Page 1 of 2 12 LastLast
Results 1 to 10 of 13
Thanks Tree1Thanks

Thread: Catastrophic medical insurance

  1. #1
    New Member
    Joined
    Jul 2009
    Posts
    397
    Thanks
    39

    Catastrophic medical insurance

    Catastrophic medical insurance:

    Government single payer is THE superior method for providingbasic medical insurance.
    Unfortunately, this concept has not yet been entirelyadopted in the USA.

    [Medicare, Medicare advantage, and Medicare Supplementalinsurances are an example of government provided basic insurance thatindividuals may choose to augment by purchasing additional insurance providedby nongovernment insurers. Commercialinsurers did not, do not, and cannot provide basic medical insurance in a mannersuperior to that of Medicare insurance].

    Catastrophic medical expenditures paid on behalf ofindividual patients are drastic costs to all; (i.e. to individual persons orothers such as medical insurance plans) that pay those expenditures. They increase the costs and prices of all(commercial, or nonprofit or government) administered medical insurance.
    Due in part to individual patients’ catastrophic medicalcosts, insurance plans are less affordable and fewer people are insured by them.
    In the USA when the legally obligated or charitable entitiesdo not pay providers of medical goods and services, substantial amounts of thosebills are directly or indirectly paid by our governments, (i.e. our taxpayers).

    I’m among the proponent for federal universal individualpatients’ catastrophic medical insurance.

    It’s proposed when a patient’s annual medical expendituresreach the “catastrophic amount”, the federal government should assume themedical insurance of that patient for no less than then and the years thatfollow until the medical expenditures on behalf of the patient do not exceed15% of the catastrophic amount within one of those following years.

    Catastrophic medical insurance should be patient’sentitlement regardless if the patient was or was not previously insured. Participating Affordable Care Act insurers are required to accept high-riskclient’s and catastrophic expenses are more likely to occur among those clients.

    The legally defined “catastrophic amount” should be annuallyadjusted. Medicare is an example ofprice schedules for authorized medical goods and services.

    Respectfully,Supposn

  2. #2
    Established Member
    Joined
    Apr 2015
    Posts
    7,126
    Thanks
    1224

    From
    Banned
    The PPACA made catastrophic type medical care plans illegal.
    Thanks from Southern Dad

  3. #3
    Galactic Ruler Spookycolt's Avatar
    Joined
    May 2012
    Posts
    51,772
    Thanks
    9493

    From
    By the wall
    How can it be illegal, its what I have.

    I pay for it through my deductible.

    It means I get no insurance breaks on doctor visits or prescriptions but if something serious happens its 100% covered, no matter what it is.

    Just meet my deducible and I am covered....its a good feeling.

  4. #4
    Veteran Member Southern Dad's Avatar
    Joined
    Feb 2015
    Posts
    31,274
    Thanks
    6603

    From
    A Month Away
    The Catastrophic Healthcare Insurance plans of the PPACA are not the same as the plans that were offered prior to its passage into law. Now the plans are high deductible but still have to cover all of these other things to comply with the law. You know things like birth control, preventive services, three primary care visits per year, immunizations, etc. That's whether you want those coverages or not. While all of that sounds good, it has increased the price of these plans, drastically.

  5. #5
    Galactic Ruler Spookycolt's Avatar
    Joined
    May 2012
    Posts
    51,772
    Thanks
    9493

    From
    By the wall
    Quote Originally Posted by Southern Dad View Post
    The Catastrophic Healthcare Insurance plans of the PPACA are not the same as the plans that were offered prior to its passage into law. Now the plans are high deductible but still have to cover all of these other things to comply with the law. You know things like birth control, preventive services, three primary care visits per year, immunizations, etc. That's whether you want those coverages or not. While all of that sounds good, it has increased the price of these plans, drastically.
    Mine covers everything from doctor visits to prescriptions 100% but for some reason it doesn't cover any foot problems.

    I don't understand that.

