn't be able to buy the $84 coverage. (I got stuck having to get a normal job because of a pre-existing condition.)

Interesting. I know a freelancer couple whos cost when down dramatically with the OC plan. Could the federal prices be different per state?

Re: Ask HN: Freelancers in the US: What do you do for health insurance?

#52
post #15
post #8

I did exactly this as a freelancer even though not anymore. It will cost you more out of pocket to buy insurance compared to a "group" plan through an employer. My first suggestion: Keep the health insurance through your wife if you can and if she is still working. It is hard to beat the plans sponsored by employers as they get subsidized group rates to offer to employees. But if you absolutely need to buy your own,…

> The only advantage of obamacare is that if you cannot buy insurance yourself that easily with things like pre-existing conditions etc. Medical underwriting is no longer a thing industry-wide and hasn't been since the beginning of 2014. No matter where you buy your plan, they will not ask about pre-existing conditions. It's true that the only reason why you'd actually buy through an exchange is to get the subsidies,…

"The only advantage of obamacare is that if you cannot buy insurance yourself that easily with things like pre-existing conditions etc."

It has vastly improved the health care the poor receive.

I'm not a huge fan of Obamacare, but it is all he could get past the Rebublicans at the time. He tried to push for a sensable solution, but Republicans fought it. I am waiting for anyone to propose a better solution to Obamacare, but keep bill's core requirements.

As to what how for-profit insurance companies have explioted us, while blaming Obamacare; I hope there's a special place in hell for these heathens! In the original Obamacare bill there were measures that would limit rate increases, and out of pocket fees--the Republicans got rid of all of them. I recall them saying, 'Get ride of this language/requirement and we might pass it?"

What I am trying to say is get rid of Obamacare, but replace it with something better. I haven't heard any real alternative plans proposed by the Rebublicans? I though the the Rebublican Doctor(Bobby Jindal) would have a thoughtful, pragmatic plan--yea, he has a plan, but it just sounds like basically going back to the free market system we had before? That worked so well?

Re: Ask HN: Freelancers in the US: What do you do for health insurance?

#53
post #34

Earlier quoted context omitted.

The cost went up because of the pre-existing condition situation. Pre Obama Care, if you had any kind of pre-existing condition, you wouldn't be able to buy the $84 coverage. (I got stuck having to get a normal job because of a pre-existing condition.)

Interesting. I know a freelancer couple whos cost when down dramatically with the OC plan. Could the federal prices be different per state?

they're all different per state, because there's no real 'federal pricing' or 'federal policies', AFAICT. The fed govt gives subsidies to insurance companies for low-income folks who sign up to the plans in their individual states/locations. There's no 'federal health plan' (more's the pity, imo).

Re: Ask HN: Freelancers in the US: What do you do for health insurance?

#54
post #17

I just had to purchase health insurance two week ago in the state of MI(Just turned 26). I had 3 options: 1. Obama Care - I qualified for a $16 subsidy... 2. Individual plan from a health care provider in state 3. Health Share plan (think Credit union for health care) Obama care cost 2x as much as an individual plan, and almost 3x as much as a health share plan, so even after the subsidy, this was not an option. Heal…

[deleted]

Re: Ask HN: Freelancers in the US: What do you do for health insurance?

#55
post #17

I just had to purchase health insurance two week ago in the state of MI(Just turned 26). I had 3 options: 1. Obama Care - I qualified for a $16 subsidy... 2. Individual plan from a health care provider in state 3. Health Share plan (think Credit union for health care) Obama care cost 2x as much as an individual plan, and almost 3x as much as a health share plan, so even after the subsidy, this was not an option. Heal…

> Obama care cost 2x as much as an individual plan What is an Obamacare plan? I thought the ACA created a marketplace that listed plans from insurers, and set minimums for coverage (that would apply to options #2 and #3). I haven't had to deal with it so I don't know. > this same exact coverage would have only cost me $84/m before 2014 when Obama care went into play How else has the ACA affected your insurance? For e…

> What is an Obamacare plan? I thought the ACA created a marketplace that listed plans from insurers, and set minimums for coverage (that would apply to options #2 and #3). I haven't had to deal with it so I don't know.

