WTF is this report I am watching just now on my local station where

[doc03]

people are being forced to put their kids on Medicaid because their insurance doesn't meet
ACA standards? The family they show have like 7 kids but 5 of them have to go on Medicaid.
In order to keep the whole family on private insurance they will have to another $16000 a year.
Man this ACA appears to be one nightmare after another, what a fucking mess.

[VanillaRhapsody]

1. why are only 5 eligible for Medicaid?

That doesn't make sense...and if the insurance doesn't meet ACA standards then it is no longer a valid policy.

[gerogie2]

21. It's based on income

Let's say the family makes $50k per year and has 7 members. The subsidy is only enough to cover premiums for the first four members. Instead of making the family pay more then they can afford for all members the left over members are put on Medicaid. Don't worry providing Medicaid to children is cheap because they rarely get serious diseases or have heart attacks like adults do, so it is super cheap to just put them on Medicaid and give them a yearly checkup. A family members son was put on Medicaid for his whole 18 years due to the parent having a disability. Outside of a yearly checkup and vaccinations it wasn't used. But it is nice for the family to not have to worry about if their kid gets injured or sick they will get treatment even if it is a urgent care center or ER.

[Bluenorthwest]

35. Childhood disease is not rare, not at all.

http://www.stjude.org/stjude/v/index.jsp?vgnextoid=f87d4c2a71fca210VgnVCM1000001e0215acRCRD

[doc03]

38. In Ohio in order to get on Medicade you have to be almost destitute. These may not be exact figures

but I believe you have to have less that $2000 in cash, a car valued under $1500 and a very low income.

[madinmaryland]

2. I'm confused? It sounds like they had shit private insurance and are now eligible for

Medicaid. Is that a bad thing?

Do you have a link to the story, because something just doesn't seem to make sense.

[Whisp]

3. WTF is correct...

Man this ACA appears to be one nightmare after another, what a fucking mess.

Now where does that line come from, I'm sure I've heard it about 13,695 times --- lemme think...

[freshwest]

8. Rush? O'Reilly? Cruz?

[NYC_SKP]

4. FOX news, perchance?

Don't believe it.

And really, if they can put 5 kids on Medicaid that's five policies that they don't have to pay out of pocket for.

Fuck private insurance.

Where have you been, what insurance do you have?

[doc03]

6. I don't understand the report myself either

but that is the claim. They have a family plan $1700 a month that covers the parents and 2 kids and because of what they said was another unexpected glitch in the ACA they have to enroll 5 kids in Medicaid or cough up another $16000 a year. They also talked about many doctors don't even accept Medicaid. It was on a local station I will see if they have a link on their site. It was WTOV TV in Steubenville Ohio.

[madinmaryland]

7. EGADS!! They have a HUGE link to "newsmax" on their site with all sorts of links

to teabagger shit.



Living in Dayton, even channel 2 here is not that bad.

[NYC_SKP]

10. Often, these very "real" seeming people are plants, the local news people don't even know it.

That they're being duped, happens a lot.

[stg81]

23. it's more than the media being duped, certain others are as well

[VanillaRhapsody]

24. so what's their problem with ALL of them going to the ACA?

I still don't understand why the kids qualify for Medicaid but the whole family doesn't.

[brush]

34. I smell fish

A family with 7 kids and making only 50k a year, and not covered by the ACA?

C'mon, you have to know that's a bogus story.

That's the very kind of situation the ACA was designed to provide coverage for.

[uppityperson]

5. Partly true but also VERY misleading.

The insurance I had last year did not meet ACA. I paid over $500 for a $10,000 deductible before ANYTHING was paid for beyond one basic well person check a year.

I got a note from my insurance company saying they were moving us to the new comparable plan which almost tripled our monthly cost but was ACA compliant, meaning we could actually use it.

I checked our state's webpage and found yes, were were moved to the expanded Medicaid at 1/4 of the cost we used to pay.

So, technically, their old insurance may not have met the ACA so they were offered a new one at a huge cost. Not wanting to pay that, they could go through the exchange and either (depending on income and state) get a subsidy to bring down the cost, or go onto medicaid.

And now they have insurance they can use, can not be dropped from for using.

No nightmare but a really good thing.

[doc03]

9. From the report it doesn't sound like a good thing. They are paying $1700

a month for insurance that covers part of the family. To cover the whole family it would cost then another $16000 a year or go on Medicaid. Medicaid is nothing you want unless as a last resort a lot of doctors won't even accept Medicaid patients. I couldn't find a link to the report, it was on WTOV TV. I am sure if there is any truth to it we will hear plenty from the GOP and Faux.

[uppityperson]

12. Every doctor does not take every insurance, even private ones. I lost a good endocrinologist yrs

ago when they dropped my insurance company. I am very happy to be on medicaid as now I can go to a doctor. Yes, I have to be careful as not every doctor takes it, like any insurance, but good grief. Before this I could see NONE because I could not afford it. Now I can.

