Join Early Retirement Today
Reply
 
Thread Tools Search this Thread Display Modes
Health Insurance Exchanges under the PPACA
Old 11-07-2012, 11:35 AM   #1
Moderator
MichaelB's Avatar
 
Join Date: Jan 2008
Location: Rocky Inlets
Posts: 24,408
Health Insurance Exchanges under the PPACA

There are still many initiatives in the PPACA that will be implemented in 2013 and 2014. One that has been the subject of much discussion here is State Health Insurance Exchanges. The States can run their own exchanges, individually or in partnership with other States, or allow the Federal Govít to run them.

Each state must inform its intention by Nov 16. It might be useful to have a thread that tracks what the states are doing and note updates, and link to other useful information sites. According to Kaiser Family Foundation (Health Insurance Exchanges - Kaiser State Health Facts) the current status is:

16 Established State Exchange: California, Colorado, Connecticut, DC, Hawaii, Kentucky, Maryland, Massachusetts, Nevada, New York, Oregon, Rhode Island, Utah, Vermont, Washington, West Virginia

3 Planning for Partnership Exchange: Arkansas, Delaware, Illinois

16 Studying Options: Alabama, Arizona, Idaho, Indiana, Iowa, Michigan, Minnesota, Mississippi, Montana, Nebraska, New Jersey, New Mexico, North Carolina, Pennsylvania, Tennessee, Virginia

8 No Significant Activity: Georgia, Kansas, Missouri, North Dakota, Ohio, Oklahoma, Wisconsin, Wyoming

8 Decision Not to Create State Exchange: Alaska, Florida, Louisiana, Maine, New Hampshire, South Carolina, South Dakota, Texas
__________________

__________________
MichaelB is offline   Reply With Quote
Join the #1 Early Retirement and Financial Independence Forum Today - It's Totally Free!

Are you planning to be financially independent as early as possible so you can live life on your own terms? Discuss successful investing strategies, asset allocation models, tax strategies and other related topics in our online forum community. Our members range from young folks just starting their journey to financial independence, military retirees and even multimillionaires. No matter where you fit in you'll find that Early-Retirement.org is a great community to join. Best of all it's totally FREE!

You are currently viewing our boards as a guest so you have limited access to our community. Please take the time to register and you will gain a lot of great new features including; the ability to participate in discussions, network with our members, see fewer ads, upload photographs, create a retirement blog, send private messages and so much, much more!

Old 11-07-2012, 12:11 PM   #2
Thinks s/he gets paid by the post
DFW_M5's Avatar
 
Join Date: Sep 2003
Posts: 4,980
So I assume that for states that elect not to have a state exchange, a subscriber can then select from federal level exchange? If so, I wonder how good the federal one will be.
__________________

__________________
DFW_M5 is offline   Reply With Quote
Old 11-07-2012, 12:23 PM   #3
Moderator
MichaelB's Avatar
 
Join Date: Jan 2008
Location: Rocky Inlets
Posts: 24,408
Quote:
Originally Posted by DFW_M5 View Post
So I assume that for states that elect not to have a state exchange, a subscriber can then select from federal level exchange? If so, I wonder how good the federal one will be.
There will still be state exchanges, just operated by a Federal dept.

Members of Congress are required to get their health care insurance through he exchanges beginning in 2014, so I would guess there will be at least one good option...
__________________
MichaelB is offline   Reply With Quote
Old 11-07-2012, 12:26 PM   #4
Thinks s/he gets paid by the post
DFW_M5's Avatar
 
Join Date: Sep 2003
Posts: 4,980
Quote:
Originally Posted by MichaelB View Post
There will still be state exchanges, just operated by a Federal dept.

Members of Congress are required to get their health care insurance through he exchanges beginning in 2014, so I would guess there will be at least one good option...
The thing that strikes me a little odd, is gummit claims to be interested in reducing costs, so why can't they get over this restricting insurance to state lines.
__________________
DFW_M5 is offline   Reply With Quote
Old 11-07-2012, 12:39 PM   #5
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
brewer12345's Avatar
 
Join Date: Mar 2003
Posts: 16,391
Quote:
Originally Posted by DFW_M5 View Post
The thing that strikes me a little odd, is gummit claims to be interested in reducing costs, so why can't they get over this restricting insurance to state lines.
Google "McCarran-Ferguson Act."
__________________
"There are three kinds of men. The one that learns by reading. The few who learn by observation. The rest have to pee on the electric fence for themselves."



