Last year’s raucous town halls, with their anti-healthcare reform theme, will end up costing employees dearly this year, when we are presented with our health care options during our respective open enrollment periods.
Congratulations to all of you fist waggling, sign carrying, overtly angry folks who chose hyperbole over substance, and outrage over sensibility.
You’ve won!
Many of the people that I know are Republicans, so its not unusual for them to have voiced many opinions that were against practically everything that the Administration has tried to accomplish over the last two years. Their recitation of talking points prohibited us from having considered discussions on the issues.
We should have all been able to do better than that.
During a recent discussion on the options available to employers for keeping a lid on rising health care expenses, I was asked, “When will the “Obamacare” public option be available?”
I don’t think that I was successful in disguising my chagrin.
As we all should know, there is no public option in the health care reform law – thanks largely to the opposition from the Right. We are now, as we were before, at the mercy of insurance companies. I find it infuriating that the concept of a public option suddenly appeals to some people who opposed it, only when they are faced with a sudden increase to THEIR insurance costs.
This is making my head hurt.
In another conversation, I was told that one could go to any insurer’s website and sign up for a policy that was inexpensive. I agreed, but cautioned that the drawback to the attractive low monthly premium was that he would pay through the nose if he ever had to actually use his insurance. His response: “I’m young and in good health, so I should be okay.”
Where is my Motrin?
I searched eHealthInsurance.com for a low cost PPO plan for a 30-year old, non-smoking male, in my geographic region, and found that the monthly Aetna premium is only $97, after application approval, of course.
Great!
But wait, some of the plan details include:
- $1,500 deductible;
- 20% coinsurance;
- $30 copay; $50 for a specialist;
- 40% hospitalization coinsurance;
- $5,000 annual out-of-pocket expense.
Other plans excluded things like maternity hospitalization, and chiropractic or substance abuse treatment.
Okay, maybe not great. Let’s call it an “okay” plan.
In fact, it’s probably pretty close to the plan that would have been available to those who could not afford the $97 premium under a public option. So, it seems that the crux of the public option argument was this:
Should we (1) help struggling Americans obtain “okay” coverage, by offsetting some of their premium expense, and (2) force insurance companies to compete with the public plan in order to slow the increase of insurance costs for everyone?
Clearly, those are two horrible ideas. No wonder angry citizens took to the streets.
With that argument now behind us, we can all just move on. All that’s left for us to do is to remember to bring aspirin to our next open enrollment meeting.
We are going to need it.










{ 2 comments… read them below or add one }
Open enrollment has already happened at BF work – premium/co-pay up – coverage down…
On another note – my elderly mom just had a big “A” bump on one of her meds – from less than $5 co-pay to $115!!! Now the poor old lady is bashing Obama & there’s been no progress in talking her down. Please pass me the Motrin!
Hi Ali,
It’s like a sad country song that we will all be singing this year, “premium/co-pay up – coverage down… and the dog ran away.”
You mom’s co-pay increase is horrifying! On what planet would an increase like that make any sense at all? That she blames Obama isn’t surprising. She’s angry and he’s an easy target — if not the right one. I don’t think that you will be able to talk her down. I’d be on the ledge over something like that too!
Ray