    Seriously though, if you got a few thousand to spend on the deductible this is the way to go.

    If I get cancer it will all be 100% paid for from top to bottom.

  6. #6
    Veteran Member Southern Dad's Avatar
    Joined
    Feb 2015
    Posts
    31,274
    Thanks
    6603

    From
    A Month Away
    Quote Originally Posted by Spookycolt View Post
    Mine covers everything from doctor visits to prescriptions 100% but for some reason it doesn't cover any foot problems.

    I don't understand that.

    Seriously though, if you got a few thousand to spend on the deductible this is the way to go.

    If I get cancer it will all be 100% paid for from top to bottom.
    Right, coverage for everything from doctors visits to prescriptions is not what catastrophic care was meant to be, which is why the insurance has such a high price tag compared to the catastrophic plans that were in existence before the PPACA.

  7. #7
    Galactic Ruler Spookycolt's Avatar
    Joined
    May 2012
    Posts
    51,772
    Thanks
    9493

    From
    By the wall
    Quote Originally Posted by Southern Dad View Post
    Right, coverage for everything from doctors visits to prescriptions is not what catastrophic care was meant to be, which is why the insurance has such a high price tag compared to the catastrophic plans that were in existence before the PPACA.
    Are you saying it was meant to only be for specific things?

    I know it covers everything now but we also pay for that.

    I don't get 80% off when I go into the doctor, I pay the full price....every year.....so I am paying for that extra coverage.

    My plan is only 2800 per year but others pay around 6000 for this coverage.

    That's out of pocket money straight to whomever.

  8. #8
    Veteran Member Devil505's Avatar
    Joined
    Jan 2008
    Posts
    58,945
    Thanks
    17093

    From
    Mass and Florida
    Quote Originally Posted by Libertine View Post
    The PPACA made catastrophic type medical care plans illegal.
    As well it should be....it's a scam for dummies.

  9. #9
    Veteran Member
    Joined
    Sep 2013
    Posts
    28,570
    Thanks
    22785

    From
    On a hill
    Quote Originally Posted by Southern Dad View Post
    Right, coverage for everything from doctors visits to prescriptions is not what catastrophic care was meant to be, which is why the insurance has such a high price tag compared to the catastrophic plans that were in existence before the PPACA.
    Of course. If an insurance plan covers nothing a person is apt to need, the cost can be low, kind of like insuring a car no one drives.

  10. #10
    Veteran Member Southern Dad's Avatar
    Joined
    Feb 2015
    Posts
    31,274
    Thanks
    6603

    From
    A Month Away
    Quote Originally Posted by Spookycolt View Post
    Are you saying it was meant to only be for specific things?

    I know it covers everything now but we also pay for that.

    I don't get 80% off when I go into the doctor, I pay the full price....every year.....so I am paying for that extra coverage.

    My plan is only 2800 per year but others pay around 6000 for this coverage.

    That's out of pocket money straight to whomever.
    Catastrophic Healthcare Insurance prior to the PPACA was to only cover catastrophic healthcare. It wasn't meant to cover birth control, office visits, etc. When you say that you pay $2800 a year, is that the plan costs or your costs? In other words is it subsidized? Is it paid for by you and your employer with the $2.8k being your share?

Page 1 of 2 12 LastLast

Similar Threads

  1. St. Louis Plans for Catastrophic Nuclear Event
    By Wonderer in forum Current Events
    Replies: 19
    Last Post: 16th October 2015, 04:57 AM
  2. Replies: 6
    Last Post: 22nd February 2012, 10:17 AM
  3. Replies: 51
    Last Post: 9th December 2011, 06:18 PM
  4. Replies: 4
    Last Post: 24th September 2009, 07:11 AM
  5. A war to Iran will be catastrophic.....
    By gadfly27 in forum World Politics
    Replies: 4
    Last Post: 20th December 2007, 12:53 PM

Tags for this Thread


Facebook Twitter RSS Feed