why is it people don't get that generally speaking the regulated run their regulators? it's been the case for almost 100 yrs
HHS wants to med supps gaurenteed Issue
- Thread starter SamIam
- Start date
Here is the difrence, with Obamacare we are talking about having Ins vrs not having ins and you cannot just purchase anytime of the year
Big difrence in saying I will go with $0 premium MA plan and IF I need more coverage I will upgrade next EP
Also I do work the NY market, GI state, and they have epic easy to qualify for extra help though Epic
And Many times I have had someone who has MA plan found out they go cancer, and we can get them effective next month on med supp
Yes I get some thatt go Med Supp right away, and I have many who would not consider MA in NY even knowing this
But there are also many that do have this thinking I can just upgrade when and if I get a diagnosis
here's another difference: in NY plan G for age 65 according to S&S is averaging $300/mo, in my part of Florida its averaging about $200/mo. And I know florida is already on the high side for medsupps
Sure with cancer you get them on, for example, UHC since they don't ask about cancer (presuming no other issues that would cause them to fail). BUT with getting a "fail medical underwriting" diagnosis where you'd fail across the board for the supps, some don't get that they can upgrade if and only if they live in a state that has no medical underwriting to switch (or they can somehow pass medical underwriting anyway). I sure hope those who think they can just upgrade immediately when needed really understand the issues. I know many think, "oh that won't happen to me"... Let's hope not but they can't see the future any better than we can. I find, as I am sure all of us do, some of them are really resistant to changing their assumptions.
And in South GA, $117 with Bankers Fidelity. In AL even lower, $107. Also BF.
No underwriting this is what is going to happen
also it is community pricing same price for 65 as 95
Cripes UHC uses different subsidiaries to offer different versions of their gap so people can't complain that, for example, the "free extras" in G+ aren't really free (so deception thus GI) since their G (introduced here June 2023) without the extras is significantly cheaper (for example last year $~70/mo cheaper for a 70 yo who had been on G+ since 65).
Of course as was said on this thread one potential outcome is that the structure of many of these companies would radically change if this rule was implemented - if that was a loophole. Well unless the rule was applied to the parent company or company shell they were all under and thus applied to every subsidiary, etc.
The catch that I see is that healthy people can switch to new policies. Thus mostly only the unhealthy remain and so those premiums skyrocket. Since this is supposed to be about risk sharing in a risk pool this isn't really fair to people who can't switch due to their medical needs. As someone else stated that the two states where you can switch without medical underwriting have stable and decent premiums I think likely this would be the case nationwide. Those states are already the canary in the mine so to speak for what happens.
so the young and healthy is being forced to subsidize the old and sick. wild.
While $300/mo is probably a good deal for a 95 y/o in many parts of the country, I still don't think its a good idea
If it is UHC community pricing (they are the only community risk pool in this state), at least with them, for the first 10 years clients would get a progressively declining discount on the premium. As a result it is actually higher for someone 95 as they are paying full price and the 65 year old has a pretty significant discount. Splitting hairs I know but since costs are the same someone has to pay. As a result the price at 95 would be lower if the first 10 years people didn't get a discount. Of course if they didn't get a discount when younger fewer would sign up as so many go by price today and not what the different risk pools mean for future pricing.
When you are old and sick you just might appreciate that. That is partly what insurance risk pools are for.
