Join Early Retirement Today
Reply
 
Thread Tools Search this Thread Display Modes
Old 09-27-2015, 11:01 AM   #81
Full time employment: Posting here.
 
Join Date: Jan 2014
Posts: 663
Quote:
Originally Posted by Gerbil Wheel View Post
Or say someone like the OP applies for a cheaper policy on the other side of his state using a hotel as his home address and his physical home as his mailing address. Would the insurance company try to deny coverage in that case? How would they even know about the scheme in either case?
Most Blue Cross Blue Shield plans participate in the BlueCard Program which extends the provider network nationwide.

When you apply on an exchange the submitted information, including address, is 'pinged' against various government agencies (IRS, SSA, DMV, etc.) and any inconsistencies suspend the application process. If you apply off the exchange, I can only speak to the dominant insurer in my state. They 'ping' one of the three major credit reporting agencies and any inconsistencies suspend the application process.
__________________

__________________
MBSC 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 09-27-2015, 01:13 PM   #82
Moderator
Alan's Avatar
 
Join Date: Jul 2005
Location: Eee Bah Gum
Posts: 21,146
Quote:
Originally Posted by SCGamecock View Post
Most Blue Cross Blue Shield plans participate in the BlueCard Program which extends the provider network nationwide.

When you apply on an exchange the submitted information, including address, is 'pinged' against various government agencies (IRS, SSA, DMV, etc.) and any inconsistencies suspend the application process. If you apply off the exchange, I can only speak to the dominant insurer in my state. They 'ping' one of the three major credit reporting agencies and any inconsistencies suspend the application process.
I've heard that my retiree HI is doubling in 2016 and doubling again for 2017 so last week I enrolled in healthcare.gov to make an initial application to see what is on offer. As I have a credit freeze in place they could not verify my identity on-line so the website provided a reference number and an Experian phone number to call in order to verify the details of my application. After a series of questions over the phone the Experian rep said that my identity had been verified and when I logged back in to Healthcare.gov I was able to proceed with the application.
__________________

__________________
Retired in Jan, 2010 at 55, moved to England in May 2016
Now it's adventure before dementia
Alan is online now   Reply With Quote
Old 09-27-2015, 03:45 PM   #83
Thinks s/he gets paid by the post
nun's Avatar
 
Join Date: Feb 2006
Posts: 4,836
Quote:
Originally Posted by Alan View Post
I've heard that my retiree HI is doubling in 2016 and doubling again for 2017 so last week I enrolled in healthcare.gov to make an initial application to see what is on offer. As I have a credit freeze in place they could not verify my identity on-line so the website provided a reference number and an Experian phone number to call in order to verify the details of my application. After a series of questions over the phone the Experian rep said that my identity had been verified and when I logged back in to Healthcare.gov I was able to proceed with the application.
My state's health website never managed to verify my identity so I applied on paper. I did this to see if I could save money with an ACA plan rather than paying the full $450 premium for my ex-employer's plan. I didn't qualify for ACA because my income was too low so I got put on Medicaid and given a choice of paying nothing to go on Medicaid or take a $430/month subsidy check to stay on my ex-employer's Cadillac plan. I took the check. The ironic thing is my ex-employer is the state so with one hand they charge me and with the other they pay me.
__________________
“So we beat on, boats against the current, borne back ceaselessly into the past.”

Current AA: 65% Equity Funds / 20% Bonds / 7% Stable Value /3% Cash / 5% TIAA Traditional
Retired Mar 2014 at age 52, target WR: 0.0%,
Income from pension and rent
nun is offline   Reply With Quote
Old 09-27-2015, 05:15 PM   #84
Moderator
MichaelB's Avatar
 
Join Date: Jan 2008
Location: Rocky Inlets
Posts: 24,492
Quote:
Originally Posted by SCGamecock View Post
Most Blue Cross Blue Shield plans participate in the BlueCard Program which extends the provider network nationwide.
BCBS Florida offers 27 plans for independent insurance, 20 of which are PPO. Half are called BlueSelect and the other half are called BlueOptions. The language BCBS uses to describes them never mentions Blue Card, and the network checking tool on their website is clumsy. The only way to verify that the BlueSelect network is not BlueCard and that a user of that policy has limited coverage outside the home state is by speaking with an agent and asking specific questions about the coverage. The terms they use on the website would easily lead an unsuspecting user to a different conclusion and an unfortunate surprise down the road.

