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Leisure and Society
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Business, Administration & Management
Costs before and after the Affordable Care Act
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<blockquote data-quote="jayem" data-source="post: 77486177" data-attributes="member: 8344"><p>Some important information isn't stated. Firstly, just over 50% of Americans get health insurance through their employers. Are the costs quoted in the article just those who get health insurance through ACA plans? Or do they also include employer and employee payments for health insurance? About 19% of the population has coverage through Medicaid. And states can impose co-payments, coinsurance, and deductibles on beneficiaries. Another 19% of Americans are covered by Medicare. Part A--hospitilization--is automatic and without charge. But Part B--outpatient/office-type care--requires a premium. And is mostly paid from the beneficiary's monthly SS payment. There's also a premium for supplemental insurance plans and pharmacy benefits. Out-of pocket expenses also apply to those with Medicare Advantage plans. These costs have also risen in the past 14 years. So what exactly do the numbers in the article include?</p><p></p><p>One of the greatest benefits of ACA is that it eliminated the practice of declaring persons with chronic illnesses as uninsurable. This applies not only to ACA plans, but to all health insurance. Covering high-risk persons will obviously increase costs. But it's the right thing to do.</p><p></p><p>BTW: Enrollment for ACA plans hit nearly a record high this year.</p><p></p><p><a href="https://www.kff.org/private-insurance/issue-brief/as-aca-marketplace-enrollment-reaches-record-high-fewer-are-buying-individual-market-coverage-elsewhere/" target="_blank">As ACA Marketplace Enrollment Reaches Record High, Fewer Are Buying Individual Market Coverage Elsewhere | KFF</a></p></blockquote><p></p>
[QUOTE="jayem, post: 77486177, member: 8344"] Some important information isn't stated. Firstly, just over 50% of Americans get health insurance through their employers. Are the costs quoted in the article just those who get health insurance through ACA plans? Or do they also include employer and employee payments for health insurance? About 19% of the population has coverage through Medicaid. And states can impose co-payments, coinsurance, and deductibles on beneficiaries. Another 19% of Americans are covered by Medicare. Part A--hospitilization--is automatic and without charge. But Part B--outpatient/office-type care--requires a premium. And is mostly paid from the beneficiary's monthly SS payment. There's also a premium for supplemental insurance plans and pharmacy benefits. Out-of pocket expenses also apply to those with Medicare Advantage plans. These costs have also risen in the past 14 years. So what exactly do the numbers in the article include? One of the greatest benefits of ACA is that it eliminated the practice of declaring persons with chronic illnesses as uninsurable. This applies not only to ACA plans, but to all health insurance. Covering high-risk persons will obviously increase costs. But it's the right thing to do. BTW: Enrollment for ACA plans hit nearly a record high this year. [URL='https://www.kff.org/private-insurance/issue-brief/as-aca-marketplace-enrollment-reaches-record-high-fewer-are-buying-individual-market-coverage-elsewhere/']As ACA Marketplace Enrollment Reaches Record High, Fewer Are Buying Individual Market Coverage Elsewhere | KFF[/URL] [/QUOTE]
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