I know a lot of people who are very happy to be able to be on Medicaid. It is not "nothing you want" but a very viable insurance plan that can help you get the care you need to stay, and get, healthy.

It looks like Ohio also expanded their medicaid program and now a lot of people will have insurance they can afford. How is this bad?

[uppityperson]

15. I did some research for you and found links for providers, posted downthread, LOTS of providers

come up on the search for Medicaid providers. I think you are finding concerns where there aren't any, or not much.

[VanillaRhapsody]

25. this is BUNK people all over the country have Medicaid AND see doctors...

every single day...

[GeorgeGist]

31. You're a funny guy/gal ...

I am sure if there is any truth to it we will hear plenty from the GOP and Faux.

[doc03]

11. It would be a nightmare if your income was beyond the threshold for

a subsidy! Medicaid is only something you would want as a last resort, better than nothing I suppose.

[DireStrike]

13. Why is Medicaid a last resort only?

The coverage is pretty damn good.

[doc03]

16. I don't think anyone would chose to be on Medicaid if they had other

affordable insurance available.

[DireStrike]

17. Why? Medicaid is free and offers good coverage.

[doc03]

18. That's what I said, unless you couldn't afford to purchase insurance

elsewhere. For free it is great I guess.

[VanillaRhapsody]

27. and so?

It's not that much different...Its HEALTHCARE...

[krawhitham]

20. Because in most states they take your estate when you die if you had Medicaid, your family gets ZERO

It is not free it has to be repaid using your estate when you die.

[DireStrike]

28. Interesting, I did not know that.

So there is one negative thing about using Medicaid. Thanks.

[doc03]

37. Exactly, I could drive you around and show you several vacant homes sitting deteriorating

because their occupant is in a nursing home. A nice home may sit for 1,5 10 years until a person dies then the state sells it
for peanuts. Unless you sign your house over to your children 5 years prior to getting sick the state takes it.

[uppityperson]

39. that depends on what happened with you, where the medicaid was paid. In WA, they only do

this if it was used for an extended care facility, what used to be called a nursing home.

For doctor's visits, etc, it does not have to be repaid. Though it varies by state and even here in WA they are working on legislation to make sure it doesn't happen.

[uppityperson]

19. Medicaid gets me basic dental, vision glasses where my private insurance didn't.

[VanillaRhapsody]

26. better than a crappy insurance policy that covers NOTHING! And they couldnt use

NOW they have free wellness checks and preventives and flu shots and you name it! THAT is worth ALOT...think about how much that would cost OUT of pocket for a family that size!

[uppityperson]

14. Here is the link for Ohio covered services under Medicaid. It looks comprehensive, includes dental

Basic dental, but still, cleanings, root canals, extractions, dentures.

Vision:
One exam and eyeglasses every 12 months (individuals younger than age 21 and older than age 60). One exam and eyeglasses every 24 months (individuals between the ages of 21 and 59).

http://medicaid.ohio.gov/FOROHIOANS/CoveredServices.aspx




This page is to search for providers and a lot show up with a quick search of Steubenville.
https://portal.ohmits.com/Public/Public%20Information/search%20provider%20directory/tabId/61/Default.aspx

[stg81]

22. too bad you didn't pay attention to/understand what Roberts did to the ACA

[TheMathieu]

29. Medicaid is a godsend.

Just about every doctor in town takes it.

Anyone complaining about receiving it isn't too bright, but what can you expect from a couple that couldn't stop at 2 or 3.

[pugetres]

30. Here is a link

http://www.fox17.com/news/features/top-stories/stories/some-middle-class-families-facing-new-healthcare-crisis-under-obamacarekristine-frazao-19456.shtml

I hope that the link works.

The news story is as lacking as the OP in details.

I'm insurable again! Thank you PPaca.

PP is the most important part for me.

I'm insured again! Woot!

Should anyone be this happy to pay money to an insurance company? It just doesn't seem right...

[B Calm]

32. FOX NEWS, now you know the rest of the story. . .

[wocaonimabi]

33. Nightmare is a bit harsh is it not?

Bureaucratic mess is more like it plus it is new and in some states the government is either not helping or lying to its citizens along with insurance companies and employers also lying just makes things a mess.

Let’s also heap on the top of all this non stop RW propaganda on tv and radio.

Sure the ACA has it problems but it is what we got now so we got to make it work the best we can with the goals of Gov Option and eventually a single payer system. The insurance companies will not allow any other type of transition; even with single payer the insurance companies will be involved, they are in Europe. Like it or not insurance companies are the backbone of the US economy, they will never go away, too much money involved across every segment of US business, industry and individuals.

[tiredtoo]

36. Not exactly in line with this thread but

I am helping a young man get enrolled in a healthcare plan. his big concern is paying for prescription drugs. he tells me one he takes costs about $186 every two weeks.
I went to healthcare.gov and am working on getting him enrolled but going through the various plans and finding one that covers his medication has proven to be futile so far. And it is tedious and time consuming.