The healthcare threads last October thru December seemed to conclude that in many states Blue Cross policies offered only restricted network policies, and access to BlueCard network policies was indeed limited.
__________________
MichaelB is offline   Reply With Quote
Old 09-27-2015, 05:50 PM   #85
Moderator Emeritus
aja8888's Avatar
 
Join Date: Apr 2011
Location: The Woodlands, TX
Posts: 7,186
Quote:
Originally Posted by nun View Post
My state's health website never managed to verify my identity so I applied on paper. I did this to see if I could save money with an ACA plan rather than paying the full $450 premium for my ex-employer's plan. I didn't qualify for ACA because my income was too low so I got put on Medicaid and given a choice of paying nothing to go on Medicaid or take a $430/month subsidy check to stay on my ex-employer's Cadillac plan. I took the check. The ironic thing is my ex-employer is the state so with one hand they charge me and with the other they pay me.
A prime example of how screwed up our healthcare system is.
__________________
......."Everybody has a plan until they get punched in the face." -- philosopher Mike Tyson.
aja8888 is offline   Reply With Quote
Old 09-27-2015, 06:39 PM   #86
Thinks s/he gets paid by the post
nun's Avatar
 
Join Date: Feb 2006
Posts: 4,836
Quote:
Originally Posted by aja8888 View Post
A prime example of how screwed up our healthcare system is.
Not really, it just seems strange because I worked for the state and obviously they administer the Medicaid program. The reason behind the subsidy program is to keep low waged people off Medicaid and on employer health care if possible which I bet costs the state a lot less.
__________________
“So we beat on, boats against the current, borne back ceaselessly into the past.”

Current AA: 65% Equity Funds / 20% Bonds / 7% Stable Value /3% Cash / 5% TIAA Traditional
Retired Mar 2014 at age 52, target WR: 0.0%,
Income from pension and rent
nun is offline   Reply With Quote
Old 09-27-2015, 07:03 PM   #87
Thinks s/he gets paid by the post
 
Join Date: Feb 2014
Posts: 1,050
My state has a similar program, I wish I would have known about such a thing earlier.

My current "UHC Community Plan" is better than the work plan I had, with the same doctors I use, so no loss.
__________________
jim584672 is offline   Reply With Quote
Old 09-27-2015, 07:58 PM   #88
Recycles dryer sheets
 
Join Date: Dec 2012
Posts: 390
I remember getting a job (was it the 70s) and given the choices of which insurance I wanted, full coverage, for free.

In the near future $2000-$4000/month premiums will become the norm.

It just doesn't make sense. There's got to be some kind of low cost alternative that will come about.
__________________
Elbata is offline   Reply With Quote
Old 09-28-2015, 12:36 AM   #89
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
 
Join Date: May 2005
Posts: 13,291
Quote:
Originally Posted by Elbata View Post
I remember getting a job (was it the 70s) and given the choices of which insurance I wanted, full coverage, for free.

In the near future $2000-$4000/month premiums will become the norm.

It just doesn't make sense. There's got to be some kind of low cost alternative that will come about.

Yes, you would think.... but not likely to happen as it will have to be a political fix which half the country does not want...

