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Subsidy determination not being ready will kill this. I think I'm pulling numbers out of my butt, but isn't something close to 45% of the population going to be subsidy-eligible?
Exchanges May Flop - Only Partly, CMS Hopes
- Thread starter Ann H
- Start date
Subsidy determination not being ready will kill this. I think I'm pulling numbers out of my butt, but isn't something close to 45% of the population going to be subsidy-eligible?
The regime is hoping for something considerably less than that figure.
If you count those who will become Medicaid eligible + anyone eligible for ANY subsidy (no matter how slight) you may be right.
But unless you fall in the Medicaid expansion (and who knows what will happen in those states that opted out) or receive a significant subsidy, I suspect many on the upper end of the subsidy income table will opt out of HIX and may even (involuntarily) opt out of health insurance altogether.
The process in applying for coverage is like a Rube Goldberg contraption.
It is conceivable you will wander through the 21 or so pages only to find out you do not qualify for a subsidy. That is 45 minutes or so of your life you will never get back.
Or you do qualify for $X and then go shopping for insurance, only to find even with a subsidy you still can't afford the plan.
As an agent, it really doesn't matter how much I am paid. I can find much easier ways to make money than going through all that and end up with nothing . . . which can very well happen a high percentage of the time.
This map shows by zip code who will benefit, my surrounding zip codes show less than 20% will benefit
Mapping the Effects of the ACA's Health Insurance Coverage Expansions - Kaiser Health Reform
Mapping the Effects of the ACA's Health Insurance Coverage Expansions - Kaiser Health Reform
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Bob you are dead on with this....Deadbeats across the country will be looking for their free healthcare, and when they find that their subsidy blows because the coverage is so expensive, they will go without and you get nothing for your time spent consulting. Agreed, what a useless waste altogether with this community organizer Ponzi scheme.
- Staff
- #15
Seems really dark all along the texas / mexico boarder......
- Thread starter
- #16
It's like when you go to Store A and your product costs $80, so you see a sale for 20% off at Store B, but the regular price was $110 making the 20% worthless, so you try Store C's half off sale but the regular price was $160, making it the same price as Store A's $80 cost in the beginning. To make matters worse, some of them are lesser products than others (narrow network in this case).
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No matter how messed up the Federal Exchange is it will be the 1st choice for anyone that fall into the guidelines for the subsides.
Health insurance in 2014 is going to be all about price. So if someone can purchase a policy for their family and pay $420 (after subsidy) a month vs $1,200 outside the exchange what are they going to do.
It does not matter if it's a narrow network or takes an hour to compete the application price rules.
If the exchanges have carriers participating it's game on. I pray we get a decent comp.
Some states may not have carriers participating in the exchange.
Health insurance in 2014 is going to be all about price. So if someone can purchase a policy for their family and pay $420 (after subsidy) a month vs $1,200 outside the exchange what are they going to do.
It does not matter if it's a narrow network or takes an hour to compete the application price rules.
If the exchanges have carriers participating it's game on. I pray we get a decent comp.
Some states may not have carriers participating in the exchange.
In what way?
Carriers provide the product. Some carriers have indicated they may opt out, but haven't heard of any states prohibiting carrier involvement.
It is my understanding, if you are going to market through HIX you must have the ability to discuss all HIX plans. Can't really see a Humana navigator telling someone about Blue Cross plans.
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In California they have now hedged it for agents.
Agents are not required to be appointed with all carriers in the HBEX and I saw/heard nothing in the agent webcast indicating that agents are required to cover plans they aren't appointed with.
Navigators and other assistors are required to be fair, impartial and balanced in presenting all carrier/plan options.
Agents are not required to be appointed with all carriers in the HBEX and I saw/heard nothing in the agent webcast indicating that agents are required to cover plans they aren't appointed with.
Navigators and other assistors are required to be fair, impartial and balanced in presenting all carrier/plan options.
