General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsWhat limit does "Obamacare" set for what can be charged for pre-existing conditions?
Is there a set maximum or is it per condition?
Atman
(31,464 posts)So they say you can't be denied because of pre-existing conditions. But I've yet to see where it says there is a limit on what you can be charged for the insurance. I recently left a job I held for nearly five years, and I had great health insurance. Now they say I can do the COBRA route...for over $1,600 a month. Is it any wonder people opt out of health insurance? If I were a betting man, I'd bet that I won't need $1,600 a month worth of health care before I land another job, or switch over to my wife's health plan. But...seriously...$1,600 a month? That's more than I pay for housing! How is this a good system? How can anyone defend this?
pnwmom
(108,955 posts)Premiums go up according to age, nothing else. So a young person who is seriously ill wouldn't pay more than any other young person. And at the top end, when most people do have pre-existing conditions, it's still lower than typical premiums today.
Hoyt
(54,770 posts)As of 2014, insurers cannot charge consumers different rates for health insurance because of health status or gender. You can be charged more for your age -- with older people paying a higher premium than young people. But that increased charge is capped at no more than three times the standard rate.
Snake Alchemist
(3,318 posts)penalty is higher than what carrying coverage would be.
spedtr90
(719 posts)"Uninsured people with pre-existing conditions in every state now have access to coverage through the new, temporary Pre-existing Condition Insurance Plan. This serves as a bridge until 2014, when insurance companies can no longer deny or limit coverage or charge higher premiums to anyone because of a preexisting condition."
http://www.healthcare.gov/blog/2011/01/preexisting.html
Snake Alchemist
(3,318 posts)Thanks!
cbdo2007
(9,213 posts)That's the point. They can't deny coverage for pre-existing condition so you get the same coverage at the same price everyone else does.
DefenseLawyer
(11,101 posts)to cover the added cost exposure for insurance companies? I can't imagine that the insurance industry is simply going to eat it.
MANative
(4,112 posts)It increases the size of the pool dramatically, thus spreading the risk. That's also why you get slightly better rates in a group, or employer, situation than buying individually. From what I undersand, the law limits by statute what profit private insurers can make as a way to add further power to keep rates lower.
Hoyt
(54,770 posts)Purchasers of insurance will have to be diligent in looking for the best deal. One nice thing about eliminating pre-existing condition exclusions is that you can jump to an insurer offering a better deal. That is almost impossible now for anyone with conditions from allergies to terminal cancer.
pnwmom
(108,955 posts)and we can move to Medicare for all.