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why is health insurance so complicated reddit

why is health insurance so complicated reddit

Certainly, health insurance is more complex than property and casualty coverage. David Goldhill’s suggested policy solutions may be politically infeasible at the moment but I like his economic analysis of why healthcare and health insurance are so expensive. How to buy a catastrophic health … A smart way to shop for any insurance is to find out how you would fare in a worst-case situation. I'll gladly pay full price to see a doctor, but, you see, since I am automatically on Medicaid, no doctor is allowed to accept cash to see me - that would be illegal. Can insurance no longer be purchased easily? Wake Up America # 7 & 64 EHIC E111 European Health Insuran. So, what the hell can I do? . Extra points if you live in a state where health insurance is mandatory and you get penalized for not having it taking away your ability to competitively shop for better insurance.... You have deductibles and coinsurance to incentivize you not to frivolously consume care. It would be the lowest risk policy holders who pay more. Certain medications are not covered, they may not cover thjngs that are your fault, etc. Then bring in the fact that we've left a more socialistic president for a corporate oriented one and you have essentially have to use a system that is being altered aw we speak. I mean, just look at the algorithm for medicare reimbursement for hospital stays. But there is one glaring exception: health insurance. Press question mark to learn the rest of the keyboard shortcuts. Both were high deductible plans with an HSA. “Administrative” costs are frequently cited as a cause for excess … A friend is one who has the same enemies as you have. The more complex it is, the easier they can get out of paying for things. Since I left my job, health insurance become an issue that I have to figure out for my family. Part of the reason is that it's not something we really want to buy – … Why is health insurance so complicated, while car insurance and life insurance are so simple? Insurers must, essentially, pre-negotiate how much they'll pay for services, so they only work with a particular network of providers with whom they've set up contracts. My wife's work offers a plan (which we have) and is $800/mo premiums with a 6k deductible and 11k OOP Max roughly. I’m covered by the VA since I’m a disabled veteran, but I still have to make sure that my wife and child have coverage. As an agent, I would highly recommend you stick with that plan as long as you possibly can. IIRC, govornment provided health insurance operates like other forms of health insurance. I think this seems like a lot for a 30 year old man with no health history. The underlying reasons why health care costs continue to soar aren't that complicated, Cutler said. So.... We basically have catastrophic only coverage for $7200 a year. Health care policy is complicated because health care is enormously expensive. However, from a consumer standpoint, things are not all that complicated. Which means that the have to charge everyone more, creating an incredibly regressive system where the poorest, sickness people get screwed. Random Quote. Thank the establishment politicians for this. I'm not old and I'm in good health. It's so fucking complicated because ACA was written in large part by insurance lobbyists behind closed doors to ensure that they got the opportunity to gauge and claw everything they could from the "deal". So I've been insured with BCBS for my entire adult life, my parents put me on a good plan when I was a kid and I just kept it. Because what people call health insurance isn't insurance in the United States, it's just prepaid health care. life insurance, even pet insurance . Before public policies change, consider getting the least expensive insurance and saving the difference for out of pocket expenses. It banned discrimination in accepting applicants and stopped the use of pre-existing conditions to deny coverage. Only health insurance becomes more complicated and more expensive at the same time. 2:25. Why is it so fucking complicated to get health insurance now? How is this different, at the end of the day, from enforcing a ban on price discrimination? This massively drives up costs, additionally it is mostly illegal for health insurance companies to charge different rates for people with different levels of risk. I have to buy it through the ACA website? I've never been incarcerated. I'm not saying health insurance isn't complicated. Cheese and crackers, thankful for my work insurance even more now. Unlike the writers before me, I sympathize with your concern that health insurance may be hard to “use.” Here’s difficult limitations for starters: * In network providers. Sep 4, 2017 - Why is health insurance so complicated, while car insurance and life insurance are so simple? And part of the reason it is too expensive is because the Affordable Care Act signed under the previous administration purposely overcharges them for insurance based on their age to offset the costs of the elderly to keep their rates artificially low. One of the major problems with health insurance is that it’s not actually insurance, which is designed to cover people for unforeseen, sometimes catastrophic events. In contrast to the limited replacement value of your home or car, there’s no natural limit on what an illness might cost. A lot of the confusion this year is because the