Definitions - Problem Solved?

Yagents

Guru
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12,665
Arizona
Copay = N/A ("Does that mean it's free?")
Coinsurance = 80/20, 50/50 (50% forever?)
Deductible = $1000 (that's my only risk....right?)
Rx generic copay = $15 (that's a good deal...right?)

So, let me get this straight. By "defining" the terms of a policy, the ignorant will be enlightened. I can't wait to see the 1/2 inch book that each employee will receive like the Medicare handbook. Required reading, test will be tomorrow.

Glossary - http://www.kaiserhealthnews.org/Sto...s/2010/October to December/glossary model.pdf

State insurance officials to vote on rules for descriptions of health policies - latimes.com

Under a little-known provision of the health overhaul law, insurers will be required to provide their benefits information on a standardized chart using the same plain English terms as other companies to help shoppers understand and compare complicated policies. Congress even listed some of the insurance jargon -- including terms such as deductible, preferred provider, excluded services and UCR (usual, customary and reasonable) -- that must be defined in a glossary that will accompany the benefit summary. After the vote, the materials, which were adopted unanimously by the working group, will be sent to the Department of Health and Human Services and Department of Labor. Those departments will issue regulations spelling out how insurance companies and employers must use the materials. The new system must be in place by March 2012.
 
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the "insured" crowd understands the way it works... i hate... repeat.. hate dealing with the uninsured... they have no clue.. say things like the plicy i had tru my parents paid everything... why do i have a deductible... a co pay, my parents never had that... oh, no that wont work, why am i even buying insurance?

the wet behind the ears crowd never paid a co pay or deductible because... YOUR PARENTS PAID IT!
 
"What's a co-insurance mean?"
"So I just pay the deductible right?"

I do like the simplicity in the chart they used as an example, but your average person still won't understand half of it. Most people I talk to don't even know their deductible.
 
the "insured" crowd understands the way it works.

Only if they have purchased their own insurance and even then, some of the time they still have no clue.

You know what I mean. Get calls from someone who always had group health, looking at plans now. They want a copay (of course) and don't want a high deductible. "Even with a $500 deductible I will never meet that so they can go to the doc and only pay the copay."

No ma'm, it doesn't work that way . . .
 
Ha! I see we all live on the same planet here. And they want to kick us out of the process? Good luck public, you won't have a clue what you are buying without us.
 
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