Ironically a plan through Priority health on the market place cost 2x as much as the same plan purchase through the same insurer individually. This is for a couple reasons:

On the market place, a qualifying plan must meet ALL ACA requirements. This includes a capped deductible, bundled Dental, vision coverage, prenatal coverage/birth control coverage. Also, ACA plans are held to a higher standard then individual plans purchased on the open market. I have fewer options to choose from, and those fewer options all come with lower deductibles and more coverage then I need/want. This means higher monthly premiums.

>Were you pricing insurance 2 years before you need it? Many years ago (before Obama was elected), when I was pricing individual insurance the price was several times more. Insurance companies seemed uninterested in individual consumers.

I had the wonderful experience of working at Priority Health from 2011-mid 2014. I got to see ALL sorts of chaos unfold as they tried to meet all the requirements and deadlines (They did just fine, but there certainly wasn't much cushion on time). This increase in coverage was literally over night, as in 12/31/2013 Individual Plan A (The actual name...) was $84/m, on 1/1/2015 Individual Plan A was $136/m (Priority Health did grandfather in the pre-ACA prices for anyone already on the plan for 1 year, however any new members paid the new price)

>How else has the ACA affected your insurance? For example, I think it allows you to stay on your parents plan until now (i.e., through age 25), guarantees you won't be turned down, eliminates caps on coverage, etc

Overall ACA has negatively affected my coverage and most people I know. However to be fair, I was in the Goldilocks zone for health care coverage. Young, white, healthy athletic male, no pre-existing conditions, never smoked, and located in a relatively low health care area when compared to LA, NY, Chicago, etc. Pre-ACA my health care costs would have been as low as low could be.

I do think that coverage until age 26 is a good additional, however I wish it was through the entire year they turn 26 in, and not just until the month they turned 26, (For me June and I had to find coverage within 30 days of my birthday).

I do like the fact that it give subsidies to the individuals who cannot afford even a $84-$150 monthly premium pre ACA, however I wish that they just expanded the medicare program to give these subsidies as these people only represent about 1/3 of 1% of Americans, and in many cases a large portion of this small percentage would have been covered under medicare anyways

I agree that per-existing conditions should not be denied for coverage, however I do not agree that those without conditions should be required to pay higher premiums to subsidize their premiums. (sounds harsh I know, but thats my opinion.)

I think it is stupid that my obama care plan purchased through the open market also includes Dental, Vision, Prenatal care, and Birth Control coverage. I think its a smart marketing move to bundle these together into one plan for certain females, however it is not possible to unbundle this. And yes that means all you males out there, and all you women after menopause have prenatal and birth control coverage...

I think its stupid that as a male i am REQUIRED to purchase prenatal care and birth control coverage for myself even though i will NEVER use this. why do i have to purchase this? All US Citizens are required to purchase a plan that meets the affordable care acts requirements, it does not mean i must purchase a plan on the open exchange, but yes that mean individual buyers must purchase coverage they will not use in an attempt to make health care for everyone good. If I dont purchase prenatal care, I will qualify for the penalty at tax season.

Re: Ask HN: Freelancers in the US: What do you do for health insurance?

#56
post #34

Earlier quoted context omitted.

The cost went up because of the pre-existing condition situation. Pre Obama Care, if you had any kind of pre-existing condition, you wouldn't be able to buy the $84 coverage. (I got stuck having to get a normal job because of a pre-existing condition.)

Interesting. I know a freelancer couple whos cost when down dramatically with the OC plan. Could the federal prices be different per state?

They are all differant per state, and if he/she is poor with a pre-existing condition/smoked/smokes, over weight, its very likely that his costs went down.