- Will Rogers
brewer12345 is offline   Reply With Quote
Old 11-07-2012, 12:41 PM   #6
Moderator
MichaelB's Avatar
 
Join Date: Jan 2008
Location: Rocky Inlets
Posts: 24,408
Quote:
Originally Posted by DFW_M5 View Post
The thing that strikes me a little odd, is gummit claims to be interested in reducing costs, so why can't they get over this restricting insurance to state lines.
Not really the purpose of the thread, but it looks to me that when all 50 states have health insurance exchanges that satisfy a common set of standards, this limitation is less of an issue.
__________________
MichaelB is offline   Reply With Quote
Old 11-07-2012, 01:01 PM   #7
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
easysurfer's Avatar
 
Join Date: Jun 2008
Posts: 7,883
Now that the PPACA is definitely here to stay, I'm looking forward to say, about 6-9 months from now when the exchanges get more concrete. Who knows, by then the question might be to PPACA or HSA? That is the question.
__________________
Have you ever seen a headstone with these words
"If only I had spent more time at work" ... from "Busy Man" sung by Billy Ray Cyrus
easysurfer is offline   Reply With Quote
Old 11-08-2012, 03:07 AM   #8
Full time employment: Posting here.
Tyro's Avatar
 
Join Date: Aug 2012
Location: Upstate
Posts: 699
Quote:
Originally Posted by easysurfer View Post
Now that the PPACA is definitely here to stay, I'm looking forward to say, about 6-9 months from now when the exchanges get more concrete. Who knows, by then the question might be to PPACA or HSA? That is the question.
If by HSA you mean Health Savings Account, I would think it would still make sense to have both as we do now -- using HSA to cover deductibles and items not covered by PPACA/insurance.

Tyro
__________________
Yeah well, that's just, ya know, like, your opinion, man. ~ The Dude
Tyro is offline   Reply With Quote
Old 11-08-2012, 08:44 AM   #9
Moderator
ziggy29's Avatar
 
Join Date: Oct 2005
Location: Texas
Posts: 15,612
Quote:
Originally Posted by easysurfer View Post
Now that the PPACA is definitely here to stay, I'm looking forward to say, about 6-9 months from now when the exchanges get more concrete. Who knows, by then the question might be to PPACA or HSA? That is the question.
There has been some concern in the past that PPACA would eliminate HSAs entirely because no PPACA-compliant insurance plan would also be a qualifying HDHP under existing law, but I don't think that's the case. It doesn't have to an either-or, at least I don't think so. Keep in mind that some HSA-eligible plans (mine included) have had first-dollar, no deductible coverage for preventative care even before PPACA was signed into law.
__________________
"Hey, for every ten dollars, that's another hour that I have to be in the work place. That's an hour of my life. And my life is a very finite thing. I have only 'x' number of hours left before I'm dead. So how do I want to use these hours of my life? Do I want to use them just spending it on more crap and more stuff, or do I want to start getting a handle on it and using my life more intelligently?" -- Joe Dominguez (1938 - 1997)

RIP to Reemy, my avatar dog (2003 - 9/16/2017)
ziggy29 is offline   Reply With Quote
Old 11-08-2012, 08:51 AM   #10
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
easysurfer's Avatar
 
Join Date: Jun 2008
Posts: 7,883
Quote:
Originally Posted by ziggy29 View Post
There has been some concern in the past that PPACA would eliminate HSAs entirely because no PPACA-compliant insurance plan would also be a qualifying HDHP under existing law, but I don't think that's the case. It doesn't have to an either-or, at least I don't think so. Keep in mind that some HSA-eligible plans (mine included) have had first-dollar, no deductible coverage for preventative care even before PPACA was signed into law.
I'm waiting for a cheat-cheat, like a feature on "Good Morning America" that would say something like "under the PPACA, here are the new options.." to help us decide. Of course, the situation definitely is not concrete enough at this time.

On the PPACA, just saw a article about that on Yahoo today. The entire article might be too political, so I'm not going to link it. But an important point from the article:

"Open enrollment for exchange plans is scheduled to start Oct. 1, 2013, and coverage will be effective Jan. 1, 2014." So this time next year, folk may be enrolling or at least analyzing their options.
__________________
Have you ever seen a headstone with these words
"If only I had spent more time at work" ... from "Busy Man" sung by Billy Ray Cyrus
easysurfer is offline   Reply With Quote
Old 11-08-2012, 09:46 AM   #11
Thinks s/he gets paid by the post
 
Join Date: Jul 2012
Location: Mississippi
Posts: 1,878
Is the open enrollment just for "uninsured" ? What happens if your on a COBRA plan, can you move to the new plans with the open enrollment.
__________________
rbmrtn is offline   Reply With Quote
Old 11-08-2012, 09:51 AM   #12
Thinks s/he gets paid by the post
JoeWras's Avatar
 
Join Date: Sep 2012
Posts: 2,516
Now the election is over, and the make up of the result almost guarantees no changes, I think we'll start seeing more information and cheat sheets.

