Obamacare again

One thing most people don’t know, or choose not to know is that 80% of Americans will not be materially affected by Obamacare. If you have insurance from your employer, are already covered by Medicare or Medicaid, or get medical care through the Veterans Administration, chances are pretty good that you won’t even notice the implementation of Obamacare.

I am not one of those people, so I WILL be affected by the new program. My problem so far has been that I do not know what those effects will be. A couple of days ago, I received my notice from Group Health about my new rates, so now I am a bit more enlightened.

Here’s the meat of the letter I received from Group Health:

ScanIt should be noted that currently I am paying $273/month for the benefits on the left. (Megan is paying a similar rate for a similar plan from Regence Blue Shield)

So how do the plans compare? What am I getting for essentially double the price?

Deductible – $5000/$15,000 to $4,000/$8,000

Coinsurance – From 50% copay to 20% copay.

Out-of-pocket limit – From $10,000/$30,000 to $6350/$12,700.

Prescription drugs – from no coverage to 20% copay for generics.

And best of all, I get maternity and newborn coverage!!!

So is it worth double the price? The benefits are certainly better, but Megan and I both are healthy and low consumers of medical care, so I don’t know if we’d reap the benefits of the new plan. On a personal basis, I was starting to have my doubts about the whole exercise until I saw the Spouse/Partner rate. IT’S ZERO!!! It’s two for the price of one! Without any subsidy we’ll get better coverage for essentially the same price we’re currently paying.

And if the subsidies are what I think they are, the government will subsidize about half the cost of our premiums. So it looks like my initial guess of better coverage for half the price is still operative.

I still don’t know exactly how I sign up for this. Megan or I will have to leave our current providers to get a family plan. And it sounds like we’ll have to go to the Health Exchange to buy insurance to get the subsidized monthly payment.

But obviously this is an evil plot to rob us all of our freedom, so let’s shut down the government.

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