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Melurkyoulongtime

(136 posts)
35. Thanks, I've been here since 2001
Sat Oct 17, 2015, 01:08 AM
Oct 2015

Making the industry non-profit again is only one of the things I'd do if it were up to me. There's so much more that needs to be done. I worked in Benefits Administration area of the industry and the shite these insurers get away with to make a profit is unconscionable. One example: a retiree who'd been healthy all his life and paid into his company's health care coverage for over 50 years (he was pushing 100 and still rode a motorcycle before he got ill for Pete's sweet sake) developed a very nasty brain tumor. His supplemental insurance was supposed to cover the surgery at 90%. The insurance co denied his claim 3 times and he couldn't afford it out of pocket. The company he retired from sent their attorneys to have a "sit down" w the insurance co's attorneys. The company attorneys politely informed the insurer that if they didn't cover the retiree's surgery they would sue them on behalf of the retiree and his family. The insurer covered the man's surgery and aftercare, but it took almost a year for this rigamarole to all play out. By the time he got surgery the tumor had grown from the size of a grape to the size of an orange. The insurance co had been waiting/hoping for him to die before they were forced to cover this man for coverage he was already paying for!

I'm with AARP/United Health Care, and my plan has gotten worse by-far every year since Obamacare. 99th_Monkey Oct 2015 #1
I have a bronze plan with a $10,000 deductable Kilgore Oct 2015 #4
I should have said, the plan is through Medicare, so isn't comparable to non-Medicare plans nt 99th_Monkey Oct 2015 #10
And therefore has ABSOLUTELY NOTHING to do with Obamacare BlueStreak Oct 2015 #29
I never said it did, I just said what happened since Obamacare started 99th_Monkey Oct 2015 #30
I think most people understand AARP is mostly for retired people receiving Medicare. DhhD Oct 2015 #49
I'm coming to see AARP as a shill for the insurance cos. wordpix Oct 2015 #70
AARP has made a ton of money from the Medicare donut hole elmac Oct 2015 #75
Yes. Single-payer. eom 99th_Monkey Oct 2015 #78
Medicare has nothing to do with ObamaCare LiberalAtheist Oct 2015 #104
Dude, give it a rest. This has already been pointed out LOUDLY, and i don't even disagree. 99th_Monkey Oct 2015 #105
The Affordable Care Act *does* affect Medicare D Gary Grady Oct 2015 #97
I don't believe Obamacare was a factor in this case. BlueStreak Oct 2015 #100
Sorry, I misunderstood Kilgore Oct 2015 #61
The AARP United Health plans are way overpriced... and aren't any better than competitors. hedda_foil Oct 2015 #108
I think AARP/United used to be somewhat better, 99th_Monkey Oct 2015 #109
my mom was paying about $175/mo. in premiums for AARP/United Healthcare wordpix Oct 2015 #112
You're right. Medicaid does cover nursing home costs for low income seniors. hedda_foil Oct 2015 #115
Ours went up steadily in the 10 years before ACA. Pretty much the same blm Oct 2015 #7
Junk plans are now banned. Fred Sanders Oct 2015 #16
Define Junk Please Kilgore Oct 2015 #63
Common misconception about how pooled insurance works is yours and the RW's main problem. Fred Sanders Oct 2015 #64
You are right, I don't know, however I do know that...... Kilgore Oct 2015 #69
Funny, I pay less and have a lower deductible. louis-t Oct 2015 #87
That's the problem, no options here. Kilgore Oct 2015 #93
Time to allow Americans to buy into Medicare through the exchanges. roamer65 Oct 2015 #2
Yes. That would reduce the average cost of medicare. Lychee2 Oct 2015 #25
And it wouldn't hurt to make the eligibility level for Medicaid jwirr Oct 2015 #55
true, I think singles can make $13K or less to qualify wordpix Oct 2015 #113
Obviously a lot of work ahead. RandySF Oct 2015 #3
no onethatcares Oct 2015 #15
I would rather have healthcare than health insurance. cpompilo Oct 2015 #26
And we need to work for single payer at the state level. ACA facilitates this n/t eridani Oct 2015 #40
ACA was a long overdue step in there right direction. RandySF Oct 2015 #47
What on earth are you talking about? StoneCarver Oct 2015 #50
well, at least I had insurance when my cancer was diagnosed and wordpix Oct 2015 #72
Those costs are insane. I'm moonscape Oct 2015 #102
thanks, I am doing fine now & the "provider charge" was $40K per round for chemo wordpix Oct 2015 #114
It was the ACA or nothing at that time. RandySF Oct 2015 #81
Bernie voted for the ACA. His vote put it over the top in the Senate. LuvLoogie Oct 2015 #106
I agree. nt kelliekat44 Oct 2015 #95
$40 a month? And you're complaining? PennyK Oct 2015 #5
Seems like they're not getting the federal funding they were promised. geomon666 Oct 2015 #6
The PPACA neglected to actually provide a source of funding for the "risk corridors". PoliticAverse Oct 2015 #9
Wow geomon666 Oct 2015 #11
Sabotage by who? former9thward Oct 2015 #13
