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Cake day: July 2nd, 2023

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  • substill@vlemmy.nettoAsklemmy@lemmy.mlInsurance in US
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    1 year ago

    The ACA does not require all private plans to cover preexisting conditions. It requires all marketplace exchange and ACA compliant plans to do so. But many insurers - including Blue Cross Blue Shied and UHC - withdrew from the healthcare.gov exchange years ago to sell non-ACA compliant plans instead. With the death of the individual mandate, they lost the insured numbers to make it work. The remaining plans there are from companies like Oscar and are frankly not competitive with what you can get separately - other than preexisting coverage.

    Yes you can buy family plans, and of course it scales in price. Averages out to about $400 per person, but of course that also depends on the PPO list, copay v coinsurance, coverage for ancillary services like mental health and prescription medication, and etc.

    Not all private health plans cover routine preventive care at a reduced rate. I was on a UHC plan where my annual checkup cost me several hundred dollars.

    The ACA was awesome at first. It dramatically improved my personal health insurance. But within a couple of years, the exchange in my area was a ghost town. It is a shell now.


  • substill@vlemmy.nettoAsklemmy@lemmy.mlInsurance in US
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    1 year ago

    Private health insurance is going to cost you ballpark $400/month, provide no coverage for any preexisting conditions, provide no coverage for your family members (just the enrolling individual), you will typically pay the first $10,000 or so each year before your insurer covers any of the costs, and if you end up needing to use it a lot they will cancel you the next year.

    Affordable Care Act coverage will cost about the same but cover preexisting conditions, you can usually cap your own cost for regular checkups to $20, and they won’t cancel you the following year unless the insurance company leaves the marketplace entirely.

    Private employer provided coverage varies wildly depending on the size of the employer (because they have more leverage in negotiating with insurance companies) and the employer’s own ideas.