Re: Affordable Care Act Woes (Obamacare)
Posted: Wed Oct 30, 2013 6:59 pm
Also, just an FYI for anyone worried about what might happen if you don't buy insurance on the exchanges and then get in a car accident or have a burst appendix or heart attack or the like:
http://ccf.georgetown.edu/all/health-pl ... g-the-aca/
http://www.kaiserhealthnews.org/Feature ... plans.aspx
http://www.npr.org/blogs/health/2013/10 ... -cut-costs
The gist of it is this: Any health insurance policy deemed "short term" (which under the law is "anything less than 365 days" ) is NOT required to conform to the PPACA mandates (it may be required to conform to state laws and mandates but that was the case even before Obamacare). In other words, medical underwriting is still allowed, no community rating, no guaranteed issue, nothing about max out-of-pcoket being capped at $6K, no regs banning lifetime limits or requiring coverage of ten "essential services" whether you wanted them or not, etc. The only bad thing is that one still technically owes the penalty since this is not "qualified coverage" but the penalty is--at least at this point--a tiger without any teeth.
Now, traditionally these "short-term" policies were from maybe 30 days to five or six months....basically just a "tide-me-over-between-jobs" option for people who didn't want to elect COBRA coverage because it was too expensive. Well, what happened is that BCBS and a few other insurers have started to offer policies that are issued and good for all of 364 days so as to just barely skirt the law's requirements. SInce these don't have to conform to the Obamacare regs and mandates, they may well be a LOT cheaper than an exchange policy, particularly if one is young and relatively healthy.
Of course, such coverage has to be re-underwritten and renewed every 364 days but that's the beauty of the thing when combined with Obamacare...if you are still healthy, great; go ahead and re-apply and renew your coverage for another year minus one day....OTOH, if you have a major medical issue within the year, you're covered for basically the whole year until the current policy term expires and then (since you know you'd fail underwriting at that paint and be denied coverage by the short-term insurer) you just go to the exchange and buy a policy there.
Now, why didn't the PPACA's authors think of this happening....can you say "adverse selection city"?
http://ccf.georgetown.edu/all/health-pl ... g-the-aca/
http://www.kaiserhealthnews.org/Feature ... plans.aspx
http://www.npr.org/blogs/health/2013/10 ... -cut-costs
The gist of it is this: Any health insurance policy deemed "short term" (which under the law is "anything less than 365 days" ) is NOT required to conform to the PPACA mandates (it may be required to conform to state laws and mandates but that was the case even before Obamacare). In other words, medical underwriting is still allowed, no community rating, no guaranteed issue, nothing about max out-of-pcoket being capped at $6K, no regs banning lifetime limits or requiring coverage of ten "essential services" whether you wanted them or not, etc. The only bad thing is that one still technically owes the penalty since this is not "qualified coverage" but the penalty is--at least at this point--a tiger without any teeth.
Now, traditionally these "short-term" policies were from maybe 30 days to five or six months....basically just a "tide-me-over-between-jobs" option for people who didn't want to elect COBRA coverage because it was too expensive. Well, what happened is that BCBS and a few other insurers have started to offer policies that are issued and good for all of 364 days so as to just barely skirt the law's requirements. SInce these don't have to conform to the Obamacare regs and mandates, they may well be a LOT cheaper than an exchange policy, particularly if one is young and relatively healthy.
Of course, such coverage has to be re-underwritten and renewed every 364 days but that's the beauty of the thing when combined with Obamacare...if you are still healthy, great; go ahead and re-apply and renew your coverage for another year minus one day....OTOH, if you have a major medical issue within the year, you're covered for basically the whole year until the current policy term expires and then (since you know you'd fail underwriting at that paint and be denied coverage by the short-term insurer) you just go to the exchange and buy a policy there.
Now, why didn't the PPACA's authors think of this happening....can you say "adverse selection city"?