Re: Ask HN: Freelancers in the US: What do you do for health insurance?

#57
post #30

I became a freelance 13 years ago. On COBRA for a while. Looked for IEEE group insurance but HI wasn't covered then. The insurance company (HMSA) offered a switch to individual plan. It wasn't too bad initially ($350/mo for me and my wife, HMO, $500/$1000 ded.) But then the premium soared and also we had a kid; at peak it was $1050/mo without drug, vision and dental. I learned antibiotics are pretty expensive. After…

You should visit your local pet store, in the aquarium fish section, and check out the products available for maintaining the health and well-being of your fish.

And you should also learn the generic drug names or IUPAC chemical names for the commonly prescribed antibiotics.

I'm not saying those two suggestions are in any way related, other than the possibility that doing both could save you a great deal of money, in certain situations. Otherwise, grocery stores and big-box stores with embedded pharmacies often sell generic antibiotics at prices below your drug co-pay, but you would still need a prescription, and therefore an office visit co-pay. It pays to shop around.

Re: Ask HN: Freelancers in the US: What do you do for health insurance?

#58
post #55

Earlier quoted context omitted.

> Obama care cost 2x as much as an individual plan What is an Obamacare plan? I thought the ACA created a marketplace that listed plans from insurers, and set minimums for coverage (that would apply to options #2 and #3). I haven't had to deal with it so I don't know. > this same exact coverage would have only cost me $84/m before 2014 when Obama care went into play How else has the ACA affected your insurance? For e…

> What is an Obamacare plan? I thought the ACA created a marketplace that listed plans from insurers, and set minimums for coverage (that would apply to options #2 and #3). I haven't had to deal with it so I don't know. Ironically a plan through Priority health on the market place cost 2x as much as the same plan purchase through the same insurer individually. This is for a couple reasons: On the market place, a qual…

Pre ACA for a 30 year old non smoker with zero heath problems my plan was over 500$/month. Granted, VA health costs are probably higher, but that's a long way from 84$/month. Can you give details such as a link to the actual coverage?

Re: Ask HN: Freelancers in the US: What do you do for health insurance?

#59
post #55

Earlier quoted context omitted.

> Obama care cost 2x as much as an individual plan What is an Obamacare plan? I thought the ACA created a marketplace that listed plans from insurers, and set minimums for coverage (that would apply to options #2 and #3). I haven't had to deal with it so I don't know. > this same exact coverage would have only cost me $84/m before 2014 when Obama care went into play How else has the ACA affected your insurance? For e…

> What is an Obamacare plan? I thought the ACA created a marketplace that listed plans from insurers, and set minimums for coverage (that would apply to options #2 and #3). I haven't had to deal with it so I don't know. Ironically a plan through Priority health on the market place cost 2x as much as the same plan purchase through the same insurer individually. This is for a couple reasons: On the market place, a qual…

You are required to buy prenatal care because it wasn't fair for young women to have much higher insurance costs then young men just because they get pregnant more often...you know it takes two to tango.

Re: Ask HN: Freelancers in the US: What do you do for health insurance?

#60
post #4

Blue Cross Blue Shield of Michigan. When we started out it only cost about $500/month. Jumped to $890 and deductible went to $23K with the affordable healthcare act. Basically, now we pay all of our health care out of pocket.

Something's wrong here, because the out of pocket max for a year (which for BCBS of MI is not the same as the deductible) cannot exceed $13,200 a year for a family. By law.

See https://www.healthcare.gov/glossary/out-of-pocket-maximum-li...

I had a BCBS/MI family plan through the marketplace up until last month. (Silver Multi State) It cost $1,000/month and had a $6,000 (family) deductible, after which BCBS pays 80% of all costs until you hit that out of pocket max. It also allows you to bank $6,500 a year in an HSA pre-tax, which basically covers the deductible.

[edit] Forgot to mention that this plan included medical, dental, and vision.

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