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Old 05-17-2011, 07:39 PM   #41
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Originally Posted by dgoldenz View Post
probably a combination of mlr requirements from ppaca and the fact that some companies, at least here in va, are getting obliterated by anthem on their rates. If they keep jacking up rates, they will lose a ton of business to anthem. Anthem's increases have been relatively small on old blocks of businesses and they haven't increased rates on their new plans that were introduced last year at all....yet.
mlr? Ppaca?

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Old 05-18-2011, 06:56 AM   #42
Thinks s/he gets paid by the post
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Originally Posted by Gone4Good View Post
I think we're in agreement. He said he was told his health insurance increased 20% because of the expiration of an introductory discount. If there is no introductory discount, then there should be no increase for the expiration of said discount. That means his increase is partly the result of getting jacked by ehealth . . . which was my point, three posts ago.
Just to be clear, the info that I had a "special low rate" for the first year came from UHC, not ehealth. I wasn't being jacked by ehealth, I was being screwed by UHC.
Which brings us back to the original point, unless you have a spotless record and can afford to reapply every year, there is nothing that prevents health insurance companies from jacking up your rates , resulting in massive increases in your health insurance costs. So if you are deciding how much HI is going to cost in ER, I would assume at least 10%-15% inflation rate.

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Old 05-18-2011, 08:23 AM   #43
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Originally Posted by Buckeye View Post
mlr? Ppaca?
Medical Loss Ratio
Patient Protection & Affordable Care Act (i.e. healthcare reform bill)
Disclaimer - I am an independent insurance agent. If the above message contains insurance-related content, it is NOT intended as advice, and may not be accurate, applicable or sufficient depending on specific circumstances. Don't rely on it for any purpose. I do encourage you to consult an independent agent for insurance-related advice if you have a question that is specific in nature.
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Old 05-18-2011, 08:45 AM   #44
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Originally Posted by Mulligan View Post
I haven't spent a penny yet. Had a check up and blood work right before I retired 10 months ago everything great. I dont get sick, so I have never gone more than once a year, just to have doc check me out and say hello to him. I should preface I am not quite 47. Will I skimp on preventive care? That's a good question.... I am funding my HSA to have funds to do this, but being honest I won't go too often. For me, working out, eating right,etc, is important preventive care which I am doing. I didn't skip my first dental cleaning that I had to pay out of pocket, so maybe I will not skimp. Not saying I'm right, but I treat all insurance as minimal as possible except for my liability auto which I have more of. Insurance companies don't make profit by everyone being sick and making claims, they take the majority of the peoples premiums who are healthy and pay for the fewer who are sick. I am taking the favorable odds that I am one of those (at least until 65) and taking the minimal premium, with the knowledge that I have the resources to cover the 5k annual yearly in a worse case scenario.
We plan to do this approach also. THis is the first month we haven't been covered by meg-company's health plan that covered almost everything. It feels kinda weird. Like going out in the rain without an umbrella.
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Old 05-18-2011, 08:50 AM   #45
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When you work for a big company that offers health insurance, the rate the company is charged is a function of the average ages of the workers being covered. The company provides a census, along with a claims history for the group. These two sets of data are then crunched by the actuaries in providing a rate for the average individual.

Insurance sold to individuals is priced very differently. The insurance company groups together all the people who buy a particular plan in a given year. The future rates this group pays depends on what claims they have, and who continues to pay premiums and thus stay in the group. Generally, these groups start out with a much older average age (than an employer group), and thus can be predicted to have more claims. The older the average age, the higher will be the claims paid for the group. Within a group, each year the group ages one year. No one new is added. Some people will leave, either getting a job with insurance, or dropping out for some reason. So, over time each group will diminish in size. Generally, as rates rise over time, the healthier members of the group find they can start the process over by joining another group, and thus the remaining group members are left to pay for the sicker remaining members.

Companies do the same thing with their retiree medical, separating their statistics from those still working, and thus younger. This makes the retirees pay more, and keeps costs down for the younger, still productive workers.

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