PICP Rates Posted

[dgoldenz]

Just took a look at the rates for Virginia. Looks like a family of 4 uninsurables could end up around $1800/month with a $24k max out of pocket. Doesn't say anything about family rates, so I'm guessing you can only apply individually. Sounds like a solid deal....if you have cancer.

PCIP will cover a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it's to treat a pre-existing condition - there are no waiting periods.
The monthly premiums for your state are:

Age:
00-34 $289
35-44 $347
45-54 $443
55+ $616

In addition to your monthly premium, you will pay other costs. Covered in-network services are subject to a $2,500 annual deductible (except for preventive services) before the plan starts to pay benefits. Once you've met the deductible, you will pay a $25 copayment for doctor visits, $4 to $30 for most drugs at a retail pharmacy for the first two prescriptions and 50% of the cost of the prescriptions after that. If you use mail order, you will pay $10 for generic drugs or $75 for brand drugs on the plan formulary for a 90 day supply. You will pay 20% of the cost of any other covered benefits received from a network provider. Your out-of-pocket costs cannot be more than $5,950 per year. However, your out-of-pocket costs may be higher if you go outside the plan's network. See below for a benefits summary.

 

[TXINSURANCE]

Are they listing specifically what amount is being subsidized by taxpayers?

 

[dgoldenz]

Are they listing specifically what amount is being subsidized by taxpayers?

Nope...not that I can see.

 

[DS4]

Are they listing specifically what amount is being subsidized by taxpayers?

You mean to tell me this plan doesn't stand on it's own two feet??
Taxpayer subsidies?
Say it ain't so.

 

[CHUMPS FROM OXFORD]

Ohio's rate for males 0-35 is $64 per month. Just ask Joe.

Still too high for most!

 

[sman]

Georgia rates (remember, Georgia decided not to participate so this is the government plan):

0-34 - $323
35-44 - $387
45-54 - $495
55+ - $688

It's a $2,500 deductible plan. Once you meet the deductible, you then pay $25 copay for doctor visits, $4-$30 for your first two prescriptions and then 50% after the first two. 20% coinsurance until your out of pocket reaches $5,950. Looks like this is the plan design for all the states who are using the HHS's plan.

I guess we get the government the "majority" votes for and the consequences that come with that, huh?

 

[Crabcake Johnny]

Texas: http://www.txhealthpool.org/08-01-2010_Regular_Rates-Instructions_Posted_06-23-2010.pdf

 

[TXINSURANCE]

That is the Texas High Risk Pool, we also have the Federal because we refused to participate in the Federal disaster.

This brings up a lot of good questions such as WHY anyone would buy in the "Texas" pool when the Federal pool look cheaper and no pre ex period, appears to be better coverage as well.

In addition our "Texas" pool in subsidize I believe with a premium tax, I haven't heard anything about lifting this funding.