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Honeycombe8

(37,648 posts)
16. Is this for a business? Or you have multiple ins. plans just for yourself?
Thu Jul 4, 2019, 10:05 AM
Jul 2019

Why do you have multiple plans? What is a "flex plan"?

When you do find errors, you mean the ins. co. actually corrects them? I've never had luck getting an ins. co. to "correct" anything. A low level clerk just says, "I don't know why that's so." That's it. When you have an individual policy, you have no power whatsoever. Obamacare acting like individuals are groups of insureds makes no sense....it works to the detriment of the public. You pay for all sorts of stuff you don't need or want, because it's like a "group" policy, but the price isn't a "group" price, and the insured has no power like a group does.

The latest was one time when I had a supposedly free preventive exam (to get the bloodwork done). The ins. co. charged me about $60 for it. I called to ask why, because the ACA dictates that preventives are free. She said she didn't know. She said there must be a code in the records. I ask "what code?" She said she doesn't know. I call dr's office and ask. They tell me there is no code that's different from the way they normally code preventive exams. So because I was an individual, with an individual policy, without any leverage like a group, and no ability to change ins. cos. (that was the only co. that sold ACA individual policies in my area), I simply had to pay whatever they told me. Unless I wanted to sue in a small claims court somewhere.

I'm lucky to have had excellent health all my life, so haven't had to track ins. co. payments or anything. Now I'm on Medicare, which will hopefully be better, since I'll be getting medical conditions as I age. Unless I just drop dead one day.

Be sure and vote True Blue American Jul 2019 #1
USA! USA! dalton99a Jul 2019 #2
Wow! All I can say is, at least we're not Ireland FakeNoose Jul 2019 #12
Ireland jumped out to me too Midnightwalk Jul 2019 #29
Interesting because I'm in France and covered under that system. GoneOffShore Jul 2019 #40
Best healthcare in the world, asccording to the entitled Scarsdale Jul 2019 #3
Thank you for your post. I know what you mean. Ohioboy Jul 2019 #4
Yep cilla4progress Jul 2019 #5
How come errors like this always go in favor of the rich corporations? Farmer-Rick Jul 2019 #6
Tri Care is great. Ligyron Jul 2019 #17
Yes, it is pretty good Farmer-Rick Jul 2019 #32
Yes totally fucked up vlyons Jul 2019 #7
Please support area51 Jul 2019 #8
We had a flexible spending account onlyadream Jul 2019 #9
Like so many things today... El Mimbreno Jul 2019 #10
Don't get sick and if you do, die quickly. panader0 Jul 2019 #11
Single payer is used by very few countries to achieve Universal Health Care. Most use hybrid payers. ehrnst Jul 2019 #13
K&R. Agree, and thank you for that clarity. KY_EnviroGuy Jul 2019 #19
A clear result of an unfettered laissez-faire version of capitalism. KY_EnviroGuy Jul 2019 #14
After getting a brain injury that sent me into seizures medical bills were a nightmare ... uponit7771 Jul 2019 #15
Is this for a business? Or you have multiple ins. plans just for yourself? Honeycombe8 Jul 2019 #16
Answers: LuckyCharms Jul 2019 #18
Oh, yeah. I remember what FSA is. Honeycombe8 Jul 2019 #21
FSA are still around in some workplace plans. MarvinGardens Jul 2019 #23
I remember that. That's mainly why I didn't participate. Honeycombe8 Jul 2019 #25
I have an FSA plan... druidity33 Jul 2019 #28
Mine works fine for prescriptions... LuckyCharms Jul 2019 #30
I use durable medical stuff, so we put in all we're allowed. Lars39 Jul 2019 #31
I feel your pain, Lucky Ohiogal Jul 2019 #20
Sounds like Blue Cross. MarvinGardens Jul 2019 #22
Healthcare made easy PoliWrangler Jul 2019 #24
There will be nothing "easy" about changing our baked in patchwork unregulated system, ehrnst Jul 2019 #26
It's not enough that you're sick, CrispyQ Jul 2019 #27
Hear! Hear! k&r n/t Laelth Jul 2019 #33
Yep. I have five possible payers.. lostnfound Jul 2019 #34
We all waste time becoming proficient in multiple payer systems lostnfound Jul 2019 #35
"Waste time?" Most developed nations have multi payer systems for UHC. ehrnst Jul 2019 #36
I think you misunderstood me..complexity is burdensome. Many people can't cope. lostnfound Jul 2019 #37
Gotcha. ehrnst Jul 2019 #38
As you personally experienced, it's not mixed payer the way some other countries are, where.. lostnfound Jul 2019 #39
This is exactly what I experienced... Phentex Jul 2019 #41
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