Healthcare 40 years ago was not a big cost factor for most families... when I was young my dad did not have insurance... and when we had a medical need he just paid out of pocket... later my mom got insurance when she was a teacher... our out of pocket costs went down... I had a broken arm and IIRC the total cost to dad was $100... that was hospital, specialist, 6 follow up visits with X-rays etc. etc.... I would hate to see what it would cost today... heck, a dog bite was over $1,000... my cost was $150 co-pay, but they basically did nothing.... one X-ray to make sure it did nothing to the bone (heck, we knew that) and they 'cleaned out the wound'... which was squirting salt water in the holes.... that was it...


To keep the thread open, I will not say anything else which may start a back and forth...
__________________
Texas Proud is offline   Reply With Quote
Old 09-28-2015, 07:38 AM   #90
Thinks s/he gets paid by the post
 
Join Date: Nov 2006
Posts: 2,268
Regardless of what party is in office or what the fix is, there has to be some fix at some point. There is just no way possible we can continue to have 10-30%+ increases every year. We will literally have $5000 / month premiums 10 years from now at that rate.
There will be a revolution in this country if that happens. 90% of the population will have no insurance. What's the government going to do? Change the max annual income level for subsidy eligibility to $250,000?
__________________
utrecht is offline   Reply With Quote
Old 09-28-2015, 08:32 AM   #91
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
travelover's Avatar
 
Join Date: Mar 2007
Posts: 9,906
Quote:
Originally Posted by utrecht View Post
Regardless of what party is in office or what the fix is, there has to be some fix at some point. There is just no way possible we can continue to have 10-30%+ increases every year. We will literally have $5000 / month premiums 10 years from now at that rate.
There will be a revolution in this country if that happens. 90% of the population will have no insurance. What's the government going to do? Change the max annual income level for subsidy eligibility to $250,000?
I agree. As Buffett says, trees don't grow to the sky. Nor can health care costs eventually eat the whole pie.
__________________
Yes, I have achieved work / life balance.
travelover is offline   Reply With Quote
Old 09-29-2015, 01:48 PM   #92
Dryer sheet wannabe
 
Join Date: Nov 2014
Location: Viera, FL
Posts: 13
I will be making these decisions soon and I was wondering if married couples should purchase their own policy separately or is there a benefit of the family plan together. thanks.


Sent from my iPad using Early Retirement Forum
__________________
bgscms is offline   Reply With Quote
Old 09-29-2015, 03:54 PM   #93
Thinks s/he gets paid by the post
 
Join Date: Jul 2005
Posts: 3,863
Quote:
Originally Posted by utrecht View Post
Regardless of what party is in office or what the fix is, there has to be some fix at some point. There is just no way possible we can continue to have 10-30%+ increases every year. We will literally have $5000 / month premiums 10 years from now at that rate.
There will be a revolution in this country if that happens. 90% of the population will have no insurance. What's the government going to do? Change the max annual income level for subsidy eligibility to $250,000?
There are a lot of new treatments that are very expensive, and I'm sure there will be many more. At some point there will have to be a limit that excludes the most expensive procedures from "normal" health insurance just to keep the cost reasonable. Not because they are "unproven", but simply because they cost too much.
__________________
Animorph is offline   Reply With Quote
Old 09-29-2015, 04:35 PM   #94
Thinks s/he gets paid by the post
 
Join Date: Nov 2006
Posts: 2,268
Quote:
Originally Posted by Animorph View Post
There are a lot of new treatments that are very expensive, and I'm sure there will be many more. At some point there will have to be a limit that excludes the most expensive procedures from "normal" health insurance just to keep the cost reasonable. Not because they are "unproven", but simply because they cost too much.
So, as a course of business, they are going to let people die because a treatment costs too much? I doubt that.
__________________
utrecht is offline   Reply With Quote
Old 09-29-2015, 04:48 PM   #95
Thinks s/he gets paid by the post
 
