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> The Affordable Care Act did not directly increase deductibles. My deductible before the ACA was around $500 before, and around $4000 after. In one year it ch

by ars 4y ago

> The Affordable Care Act did not directly increase deductibles. My deductible before the ACA was around $500 before, and around $4000 after. In one year it changed that much. Other people I've spoken with had the same experience. > It even provided huge subsidies from the young and healthy to the poor Only to people not in employee health care plans, which always have high deductibles. > about their premiums going up due to being in the same risk pool as poorer and sicker people. I'm not seeing the connection. People can buy whatever plan they want, receiving the money in cash doesn't force people into any particular risk pool. Not to mention the ACA majorly combined pools, and in fact did cause premiums to go up for this exact reason.

lotsofpulp 4y ago
> My deductible before the ACA was around $500 before, and around $4000 after. In one year it changed that much. Other people I've spoken with had the same experience. I meant the deductible increase was not a statutory part of ACA, but an inevitable part due to the drastic increase in benefits (all preventative care, all medicines assuming there was efficacy data, out of pocket maximum instead of benefit maximum). Before ACA, insurance could deny you healthcare easily. After ACA, they had to provide the benefit, even if the medicine cost $1M per month, and the insurance company could not choose to drop you as an insured. > Only to people not in employee health care plans, which always have high deductibles. As far as I know, this applies to all ACA compliant health plans, even ones that employers subsidize: https://www.healthcare.gov/how-plans-set-your-premiums https://www.healthcare.gov/how-plans-set-your-premiums > I'm not seeing the connection. People can buy whatever plan they want, receiving the money in cash doesn't force people into any particular risk pool. Not to mention the ACA majorly combined pools, and in fact did cause premiums to go up for this exact reason. Being part of an employer subsidized insurance plan’s risk pool can result in you being in a better risk pool than the public ones on healthcare.gov. For example, white collar businesses with lots of young, healthy employees like law firms and tech companies.

by ars 4y ago

lotsofpulp 4y ago

> My deductible before the ACA was around $500 before, and around $4000 after. In one year it changed that much. Other people I've spoken with had the same experience. I meant the deductible increase was not a statutory part of ACA, but an inevitable part due to the drastic increase in benefits (all preventative care, all medicines assuming there was efficacy data, out of pocket maximum instead of benefit maximum). Before ACA, insurance could deny you healthcare easily. After ACA, they had to provide the benefit, even if the medicine cost $1M per month, and the insurance company could not choose to drop you as an insured. > Only to people not in employee health care plans, which always have high deductibles. As far as I know, this applies to all ACA compliant health plans, even ones that employers subsidize: https://www.healthcare.gov/how-plans-set-your-premiums https://www.healthcare.gov/how-plans-set-your-premiums > I'm not seeing the connection. People can buy whatever plan they want, receiving the money in cash doesn't force people into any particular risk pool. Not to mention the ACA majorly combined pools, and in fact did cause premiums to go up for this exact reason. Being part of an employer subsidized insurance plan’s risk pool can result in you being in a better risk pool than the public ones on healthcare.gov. For example, white collar businesses with lots of young, healthy employees like law firms and tech companies.