I'm talking about Congress refusing to fund it n/t geomon666 Oct 2015 #21
This message was self-deleted by its author Ichigo Kurosaki Oct 2015 #27
Why didn't the Democratic Congrees fund it? former9thward Oct 2015 #34
Because it was an error of omission when they drafted the PPACA apparently. n/t PoliticAverse Oct 2015 #46
Not one republican voted for it yeoman6987 Oct 2015 #36
It was part of the legislation. Igel Oct 2015 #52
And there he goes again. Kingofalldems Oct 2015 #24
LOL, The stalker. former9thward Oct 2015 #33
As if you addded something. Kingofalldems Oct 2015 #83
The ACA was not written by Democrats, Le Taz Hot Oct 2015 #28
Ok then Travis_0004 Oct 2015 #32
I don't care who wrote it, IT SUCKS Kilgore Oct 2015 #66
Well, you should. Le Taz Hot Oct 2015 #67
I agree with you there. former9thward Oct 2015 #98
+1 hedgehog Oct 2015 #76
+1 hedgehog Oct 2015 #77
I thought this might happen but I was called disloyal to the President and his signature achievement tularetom Oct 2015 #8
Going down the crapper??? I think you might want to talk to folks who are not part of those "specie kelliekat44 Oct 2015 #12
For the same reason they are happy with their fire extinguishers eridani Oct 2015 #41
But I'm not paying $200 out of every christx30 Oct 2015 #62
It's not any good from experience Kilgore Oct 2015 #65
Then get another policy if you can. Open Season is right around the corner. nt kelliekat44 Oct 2015 #94
Only two options in our county. Kilgore Oct 2015 #96
Please define "specie risk aversion packs"? jwirr Oct 2015 #57
These are health coops representing a tiny part of the market nt geek tragedy Oct 2015 #22
Canary in the coal mine tularetom Oct 2015 #23
The (Republican) Congress de-funded the health co-ops frazzled Oct 2015 #14
RW propaganda on DU? When does that ever happen...other than all the time lately? Fred Sanders Oct 2015 #17
EXACTLY! cynzke Oct 2015 #54
I remember in the 60s we Democrats always made sure that jwirr Oct 2015 #59
Why do you believe that? Or at least provide an example. Todays_Illusion Oct 2015 #74
I believe it because I lived it. The House controls the money. jwirr Oct 2015 #80
Did you know Laws must pass both the House and the Senate before being signed by the President. Todays_Illusion Oct 2015 #89
Sure I know that. But it is easier to get your two senators to jwirr Oct 2015 #92
lol, sure, the Republicans were just waiting for a Democratic to ask them to vote for ACA. Todays_Illusion Oct 2015 #111
I was working in the insurance industry Melurkyoulongtime Oct 2015 #18
It really is. Chan790 Oct 2015 #19
The sad thing is Melurkyoulongtime Oct 2015 #20
Excellent points, if President Obama wanted insurance reform mrdmk Oct 2015 #31
Thanks, I've been here since 2001 Melurkyoulongtime Oct 2015 #35
Thank you for you follow up and the added information mrdmk Oct 2015 #88
we don't need a study of health care costs, we need a DOJ investigation wordpix Oct 2015 #71
He had the congress overwhelmingly and 60 votes in the senate yeoman6987 Oct 2015 #38
Yes, I agree he could've passed it Melurkyoulongtime Oct 2015 #39
So, you have no knowledge of the Republican filibuster, and you have forgotten Franken was not Todays_Illusion Oct 2015 #73
Irrelevant to ACA yeoman6987 Oct 2015 #90
Ok, do we understand that you don't understand what the Senate Filibuster is? Todays_Illusion Oct 2015 #110
The devil is in the details Melurkyoulongtime Oct 2015 #91
Why do you think he didn't? moonscape Oct 2015 #103
I believe an opportunity was lost when he didn't call them out Melurkyoulongtime Oct 2015 #107
He couldn't get 60 votes for "anything he wanted". Some of those votes would disappear PoliticAverse Oct 2015 #45
You keep repeating that and it isn't true. Kingofalldems Oct 2015 #82
What isn't true is that it requires 60 votes in the Senate to pass anything. PoliticAverse Oct 2015 #85
This is about the most sickening post I've read. CrispyQ Oct 2015 #58
"They" will do everything in their power to f it up. I hope we can quickly move silvershadow Oct 2015 #37
You bet since they didn't want it or vote for it yeoman6987 Oct 2015 #42
you keep repeating. you sound like fox news rockfordfile Oct 2015 #43
Oh I know facts suck. Just trying to give you whys to your questions yeoman6987 Oct 2015 #48
Fox facts suck for sure. Kingofalldems Oct 2015 #84
The USA needs an Universal Health Care Plan. delrem Oct 2015 #44
THESE PUBLICLY OPERATED HEALTH COOPS, NEWLY FORMED NON-PROFIT GROUPS ALLOWED BY ACA cynzke Oct 2015 #51
THE WP HEADLINE IS MISLEADING! cynzke Oct 2015 #53
Don't confuse people with the facts. tabasco Oct 2015 #99
"Risk Corridor" Turbineguy Oct 2015 #56
Successful European systems ... CountAllVotes Oct 2015 #79
Don't worry, Obama is reducing the deficit. hughee99 Oct 2015 #60
And what this whole thread is saying to me is that in 2016 jwirr Oct 2015 #68
Sabotaged. Duppers Oct 2015 #86
Single Payer - Here We Come cantbeserious Oct 2015 #101
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