http://www.ehealthinsurance.com. It showed 9 plans from 5 different insurers and they ranged from $680 to $1336 per month. None had a lifetime max. It may no longer be allowed.
Just wait until the dust settles (pretty hard to tell, given all the election fluffing of the cat fur at the
moment) ... I don't know about Colorado, but it's just a matter of time until Calif rates will spread
unless there's considerable Fed intervention. Here the Calif exchange is already legally operative,
and starting next month people will be able to shop rates per 2013, regardless of what the Feds do.
Supreme Court already settled that one. But otherwise, it's pretty gloomy. The only major hospitals
making money are Kaiser, which is self-insured, but not practical to folks in rural areas. And even
they are badly short-staffed. The only thing keeping me on my day job is the insurance issue. I've
been healthy all my adult life, and will be eligible for Medicare in two yrs anyway. I'd like to go into
printmaking full time, but my wife is younger and can't get affordable insurance even in the medical
I'll relate what happened to me to explain where I came up with that 10% figure.
I was laid off from a job May 31, 2007. My employer had paid 100% of the premium. The HR director told me that COBRA would cost me the premium of $502, plus 2% administrative charge, bringing it to $512 and change. When I contacted the insurer, (can't remember the name) I was told it would cost $552, including 10% admin cost. I relayed what my HR person had told me, and the answer was "That's wrong. I wish people wouldn't say that, it's not correct." So I paid the $552, and thought no more about it, except that I thought it doesn't cost any 10% extra to administer my account.
I'm going to go dig through my old papers and see if I still have any relevant records, and if I have sufficient records, I'm going to contact the Department of Labor.
Today, the workers at the UofR (University of Rochester) began a very noisy rally on campus due to cuts in their health care benefits. It seems that this trend is becoming quite wide spread.
A deductible is the amount one has to pay before insurance starts paying. After the deductible is met, you may have to pay a small percentage of the cost until you reach what is called the "out of pocket max", whereupon the insurance company pays everything.
I have a policy called a Preferred Provider Organization, or PPO. The insurance company signs up doctors and facilities who agree to prices far below the artificially inflated prices they charge someone with no insurance - discounts of 75-90%. The doctors do this because they have access to a large number of customers and are assured payment without having to chase non-payers all over the place. This is a big deal for them because a lot of people outside of these networks never pay their bill.
In the past I have had a Health Maintenance Organization, or HMO. In these, the company pays pretty much everything from the start and you never see a bill. The drawback is that you are usually severely restricted as to the doctors you can see. Oh, and they cost more.
Understanding coverage is difficult, even after 30+ years of being insured. It's always changing, with new nomenclature to learn.
You're in a dreamworld if you think you will actually get a family program around here for anything
remotely resembling what you're describing, at least after you read the fine print. Insurance companies are about statistical risk and net profit. Just look what is going to happen to Colorado
home insurance rates after your big forest fires - they have to spread or zone out the increases.
The whole state could hypothetically be affected. Same here. We have a limited number of regional
trauma centers who can't pick and choose who to serve. The regular people pay for all the shot-up
gangbangers and drug overdosers from the bad neighborhoods in our big cities. And what if another significant earthquake comes along here, or some unexpected big tornadoes in Denver, out
your way. Somebody has to pick up the tag, and believe me, the ins companies have plenty of ways
of weaseling out of their obligations.