To: puborectalis  who wrote (773879 ) 3/9/2014 1:38:57 AM From: i-node  1 RecommendationRecommended By  Brumar89
    Respond to    of 1569735  I'm going to treat you like a grownup for a minute. • New Health Insurance Marketplaces (AKA Exchanges) allow shoppers to compare Health Plans that include all new benefits, rights and protections. Except the "marketplaces" STILL don't work, and in fact, there are indications the biggest problems are yet to come as the management of accounts receivable, which was part of the specification, is not working at all.  As far as we know, at this time, the payments are on the "honor system".   • Cost assistance to individuals, families and small businesses through the marketplace. Which the chairman of CBO has identified as one of three primary causes for our budget deficits being "unsustainable" (meaning, we can't afford it). • No annual or lifetime limits on healthcare. Right, and this is an insignificant item, since ALMOST NO ONE ever hit either.  This could have been done without a meaningful blip in premium costs. • Insurance companies can't drop you when you are sick or for making a mistake on your application. They never could.  But they COULD drop you for committing FRAUD on your application.  Which, it would seem, is a pretty good reason.  Today, a person is quoted different prices depending on whether or not he admits to being a smoker.  Please tell me why anyone in his right mind would list himself as a smoker?  If I were a smoker, I damned sure wouldn't tell them.  • You can't be denied coverage for pre-existing conditions. Learn More About Healthcare and Pre-existing Conditions. Yes, this is a good thing.  We are paying a terrible price for it.  It could have been handled far more reasonably. • You have the right to quickly appeal any health insurance company decision. You have no more appeal rights than you ever did.  We appeal claims daily, and have for years.  Unless it is Medicare or Medicaid, in which we realize that appeals are pointless exercises in bureaucratic red tape.  So, we usually write them off if Medicare doesn't pay.  OTOH, they usually do, because they will pay just about anything whether it is a legitimate claim or not. • You have the right to get an easy-to-understand summary about a health plan’s benefits and coverage. What a crock of shit.  Every insurance company already provided that. • Young Adults can stay on their parent's plan until 26. Which makes absolutely not difference.  They could have just bought a policy on their own.  Both my kids did. • A large improvement to women's health services. No.  Not unless you call higher costs an "improvement". • Reforms to the healthcare industry to cut wasteful spending. Okay, that's it.  No more treating you like an adult.  Fuck you.  That's just stupid. • Better care and protections for seniors. Lie.  Medicare Advantage was supposed to be "better care and protections" for seniors.  You killed it.   • New preventative Services at no-out-of pocket costs. Wrong.  The costs are still there.  You're just paying them monthly instead of when you need them. • Essential health benefits like emergency care, hospitalization, prescription drugs, and maternity and newborn care must be included on all non-grandfathered plans at no out-of-pocket limit. And you pay for them.  So, what? • You can't be charged more based on health status or gender. >> And that's a GOOD thing?  That males now pay the female rates? • Plus many more benefits, rights and protections. Why does no one else see this but left wing nutjobs?