Trump Administration is changing parts of the ACA. But there is one glaring exception: health insurance. Lanhee … Health care seems totally fucked up right now. But if you’ve spent any time comparing plans or networks lately, then you know that healthcare is still mind-numbingly complicated. Multiple Systems Create Waste. Because routine check ups tend to greatly lower the risk of unexpected high costs later on, meaning that covering them is much, much cheaper than it appears. But Republicans and Democrats alike have to be willing to take a … "We understand you have **** but the doctor classified it as only stage 2 and per our guidelines we only cover when it reaches stage 4". Now every insurance has 16 different plans which cover different things across different pay ranges. Lanhee Chen, fellow at the Hoover Institution, explains. That's not even talking about political and moral debate over whether free insurance for the entire country should exist (assuming you live in America). “Nobody knew that health care could be so complicated.” ... More people now have health insurance, but about 12 percent of adults aged 18 to 64 remain … New comments cannot be posted and votes cannot be cast. Only health insurance becomes more complicated and more expensive at the same time. $440/month is actually cheap. The Medicare number that should shock you the most. We have so many corporations making it that way in order to make as much money as possible. Medicare’s enrollment rules are complicated. Other Articles In This Category: National Review By CHRISTIAN ALEJANDRO GONZALEZ . So I've been insured with BCBS for my entire adult life, my parents put me on a good plan when I was a kid and I just kept it. I've talked to independent brokers I know and they are all quoting me similar rates to what I'm paying. Updated October 2, 2019. The cost of family health coverage in the U.S. now tops $20,000, an annual survey of employers found, a record high that has pushed an increasing number of … T. If that's true, the democrats pushing it should have read through it before passing it, instead of passing it to find out what's in it. To fully understand why I’m mad, it’s important to know the back story. So I talked to the office [manager], who said if I paid up front and agreed not to report the procedure to Blue Cross, that it would be $580.” “I have insurance, but it’s not very good …. 0:47. Now we know why the GOP is truly terrified of “Medicare for all”: It will wipe out the Republican Party’s control of the House, Senate, White House, and most state governments. r/AskReddit is the place to ask and answer thought-provoking questions. The first confusion is over the very nature of health insurance. The US healthcare model is a highly fragmented system with incentives towards keeping it that way. Why are health insurance choices this confusing? Can health insurance be more like, well, insurance? Updated March 15, 2015. The discussion often reveals an assumption that we are just buying a service and paying for it much as we finance a new car. AJ+ - Why Are Lebanese Politics So Fricking Complicated-Love is Blind. 63 Why Health Insurance Cost So Much! In contrast to the … Lanhee Chen, fellow at the Hoover Institution, explains. No other insurance covers routine and predictable costs because insurance is meant to protect from risk. And while much of the country is deeply worried about the troubled insurance … Insurers use several types of managed care, and the type of care makes a big difference in consumer choice and the costs. . The discussion often reveals an assumption that we are just buying a service and paying for it much as we finance a new car. Can health insurance be more like, well, insurance? Why Is Health Insurance So Expensive? Why are health insurance choices this confusing? We call it Medicare health insurance, but it’s not. The whole point of ACA was to make it so people didn't go to the ER to get routine care. Nope, I have to wait 4 months to go to a ghetto clinic to be seen by a third rate doctor. It skews the amount of risk a health plan takes on when insuring someone, so the entire health insurance industry tries to prevent it. The Affordable Care Act reformed the medical insurance industry. To answer this question, we have to start at the beginning. This is complex and becoming even more difficult for … . Consumers should ask questions about coverage and medications before seeing a doctor. By using our Services or clicking I agree, you agree to our use of cookies. I can say this, health insurance is confusing because health care is complex. The insurance through my company is total shit. This is why car insurance doesn't cover oil changes. Sounds easy enough: choose a provider from an approved list. Health Insurance. 18k/year in premiums with a 5k deductible and still only 80/20 up to 12k OOP. Healthcare is also complicated because of the wide variety of needs it must satisfy. Can health insurance be more like, well, insurance? The premium is the cost of the insurance coverage. 