Most of it is out there, but it is so buried in thick bureaucratic lingo it is hard to digest.
__________________
JoeWras is online now   Reply With Quote
Old 11-08-2012, 09:53 AM   #13
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
FinanceDude's Avatar
 
Join Date: Aug 2006
Posts: 12,484
Wisconsin is not going to do anything until they are forced to...........
__________________
Consult with your own advisor or representative. My thoughts should not be construed as investment advice. Past performance is no guarantee of future results (love that one).......:)


This Thread is USELESS without pics.........:)
FinanceDude is offline   Reply With Quote
Old 11-08-2012, 09:56 AM   #14
Moderator
ziggy29's Avatar
 
Join Date: Oct 2005
Location: Texas
Posts: 15,612
Quote:
Originally Posted by rbmrtn View Post
Is the open enrollment just for "uninsured" ? What happens if your on a COBRA plan, can you move to the new plans with the open enrollment.
My understanding is that anyone can use the exchanges starting 1/1/2014. And if you start COBRA today (or started any time after July 1 of this year), you will be able to stay on it all the way until this date. In other words, it may have just become a little safer to retire based on the health insurance considerations since I now pretty much agree with this take (any changes between now and then would likely be tinkering around the edges):

Quote:
Originally Posted by JoeWras View Post
Now the election is over, and the make up of the result almost guarantees no changes, I think we'll start seeing more information and cheat sheets.
__________________
"Hey, for every ten dollars, that's another hour that I have to be in the work place. That's an hour of my life. And my life is a very finite thing. I have only 'x' number of hours left before I'm dead. So how do I want to use these hours of my life? Do I want to use them just spending it on more crap and more stuff, or do I want to start getting a handle on it and using my life more intelligently?" -- Joe Dominguez (1938 - 1997)

RIP to Reemy, my avatar dog (2003 - 9/16/2017)
ziggy29 is offline   Reply With Quote
Old 11-08-2012, 10:00 AM   #15
Moderator
MichaelB's Avatar
 
Join Date: Jan 2008
Location: Rocky Inlets
Posts: 24,408
Quote:
Originally Posted by FinanceDude View Post
Wisconsin is not going to do anything until they are forced to...........
Actually, there is no forcing here, because there is a default option to a federally run exchange.
__________________
MichaelB is offline   Reply With Quote
Old 11-08-2012, 10:34 AM   #16
Recycles dryer sheets
winger's Avatar
 
Join Date: Jan 2007
Posts: 250
Information! I need information!!
__________________
winger is offline   Reply With Quote
Old 11-08-2012, 10:48 AM   #17
Thinks s/he gets paid by the post
 
Join Date: Jul 2012
Location: Mississippi
Posts: 1,878
Quote:
Originally Posted by ziggy29 View Post
My understanding is that anyone can use the exchanges starting 1/1/2014. And if you start COBRA today (or started any time after July 1 of this year), you will be able to stay on it all the way until this date. In other words, it may have just become a little safer to retire based on the health insurance considerations since I now pretty much agree with this take (any changes between now and then would likely be tinkering around the edges):
That was my understanding as well. In some of the docs I have read it mentions being a "qualified" individual to do open enrollment, so what exactly is a "qualified" individual.

I found this def.

Qualified individual means, with respect to an Exchange, an individual who has been determined
eligible to enroll in a QHP in the individual market offered through the Exchange.


From here http://www.naic.org/documents/index_...mary_chart.pdf

Best I can determine is "eligible" refers whether you get medicaid or choose a plan based on FPL.
__________________
rbmrtn is offline   Reply With Quote
Old 11-08-2012, 03:52 PM   #18
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
 
Join Date: Nov 2007
Posts: 7,526
Quote:
Originally Posted by JoeWras View Post
Now the election is over, and the make up of the result almost guarantees no changes, I think we'll start seeing more information and cheat sheets.
This was my thinking as well. Many states have been sitting on their hands waiting to see the outcome of the election before they devote substantial resources to developing these exchanges and the policies and procedures surrounding them. I imagine in the next six to nine months we will have a more concrete idea of what they will look like.
__________________
Retired in 2013 at age 33. Keeping busy reading, blogging, relaxing, gaming, and enjoying the outdoors with my wife and 3 kids (5, 11, and 12).
FUEGO is offline   Reply With Quote
Old 11-08-2012, 07:06 PM   #19
Moderator Emeritus
 
Join Date: Oct 2007
Posts: 4,929
The initial open enrollment period on the various health insurance exchanges is scheduled to start October 1, 2013, for coverage starting January 1, 2014.

A web site collecting the various fact sheets and FAQs related to the exchanges and the Affordable Care Act is at:
http://cciio.cms.gov/resources/facts...index.html#hie
__________________
M Paquette is offline   Reply With Quote
Old 11-09-2012, 06:08 AM   #20
Moderator
MichaelB's Avatar
 
Join Date: Jan 2008
Location: Rocky Inlets
Posts: 24,408
Quote:
Originally Posted by M Paquette View Post
The initial open enrollment period on the various health insurance exchanges is scheduled to start October 1, 2013, for coverage starting January 1, 2014.

A web site collecting the various fact sheets and FAQs related to the exchanges and the Affordable Care Act is at:
Fact Sheets & Frequently Asked Questions (FAQs) | cciio.cms.gov
Excellent link, very useful. Thanks!
__________________

__________________
MichaelB is offline   Reply With Quote
Reply


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


 

 
All times are GMT -6. The time now is 11:14 AM.
 
Powered by vBulletin® Version 3.8.8 Beta 1
Copyright ©2000 - 2017, vBulletin Solutions, Inc.