misanman
Thinks s/he gets paid by the post
- Joined
- Apr 28, 2008
- Messages
- 1,254
I was told by HR that bundling was a requirement of ACA but maybe that was incorrect or I did not understand correctly. One additional piece of data: the prescription drug coverage was "self insured" by the company. As I understand it, the coverage provider administered the coverage but billed the company for actual prescription costs plus management fee. This was less expensive (maybe because of the "employee group" was healthier than the general population?). It might have been this aspect that is no longer allowed - i.e. "you can't just pay for the actual drugs prescribed, you have to buy the drug insurance". There were also changes in family coverage that was going to result in substantial changes to what the coverage would cost based on individual family configurations. Our employees are consultants that are billed on the basis of cost plus. But we are now officially prohibited from asking about family details before hiring an individual. And since the costs will vary depending on the family configuration, that makes it hard for us to determine a rate for a new employee that we are hiring to fill a customer requirement. Before, we could just ask them if they needed family coverage and we knew what that would cost.I must not understand your post. The Megacorp insurance I used pre ACA, and after; had a medical provider and a separate prescription provider. They're doing it again this year. Now it does appear bundled(I guess) in that you pay one premium, with one set of OOPs.
Am I misunderstanding your post?
A big company may be able to average costs over a larger population. With a small population, it's more difficult.
Our company is less than 50 employees, so I think there's a chance they may decide to drop coverage and have employees buy their own insurance on the exchanges.