canndo
Well-Known Member
I took a preliminary look at it in my state. On the surface it looks pretty good, the poor and the middle class get a break, they get coverage that doesn't kill them and I can see how it might offer some peace of mind. But.... If what I read is true, most plans divorce the deductible from the out of pocket. In other words, you have to exceed both the deductible AND the out of pocket limit before the insurance kicks in. Figure a family making 28,000 a year only has to pay a hundred dollars a month for insurance - fine, but the copays are 50 percent and out of pocket limit doesn't begin until that family has spent 7500 on deductables and 5000 MORE on out of pocket. $12, 500 hit on a family that makes barely twice that, plus $1200 in premiums as well is quite a slap. I wanted to see if I could get something better for myself, But so long as I need tier 2 or 3 meds I am fucked. I don't think those who advocate holding catastrophic policies take drugs into consideration. The plan I saw required that the payor expend $7500 before his insurance would pay a cent of his tier two or three meds.