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hedgehog

(36,286 posts)
Mon Aug 26, 2013, 04:26 PM Aug 2013

Questions about the Health care exchanges :

Is there a difference between company "A"s Gold plan and company "B"s Gold plan?

Do all the doctors, hospitals, etc who accept company A also accept company B?

Why would someone pay more for company A over company B?

13 replies = new reply since forum marked as read
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Questions about the Health care exchanges : (Original Post) hedgehog Aug 2013 OP
Answers zipplewrath Aug 2013 #1
So the main advantage over the existing system is annabanana Aug 2013 #5
Sorta zipplewrath Aug 2013 #6
Are mental health benefits covered under all plans? pnwmom Aug 2013 #7
Yes and addiction treatment cally Aug 2013 #11
That will be good news to so many people. pnwmom Aug 2013 #12
1 - Probably, 2 - Not necessarily, 3 - see 1 and 2. PoliticAverse Aug 2013 #2
it's health INSURANCE exchanges Skittles Aug 2013 #3
True! I conflate them because my son gets no health care unless he signs up hedgehog Aug 2013 #4
I truly do hope they prove to be health care exchanges Skittles Aug 2013 #8
Given the size of the health insurance industry relative to the US economy, hedgehog Aug 2013 #9
that is what I am hoping Skittles Aug 2013 #10
I wonder if any companies will pay chiropractors....nt fadedrose Aug 2013 #13

zipplewrath

(16,646 posts)
1. Answers
Mon Aug 26, 2013, 04:31 PM
Aug 2013
Is there a difference between company "A"s Gold plan and company "B"s Gold plan?

Yes

Do all the doctors, hospitals, etc who accept company A also accept company B?

Not necessarily

Why would someone pay more for company A over company B?

Because of the answers to the two above.

You're asking good questions, because people who are shopping should pay attention to the details about these things. There are standards for these plans, but there are variations within the rules. And what doctors/hospitals/outpatient etc. is important. If you have a pre-existing condition, one should probably check in GREAT detail about the exact charges and benefits under each plan.

annabanana

(52,791 posts)
5. So the main advantage over the existing system is
Mon Aug 26, 2013, 04:47 PM
Aug 2013

more people are allowed to spend their money on something that should be covered by taxes as a matter of course......

Well hoo friggen' ray

zipplewrath

(16,646 posts)
6. Sorta
Mon Aug 26, 2013, 04:53 PM
Aug 2013

Basically the first thing that ACA did was to federalize the health insurance industry. Then, having that power, it attempted to "standardize" it a bit. Then, by standardizing it, they could attempt to coerce everyone to participate. Increasing and standardizing participation allowed rates to decreased for some, increased for others, and put employers in a position to have more predictable insurance costs.

The end result is about 7% increased coverage if only the sick and infirmed participate, 12% if the young and healthy participate.

pnwmom

(108,976 posts)
12. That will be good news to so many people.
Mon Aug 26, 2013, 06:56 PM
Aug 2013

I know someone with PTSD who found a policy that covered mental health visits (partially) but can't get treatment because it's a preexisting condition.

PoliticAverse

(26,366 posts)
2. 1 - Probably, 2 - Not necessarily, 3 - see 1 and 2.
Mon Aug 26, 2013, 04:33 PM
Aug 2013

Plans at each level must meet minimum requirements, but can differ significantly in specifics like
which doctors participate, coverage for things exceeding the minimum requirement, etc.

Skittles

(153,147 posts)
8. I truly do hope they prove to be health care exchanges
Mon Aug 26, 2013, 05:07 PM
Aug 2013

I'm not crazy about keeping these corrupt insurance companies in the mix but I do know there's severe problems with health care in America and something needs to be done

hedgehog

(36,286 posts)
9. Given the size of the health insurance industry relative to the US economy,
Mon Aug 26, 2013, 05:32 PM
Aug 2013

I can accept this as a step to single payer. I think we are already seeing improvements in the health care system brought by some of the other reforms. The bill wasn't only about paying for medical care but also about improving medical care.

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