My “Lousy” Health Insurance Plan

President Obama’s November 14, 2013, news conference on healthcare, was nothing more than him trying to save face by putting a presidential spin on something that has clearly spun out of control.  Mr. Obama’s spin could sound good for those unaware of how things really work with insurance and state insurance plan filings.

Mr. Obama’s come under fire for lying to the American people with his now infamous sound bite: “You can keep your doctor and your health plan.”  We’ve all heard it.  When that didn’t come to fruition on October 1, 2013 (the launching date for ObamadoesntCare), Obama and his spokespeople tried to spin the spin with another sound bite: “well if you had a lousy plan, your insurance company cancelled it” and boy did the people eat that up, giving consumers the impression they have Lousy insurance, which is contrary to:  “If you like your insurance plan you can keep it” promise.

Rosello Insurance Companies

But don’t fret, Mr. Obama has changed his position yet again and is now “allowing” us to keep our “lousy” insurance plan for at least another year. What’s the difference between the POTUS and an insurance salesman?  The POTUS knows he’s lying!

Well let me relate a personal horror story with the latest example of an Obama labeled “Lousy” insurance plan (which has become a reality for many Americans around the country).  We are now a statistic with the other 5,518,000 insured’s who’s insurance plans are being cancelled and losing our coverage.

As an Independent Agent, we represent a number of different insurance companies writing health insurance for small and medium businesses in Florida.  Our own agency group health insurance plan is presently written through United Healthcare.   Here is a brief description of what Obama defines as a “Lousy Insurance Plan” since United Healthcare is discontinuing/cancelling/terminating:

My Current Plan that was canceled due to ObamadoesntCare: ACA Approved Insurance Company Proposed Replacement Plan: Now when I attended school, we learned under old math:
$1,000  In-Network Deductible $1,700  In-Network Deductible $1,700 deductible is 70% higher than a $1,000 deductible
100% Co-insurance after the deductible 80% Coinsurance after the deductible
 $1,000 total out-of-pocket expense for the year $4,000 Out-of-Pocket expense $4,000 Out-of-Pocket Expense is 400% higher than a $1,000 Out-of-Pocket
$25 Primary Care doctor office co-pay & $30 Primary Care Doctor office co-pay $30 doctor copay is 20% higher than a $25 copay
$50 copay for a Specialist visit $70 copay for Specialists $70 Specialist copay is 40% higher than a $50 copay
Remember this is what Barack Hussein Obama refers to as a “Lousy Plan” in an attempt to cover his tracks from his “You can keep your health plan” sound bites. Group monthly savings for the “Replacement Plan” =  $158  per month Save $444 per year in premiums and pay more than $3,000 in out-of-pocket expenses per year

My out-of-pocket expense will sky rocket under the replacement plan, costing me thousands of dollars more per year.  Hey, but at least my individual monthly premium savings will be $60 per month or $720 for the year.  What an investment, save $720 per year in premiums and pay more than $3,000 in out-of-pocket expenses per year.

So much for the “Lousy Plan”.   Wonder if things could sound better if we can use the new politically correct Common Core mathematics equations, and see if we could arrive at percentages for the massive out-of-pocket increase, that would seem a bit more palatable, giving the appearance that $720 annual premium savings, is much better than having to pay more than $3,000 out-of-pocket expense?

My money is on Mr. Obama laying blame on insurance companies for cancelling health insurance plans (having to comply with ObamadoesntCare rules and regs) and Obama will double down on the “LOUSY” Plan narrative.  When Americans learn insurance companies cannot go back and reinstate those discontinued insurance policies because of state laws, it will be the evil insurance companies fault and not the genius in the White House (and I’m not talking about Valerie Jarrett or Jay Carney).

Sadly, the President’s Executive Order does absolutely nothing (but makes for a great sound bite – something Mr. Obama seems to be good at) for the 3 million people who have already lost their health plan, which is 2,924,000 more than enrolled in ObamadoesntCare for the same time period.  Insurance companies cannot do anything to remedy except re-file and unless the states are put on notice to streamline and approve the re-filings, it will take months upon months for the re-filings to get to the consumer.

Good news for Floridians, the state insurance commissioner will comply with the executive order and reinstate the cancelled policies.  However, I believe 9 states, including the State of California, have indicated stated they will not be reinstating cancelled health insurance plans. So much for being able to “keep your health plan”.  In the meantime, Obama will have the luxury of telling Americans he’s doing all he can (such as bypassing Congress and issuing Executive Orders) and insurance companies are just not responding fast enough and this has been the problem with insurance.

Obama and the Democratic Party have managed to dismantle and throw into chaos, a healthcare delivery system that successfully covered 85% of Americans, in order to cover 15% of the uninsured. 

Obamacare regulations 3-12-2013

Could health insurance companies have tweaked health insurance plans and made them better, absolutely.  They could have done it without the federal government issuing 3,000 new pages of laws and spending billions of taxpayer money by getting into the health insurance business!  Billions of dollars of taxpayer money the United States does not have!

Ideally, allowing business to purchase health insurance policies on an association basis and across state lines, would have helped increase the purchasing power for small business around the country.  But purchasing insurance through an Association and breaking down state barriers is a threat to the federal government’s quest to socializing America’s health insurance delivery system.

Being able to broaden the purchasing power of business, as labor unions are allowed, would have given business the opportunity to bring insurance rates down and to cover more of the 15% of the uninsured having a hard time qualifying for insurance.  Labor unions have the luxury and privilege to purchase their insurance across state lines, pooling union members.  Business is not allowed the same privilege.

It’s clear, Mr. Obama’s goal is to have the federal government takeover 1/6 of the U.S. economy.   There was no reason for the federal government to spend over $600 million of taxpayer money in reinventing the wheel, when insurance companies were already set up to underwrite and deliver insurance.  I cannot reiterate enough; the federal government disrupted and has ascended the U.S. Healthcare system into chaos to cover 15% of the uninsured, while inconveniencing 85% of covered Americans! Why?  It makes absolutely no sense!

Tom Rossello
tom@fmi-ins.com
 Florida Independent Insurance Agent

2 Responses to My “Lousy” Health Insurance Plan

  1. Dee Ductible says:

    This is one of the best articles on understanding ObamaCare. Just real life examples explained in plain simple English.

    Like

  2. The most disturbing thing about this story, as written by a FL insurance agent representing 4 major health insurance companies, is he can’t even get a decent comparable healthcare plan due to all the requirements of the ACA! If you are an insurance agent and you don’t like your healthcare plan, the rest of us are really screwed!

    Like

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