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This is the consequence of the maximum profit margin provisions of the Affordable Care Act[1]. Because of it, insurance companies are now happy to pay more for
by username332211 3y ago
This is the consequence of the maximum profit margin provisions of the Affordable Care Act[1]. Because of it, insurance companies are now happy to pay more for the same procedures, because it actually increases their profits.
In your case, they managed to negotiate such high prices that your co-pay is higher than the normal cost of the medical procedure. If you are on a Gold plan with a 20% co-pay, you can be sure that the money you paid is what went to the insurance company, while 4 times as much money went to funding healthcare!
You should be really happy about this, because this is a rule created to make sure your insurance funds hospitals, not Wall Street greed!
[1] https://www.washingtonpost.com/news/wonk/wp/2013/07/18/the-obamacare-provision-that-terrifies-insurers/ https://www.washingtonpost.com/news/wonk/wp/2013/07/18/the-o...