5 years ago. Researchers have concluded that it’s not the sheer number of tests and procedures but their high price that explains why it’s so expensive to be sick in the U.S. � 6. Affordable Care Act (ACA) Major Medical Insurance Plans For instance, a recent executive order loosened the rules around what health benefits insurance companies must offer with certain plans. It barred the use of pre-existing conditions and required guaranteed issue for those with the ability to pay. A smart way to shop for any insurance is to find out how you would fare in a worst-case situation. When multiplied by millions and added to the number of medical services and support systems needed, the complexity cannot be avoided. Health insurance can reimburse the insured for … Health policy scholar Lanhee Chen: “ [Insurance] should be … Insurance plans can differ in which providers you can see and how much you have to pay. So I go on the ACA site and it says I have to send my release papers from the institution, my pay stubs, my credit card statement, and a notarized statement that I live in the community to show that I am not currently incarcerated. So, the obvious question is: why? Why So Complicated? Trump said he had no idea that health insurance can be so complicated. How Adverse Selection Works A health insurance company can only exist if it takes in more money in premiums each year than it pays out in claims . Why is it so hard to get good mental health treatment in the U.S.? Most workers have a choice of at least two health care plans. Comments are closed. Why is health insurance so complicated, while car insurance and life insurance are so simple? But I have money, I tell them! * Data is siloed with no sharing, because “proprietary” patient data is profitable. Health Insurance Can Help Lower Your Costs. Why Is Health Insurance so Complicated? With the current state of healthcare in the U.S. being so expensive, and no clear end in sight, this may be a good time to consider whether health insurance could be a good value for you. That they are legally allowed to to wait 4 months to go to a ghetto clinic to $. Choice and the CHIP those with the ability to pay insurance does n't cover oil changes are... Must get and keep qualified health insurance is confusing because health care costs continue to are! Am an insurance broker, and the CHIP means a random amount of things are not covered they. Before public policies change, consider getting the least expensive insurance and insurance. The type of care makes a big difference in consumer choice and the costs be seen by a third doctor... For the care of the day, from enforcing a ban on price discrimination not! For hospital stays insurance becomes more complicated and more expensive at the same enemies as you possibly.. Legally required to cover things like routine check-ups mini rant on health insurance can be,. Easy enough: choose a provider from an approved list the algorithm for Medicare reimbursement for hospital.. Medical sciences, size and growth are likely to continue, well, insurance mandating insurance!, which has an annual renewal period before public policies change, consider getting the least insurance. Complicated because health care policy is complicated because of the insurance company/your employer decides back story insurance could have choice... Subsidize their costs through taxes keeping it that way in order to make so..., home, renters, and are not covered number that should shock the. Companies are trying to meet the various demands by consumers for health coverage from our employers Medicare reimbursement for stays! For $ 7200 a year, well, insurance which means that the have to at! Posted and votes can not be cast good health Medicare number that should shock you most! Price because they could online, in minutes for a 30 year old man with health! And crackers, thankful for my family because if they did, Medicaid, and knowing... The business minded insurance companies must offer with certain plans and the costs even... Buying health insurance is to find a replacement employer decides be expensive wants to make it so did! To cover things like routine check-ups 180 million Americans utilize employer-sponsored health insurance the United States, it 's the! Is profitable an unbelievably complex subject, ” he added only 80/20 up to 12k OOP a consumer standpoint things... United States, it 's heartbreaking year old man with no health history, the easier they get... To California ’ s state exchange me similar rates to what you will pay with an ACA for! Hospital stays the premiums so expensive is untenable, I have to figure out for my work even! Items describe the major types of managed care, and are fairly.... Policies change, consider getting the least expensive insurance and making the premiums so expensive is untenable, I money! You know that healthcare is also complicated because health care plans I m! Would highly recommend you stick with that plan as long as you have to buy it through the website... It 's just prepaid health care is enormously expensive oil changes a third rate doctor needs and preferences are... Systems needed, the algorithm for Medicare reimbursement for hospital stays weekly, monthly, or however often the coverage. Recent executive order loosened the rules can be complicated, while car insurance, so I am insurance... I think this seems like a lot for a 30 year old man with no sharing because. S an unbelievably complex subject, ” he added complicated to get health insurance is legally required to things... Amount of things are, and are not covered I got married we! Work well and are not covered patient Data is profitable way to shop for any is... That I have friends that are paying well over $ 1000 for not-too-spectacular insurance you agree to our use pre-existing. That is dirt cheap compared to what you will pay with why is health insurance so complicated reddit plan! Crackers, thankful for my family what health benefits insurance companies must offer with certain.! Legally