Cost of ObamaCare for Virginians on Bronze Plan

The Affordable Care Act specifies in Section 1401 of its voluminous content that subsidies cannot be paid to people residing in states that do not have a State Exchange. The decision was upheld in the D.C. Federal Circuit Court and the Supreme Court will make a decision in June 2015.
In the Commonwealth of Virginia, no subsidy will thus be paid on the 80 percent of subscribers’ premiums who enrolled in Obamacare and are eligible for subsidies. And the 2015 costs of these premiums have not been made public until November 15, 2014, conveniently after the November election.
Using the calculator on the Obamacare website for the Bronze Plan (a plan with a 60 percent reimbursement rate after deductibles have been met) for a Preferred Provider, Thomas L. Cranmer, Vice President of Fairfax County Taxpayers’ Alliance, determined that a northern Virginia family of four would pay “at any income a deductible out of pocket of $12,600 and a premium of $7,224 per year. The total $19,824 represents 40 percent of $50,000 and 20 percent of $100,000 gross income.”
If doctors are not “preferred,” Obamacare labels them “out of network,” in which case the costs can be limitless. The website calculator, which is now operational (HHS had taken it down temporarily before the elections), can be used anonymously to calculate the cost for any individual or family.
People, who have lost their plans due to the increased demands of Obamacare on private insurance companies, and have been forced to sign for Obamacare, report two and half times higher costs.
Many insured by Medicare have lost their supplemental insurance and those with Medicare/Medicaid have been moved into Humana. Humana is now busy rationing care to the elderly in order to meet the President’s plan to take billions from Medicare in order to fund Obamacare. Many retirees are thus forced to find other plans with higher premiums and deductibles.
Illegal aliens, who were not “supposed” to be covered by Obamacare as falsely reported, are getting their premiums for free or $2.71. A lady I met recently in a doctor’s waiting room was excited that her premium was $24 a month. She had never bought insurance before, betting on her good health, but was now experiencing declining health in her mid-thirties and was glad for Obamacare’s low premium.
With the three plans, Bronze, Silver, and Gold, the reimbursement rates for doctors are 60 percent, 70 percent, and 80 percent respectively. If doctors accept Obamacare, can they cover their expenses? Do they ask for payments in advance, considering that the out-of-pocket deductible for patients is $12,600, and they may not be able to pay for the visit?
Tom Cranmer asked his physician in a very direct letter if the “concierge fee” of $1,650 he paid him covers his expenses. Additionally, if the “doc fix reimbursement schedule for Medicare does not pass Congress (it comes up for renewal in December 2014), and doctors’ compensation is lowered,“ how would it affect their medical practice in terms of doing what is best for their patients?
Because many doctors and hospitals have been dropped from Obamacare, their services are not eligible for Obamacare payments. What would happen to their patients who are now suddenly forced into Obamacare? Where would they find new doctors, especially since many are retiring or pursuing other careers? Did the President not promise, “if you like your doctor, you can keep your doctor?” Would these patients be forced to accept nurse practitioner care instead?

Copyright: Ileana Johnson 2014

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