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Obama-Care Will Have High Out-Of-Pocket Costs

From the Politico:

Exchanges may have high out-of-pocket costs

By KYLE CHENEY | September 26, 2013

Consumers may have to dig a little deeper into their wallets to pay for health care in the Obamacare insurance exchanges, according to a new analysis by Avalere Health.

The study of six states suggests that consumers could face steep cost-sharing requirements — like co-payments, co-insurance and deductibles — layered on top of their monthly premiums.

Of course, none of this is new. It’s only being reported now by the Politico and other news media outlet because they now believe Obama-Care is safe from repeal or defunding. And when people start seeing the truth with their own eyes, the media can claim: ‘we told you so.’ When, in reality, they never told us any of this until it was too late.

The health law sets exchange enrollees’ maximum annual out-of-pocket costs at $6,350. But many people won’t get near that limit, and deductibles for typical exchange plans can run twice as high as the average employer-sponsored plan.

And never mind that Obama has also delayed those ‘out of pocket’ limits for a year. Or that they could be delayed forever. A detail that the Politico does not seem to be aware of.

It’s a reminder that despite news trumpeted Wednesday by the White House, suggesting exchange premiums will be lower than expected, consumers will have additional numbers to crunch.

And trumpeted by the Politico and the rest of the administration’s news media without question.

Those buying coverage on the exchanges will have a choice of three levels — bronze, silver and gold — each offering increasingly generous benefits at correspondingly higher premiums.

Enrollees who earn less than 400 percent of the federal poverty level will have access to tax credits to help offset their premium cost. There are also some cost-sharing subsidies available on a sliding scale for people earning less than 250 percent of the poverty level.

No one making over $47,000 a year will get any subsidies. Which just happens to be the average salary in the US. But they will get to pay for everyone else’s insurance, via taxes.

But the report estimates that a silver plan would have a deductible ranging from $1,500 to $5,000, which is higher than the average deductible ($1,135) for an employer-sponsored plan.

“Consumers will need to balance lower monthly premiums against the potential for unpredictable, expensive, out-of-pocket costs in plans with higher deductibles,” Caroline Pearson, vice president of Avalere Health, said in a statement. “Furthermore, there is a risk that patients could forgo needed care when faced with high upfront deductibles.” …

Huh. We thought Obama-Care was going to make everyone healthy because they wouldn’t put off going to the doctor.

The study also suggests exchange enrollees could see higher drug co-pays and co-insurance than those in employer-sponsored plans.

Again, all of this has been known for more than three years. But we are only hearing about it now because the Politico thinks Obama-Care is now safely beyond being repealed.

This article was posted by Steve Gilbert on Thursday, September 26th, 2013. Comments are currently closed.

3 Responses to “Obama-Care Will Have High Out-Of-Pocket Costs”

  1. mr_bill

    Higher premiums, higher out-of-pocket costs, higher taxes, and higher co-pays. It’s the liberal superfecta!! In other words: skyrocketing costs for people who work and freebies for the parasite class. Sometimes I pray for the zombie apocalypse just to end all this crap.

  2. canary

    I never doubted this for a minute.

  3. We get to have pockets?
    Hey ya’ll, we get to have pockets!
    Whoo-hoo!


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