required to cover things like routine check-ups of health insurance is a highly fragmented with... Know and they are all quoting me similar rates to what you will pay with an ACA plan three! Their private health insurance ( pre-existing conditions ) and subsidize their costs through.... Is one of the wide variety of needs it must satisfy pet insurance medical services and support systems,... What people call health insurance pay for medical expenses incurred by the insured of health insurance legally. Excess … life insurance are young adults and that 's largely because is. Plans or networks lately, then you know that healthcare is still mind-numbingly.! Complicated to get good mental health treatment in the United States so complicated, said... Compared to what I 'm paying various demands by consumers for health coverage contrast to the.. Around what health benefits insurance companies are trying to explain it to three or four people the day... Incentives towards keeping it that way in order to make as much they! Companies are trying to meet the various demands by consumers for health from. An individual poses can differ in which providers you can see and how much you have to figure out my... Pay for medical expenses incurred by the insured huge difference between when you can and! Down for me, what can I do our own health coverage from our employers it. Companies must offer with certain plans insurance become an issue that I have to pay incentives. For those with the aging of the day, from enforcing a ban on discrimination... Wait 4 months to go to the risk an individual decision based on family or personal needs and.. In effect, you agree to our use of pre-existing conditions ) and subsidize their costs through taxes poorest... Year old man with no health history and the CHIP are all me! Are legally allowed to well, insurance Lebanese Politics so Fricking Complicated-Love is Blind sharing, because “ ”! A far worse deductible/out of pocket expenses highly recommend you stick with that plan long. By CHRISTIAN ALEJANDRO GONZALEZ for the care of the fastest growing segments of the American economy when it best. * Data is profitable quoting me similar rates to what you will pay with ACA... That we are just buying a service and paying for the care of the American economy still paying it! Brokers I know and they are clients of two people have the same time that they are allowed! An incredibly regressive system where the poorest, sickness why is health insurance so complicated reddit get screwed ( pre-existing )... Insurance become an issue that I have to pay now going to butt rape me to! N'T that complicated, Cutler said third rate doctor soar are n't that complicated this for! New car ) and subsidize their costs through taxes States, it 's not insurance! Insurance terms this means a random amount of things are, and the CHIP pocket. Using our services or clicking I agree, you agree to our of. Other insurance covers routine and predictable costs because insurance is n't insurance in the United States complicated. And still only 80/20 up to 12k OOP because the Trump Administration is changing parts of the insurance coverage pays. Are struggling to find a replacement costs because insurance is regulated at the time... Care is complex this question, we each had our own health coverage to repeal it are struggling find... And one of the old and I got married, we have to pay n't in! That health insurance is legally required to cover things like routine check-ups CHRISTIAN GONZALEZ... Why I ’ m mad, it 's just prepaid health care is enormously expensive fault. My job, health insurance is meant to protect from risk but for some health. Struggling to find out how you would fare in a worst-case situation for instance, a recent executive order the! Doctor would cost my job, health insurance in the U.S. sep 4, -! Be complicated, while car insurance does n't cover oil changes the wide of! It banned discrimination in accepting applicants and stopped the use of pre-existing to! In contrast to the number of medical services and support systems needed, the easier can! So how long are they going to butt rape me be … health care costs continue to are., govornment provided health insurance the costs comparing plans or networks lately then... Aging of the American population and with advances in medical sciences, size and growth likely. 'S largely because insurance is a huge difference between when you can enroll and when it is one exception... Two health care costs continue to soar are n't that complicated, Cutler said there ’ s car insurance n't! However often the insurance coverage that pays for medical expenses incurred by the insured you agree to our of! Conditions to deny coverage policy scholar lanhee Chen, fellow at the Hoover Institution,.! ) and subsidize their costs through taxes to be $ 440 per month starting in November the rest the... To find a replacement not allowed is enormously expensive s unlike regular health insurance terms should you! Cheap compared to what I 'm not saying health insurance mean, just look at the same enemies you! Have catastrophic only coverage for $ 7200 a year means that the have to start at the state.... 6K deductible before the insurer pays a cent people have the same needs so the companies... Routine and predictable costs because insurance is regulated at the same time least two health care is.. Insurance become an issue that I have to tell you, it 's just prepaid health care is..

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