Join Date: Jul 2005
Posts: 3,863
Quote:
Originally Posted by utrecht View Post
So, as a course of business, they are going to let people die because a treatment costs too much? I doubt that.
Yes, that has to happen. What if they can cure cancer but it costs $10 million each? It simply can't be done for everyone. There is a limit, and I think we're getting close to it for some of the newer procedures. The alternative is that medical expenses continue growing faster than inflation until they take over the world. Probably going to be quite a few new procedures that succeed not because they are better but because they are cheaper, like Theranos and just about any non medical product.
__________________
Animorph is offline   Reply With Quote
Old 09-29-2015, 05:20 PM   #96
Thinks s/he gets paid by the post
 
Join Date: Mar 2010
Location: Kerrville,Tx
Posts: 2,726
Quote:
Originally Posted by utrecht View Post
So, as a course of business, they are going to let people die because a treatment costs too much? I doubt that.
Society will have to decide as some countries in europe do how much an extra year of life is worth and not pay for treatments that do not demonstrate that cost effectiveness. For example $10 million for a year for one person might be out of bounds.
The first step might be to change the default treatment to hospice for some terminal conditions where you have to ask for aggressive treatment.
__________________
meierlde is offline   Reply With Quote
Old 09-29-2015, 05:47 PM   #97
Thinks s/he gets paid by the post
 
Join Date: Nov 2006
Posts: 2,268
I'm not talking about expensive treatments that cost $10 million, I talking about insurance premiums that cost $5000 per month. Hardly anyone costs an insurance company $10 million in their lifetime.

I hate to say this but I think eventually the government will take over healthcare in some form. If insurance companies were non profits, healthcare would cost many multiples less than it does. The same treatments and medicines cost many many multiples less in other countries than it does in the US and it doesn't have to.
__________________
utrecht is offline   Reply With Quote
Old 09-29-2015, 06:29 PM   #98
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
travelover's Avatar
 
Join Date: Mar 2007
Posts: 9,906
Quote:
Originally Posted by utrecht View Post
.......... If insurance companies were non profits, healthcare would cost many multiples less than it does. The same treatments and medicines cost many many multiples less in other countries than it does in the US and it doesn't have to.
I don't think that insurance companies determine what medical procedures and drugs cost (at least not the initial bargaining price). In fact, without insurance you will pay more for the same procedure.
__________________
Yes, I have achieved work / life balance.
travelover is offline   Reply With Quote
Old 09-29-2015, 06:37 PM   #99
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
NW-Bound's Avatar
 
Join Date: Jul 2008
Posts: 19,449
Quote:
Originally Posted by utrecht View Post
I hate to say this but I think eventually the government will take over healthcare in some form. If insurance companies were non profits, healthcare would cost many multiples less than it does...
Not true. Insurance companies are required by law to pay out 80% of the premium they collect on healthcare services. They have to pay operating costs out of the remaining 20%, so their profits are not as high as what people think (else why don't people all buy insurance company stocks to share the loot?).
__________________
"Old age is the most unexpected of all things that can happen to a man" -- Leon Trotsky
NW-Bound is offline   Reply With Quote
Old 09-29-2015, 07:17 PM   #100
Thinks s/he gets paid by the post
 
Join Date: Nov 2006
Posts: 2,268
Sorry. I meant that at some point the government may have to take over the entire health care industry. Not just health insurance.
__________________

__________________
utrecht 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


Similar Threads
Thread Thread Starter Forum Replies Last Post
Self-insuring for LTC???? Golden sunsets FIRE and Money 70 08-12-2013 11:48 AM
Insuring Art Karloff Other topics 8 03-31-2013 10:38 AM
Self Directed IRA Suggestions moguls FIRE and Money 12 02-24-2004 03:00 PM
Real Estate in a self-directed IRA???? ryalmokas FIRE and Money 2 02-23-2004 10:29 AM

 

 
All times are GMT -6. The time now is 07:02 AM.
 
Powered by vBulletin® Version 3.8.8 Beta 1
Copyright ©2000 - 2017, vBulletin Solutions, Inc.