Trump Won, Vows Day 1 Full Repeal. Lets Discuss.

[securityspecialist]

Before I read this thread I want to say:

This is the era we have been waiting for brothers and sisters. There will be a new market to come out of the ashes of the repeal. I have confidence that we will figure a lucrative game plan. For those agents that were crushed by PPACA here is your chance- for those who stuck it out. For those who gave up and went to selling fsa's and the sort I don't know what to say. But I have been in anticipation for the new market to emerge and to see it happen so fast and when I just got all of my licenses (p&c l&h) is lucky, I won't be stuck to the p&c side. I put high expectations on these boards and absorb all of the knowledge from those vets on here, yall are motivational. Let's put the bickering aside and figure out what the game plan is for post-PPACA pre-breakout market. I mean why are we all here? Thank you (first post)

 

[goillini52]

Before I read this thread I want to say:

This is the era we have been waiting for brothers and sisters. There will be a new market to come out of the ashes of the repeal. I have confidence that we will figure a lucrative game plan. For those agents that were crushed by PPACA here is your chance- for those who stuck it out. For those who gave up and went to selling fsa's and the sort I don't know what to say. But I have been in anticipation for the new market to emerge and to see it happen so fast and when I just got all of my licenses (p&c l&h) is lucky, I won't be stuck to the p&c side. I put high expectations on these boards and absorb all of the knowledge from those vets on here, yall are motivational. Let's put the bickering aside and figure out what the game plan is for post-PPACA pre-breakout market. I mean why are we all here? Thank you (first post)

I can't speak for anybody else, but I'm here to learn some...but mostly I'm here for the entertainment(love the fights).

 

[Ann H]

What is the distinction between selling "insurance" and selling "Medicare Supplements" over state lines?

Everything is rated for the locality of the service. With Medicare Supplements, the difference may be small, whereas on a $1000 U65 health insurance premium the difference between Montana rates and New York rates is a chunk of change.

Trump would understand the hotel analogy. You are in New York and you want a hotel room for the night. So, you look on hotels.com and select a hotel in Podunk North Dakota. Hey, a Motel 6 is going for $39.99 a night, and the nicest hotel is a Best Western at $119 a night, right there on Main Street in Podunk North Dakota. So you book it. But then you are surprised that a New York Hotel room still costs $399 a night (and upwards) for a nice room. What? You took the Podunk North Dakota rates, didn't you? Well, that will work if you fly to Podunk, spend the night and fly back to NY. But if you want to stay in NY, you are going to pay NY prices. Same thing with healthcare. If you want Podunk rates, then fly to Podunk, see a doctor, and fly home to NY. But whether you buy it across state lines or not, you are going to pay the rates for the locality in which you use the services.

The only logic that "buying across state lines" makes is the ability to buy a plan in a state with lower mandates and taxes than your state. But that means overriding each state Department of Insurance and state laws. So, do the Feds really want to do away with state oversight of its own insurance markets?

Even if they did that, who would play ball? Right now, United Healthcare can sell in any state they want to. So can Aetna, and the association of Blues. So if they are allowed to "sell over state lines", then what states will they want to offer plans in? Answer - the same states they offer plans in now. It won't increase the market at all, a lesson learned in Georgia.

In group insurance, we can insure employees in the home state where the business is situated, plus employees living in lots of other counties, other states and sometimes in foreign countries. What is the premium? The premium is based on the resident zip code of each employee. Sometimes they blend the rates for you, but the blended rate is made up of rates for the zip code that each employee lives in.

 

[HoosierLife]

Do we think that Ben Carson knows enough about healthcare to help create something more feasible than what we have now?

 

[somarco]

Health care, yes. Health insurance, probably not.

Dr Tom Price (R, GA) will probably also be involved. I will say the same for him. Nice guy. Low key but has had some involvement with GAHU from time to time. Not sure he completely understands health insurance but probably a bit better than Dr Carson.

 

[prencik]

Everything is rated for the locality of the service. With Medicare Supplements, the difference may be small, whereas on a $1000 U65 health insurance premium the difference between Montana rates and New York rates is a chunk of change.

Trump would understand the hotel analogy. You are in New York and you want a hotel room for the night. So, you look on hotels.com and select a hotel in Podunk North Dakota. Hey, a Motel 6 is going for $39.99 a night, and the nicest hotel is a Best Western at $119 a night, right there on Main Street in Podunk North Dakota. So you book it. But then you are surprised that a New York Hotel room still costs $399 a night (and upwards) for a nice room. What? You took the Podunk North Dakota rates, didn't you? Well, that will work if you fly to Podunk, spend the night and fly back to NY. But if you want to stay in NY, you are going to pay NY prices. Same thing with healthcare. If you want Podunk rates, then fly to Podunk, see a doctor, and fly home to NY. But whether you buy it across state lines or not, you are going to pay the rates for the locality in which you use the services.

The only logic that "buying across state lines" makes is the ability to buy a plan in a state with lower mandates and taxes than your state. But that means overriding each state Department of Insurance and state laws. So, do the Feds really want to do away with state oversight of its own insurance markets?

Even if they did that, who would play ball? Right now, United Healthcare can sell in any state they want to. So can Aetna, and the association of Blues. So if they are allowed to "sell over state lines", then what states will they want to offer plans in? Answer - the same states they offer plans in now. It won't increase the market at all, a lesson learned in Georgia.

In group insurance, we can insure employees in the home state where the business is situated, plus employees living in lots of other counties, other states and sometimes in foreign countries. What is the premium? The premium is based on the resident zip code of each employee. Sometimes they blend the rates for you, but the blended rate is made up of rates for the zip code that each employee lives in.

The best explanation. You should be a teacher.

 

[HealthGuy]

Guys, I'm cautiously optimistic about how they may reform the ACA...HOWEVER the million dollar question is this : Will they have additional options for those above 400% FPL ? Those are the people that need a real, new, less cost option(s). Does anyone up there on Capitol hill truly realize the situation those over 400% FPL find themselves in now as a direct result of the ACA? Those that DONT receive tax credits are the ones who truly need help now. I'm not certain that anyone up there truly gets it. Im I right or am I wrong? WILL there be a real solution for those over 400% FPL?

 

[Chazm]

Am I reading this right? He wants to keep the Pre-existing clause and doesn't want the mandate? How is any of this a fix? This sounds like Obama's promises on day 1

 

[HoosierLife]

So can somebody break this down for me? I have no idea what is causing healthcare and healthcare insurance cost to rise. It seems like you could shop around a little bit and that's why the HSA would be beneficial. Go get the thousand dollar procedure rather than the $5000 procedure??

 

[somarco]

What is driving up the cost of health care
- increased taxes on medical devices
- more paper work caused by Obamacare
- more documentation/justification for a procedure so the provider can get paid
- increased demand vs static supply


What is driving up health insurance
-stupid mandates
-MLR
-higher taxes
-govt reinsurance
-cost of implementing and maintaining goodluck.gov
-more hands in the till
-subsidies
-free birth control

I am sure I missed a few but the old days where cat cover was desirable by many are gone.