Let’s assume you live in Florida and are a family of four. Two parents and two children. The father is age 50, the mother 40, a son 12 and a daughter age 8. No one smokes.
If your family annual income is at least $ 23,850, (which is the 2014 poverty level) but in this case your annual family income is $ 25,000, you will be able to buy a private insurance plan from the Obamacare Health Insurance Marketplace.
(Note: eligibility to participate is between $ 23,850 and annual income less than 400% of the 2014 poverty level.)
Using this example, you will be able to pick from 105 plans, from Florida Blue, United Health Care, Assurant and Health First Plans, Inc.
The more viable options are with United Health Care (UHC).
UHC Example No. 1
Monthly premium: $ 44.00 (Premium before subsidy: $642)
Deductible: $ 0
Out-of-Pocket Maximum: $ 800.00
Primary Doctor Visit: $ 20.00
Specialist Doctor Visit: $ 40.00
Emergency Room Visit: 10% coinsurance after deducible (which is $ 0)
Generic Drugs: $ 10.00
In this example the children would be eligible for Medicaid or CHIP (Children’s Health Insurance Program).
Also, this example is a HMO (Health Maintenance Organization), which means you need to have referrals and you will not have as wide a choice of doctors.
UHC Example No. 2
Monthly premium: $ 0.00 (Premium before subsidy: $594)
Deductible: $ 1,000.00
Out-of-Pocket Maximum: $ 1,000
After you meet your deductible, there is no charge for primary of specialist doctor or emergency room visits, or generic drugs.
Once again, your children would be eligible for Medicaid and CHIP and this is an HMO.
But then compare this to a Florida Blue Plan:
Monthly premium: $ 43.00 (Premium before subsidy: $ 640)
Deducible: $ 12,500
Out-of-Pocket Maximum: $ 12,500
No charges after the deducible.
Such a disparity in deductibles. But the Florida Blue plan may be appropriate for someone in good health who does not want to switch doctors and has the wear withal to fund the deducible and out-of-pocket maximum.
It is a PPO plan (Preferred Provider Option) where you do not need referrals and have a wider choice of doctors.
Once again, your children would be eligible for Medicaid and CHIP and this is an PPO.
Aren’t the United Health Care plans available through Obamacare good for society?
Meanwhile, as reported on the “Let’s Fix This Country” website on June 2, 2015, “Michael Greve, once chairman of the Competitive Enterprise Institute, which has funded the legal assault on the act (The Affordable Care Act – Obamacare) put it this way: ‘This bastard has to be killed as a matter of political hygiene. I don’t care how this is done, whether it is dismembered, whether we drive a stake through it its heart, whether we tar and feather it and drive it out of town, whether we strangle it.”
Based on the Supreme Court’s expected ruling later this month in the case of King v. Burwell, these benefits may all come to and end.
At issue is whether or not residents of a state that has not established its own healthcare marketplace are entitled to healthcare subsidies from a Federally run marketplace.
Should the Supreme Court rule in favor of the plaintiffs, David King, et al, because Florida does not have its own exchange, approximately 1,600,000 Floridians would lose healthcare subsidies – and most likely their health insurance.
Vero Communiqué 