General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsBecause of new Govt. regulations health insurance will pay only up to $1million of your bill?
My employer holds a benefits meeting once a year. Health insurance costs have been rising every year since I entered the workforce over a decade ago. But the past two years they have been excited that they get to blame the rising costs on the government. They love getting ignorant people worked up here. Surrounding the break room with large screen TVs and Faux News isn't good enough.
My boss told me the other day health insurance will no longer pay more than $1million of your health care bill. If its more than a million, you have to pay it out of your pocket.
I find it strange that Obama, a Socialist-marxist-mouist-leninist-stalinist, would help the private insurance industry by putting limits on how much $ they have to fork over.
I've searched the Google and found nothing. Does anyone have details on this?
drray23
(7,637 posts)One of the most important provisions of the ACA is that there is no lifetime limit anymore. So, your employer is mistaken or plain lying to you.
itsrobert
(14,157 posts)Obamacare prohibits lifetime limits (A cap on the total lifetime benefits you may get from your insurance company) on most benefits in any health plan or insurance policy issued or renewed on or after September 23, 2010. In 2014, Obamacare prohibits new plans and existing group plans from imposing annual dollar limits (a cap on the benefits your insurance company will pay in a year) on the amount of coverage an individual may receive.
SEC. 2711 [42 U.S.C. 300gg11]. NO LIFETIME OR ANNUAL LIMITS. [Replaced by section 10101(a)] (a) PROHIBITION.
(1) IN GENERAL.A group health plan and a health insurance issuer offering group or individual health insurance coverage may not establish
(A) lifetime limits on the dollar value of benefits for any participant or beneficiary; or
(B) except as provided in paragraph (2), annual limits on the dollar value of benefits for any participant or beneficiary. (2) ANNUAL LIMITS PRIOR TO 2014.With respect to plan years beginning prior to January 1, 2014, a group health plan and a health insurance issuer offering group or individual health insurance coverage may only establish a restricted annual limit on the dollar value of benefits for any participant or beneficiary with respect to the scope of benefits that are essential health benefits under section 1302(b) of the Patient Protection and Affordable Care Act, as determined by the Secretary. In defining the term restricted annual limit for purposes of the preceding sentence, the Secretary shall ensure that access to needed services is made available with a minimal impact on premiums.
(b) PER BENEFICIARY LIMITS.Subsection (a) shall not be construed to prevent a group health plan or health insurance coverage from placing annual or lifetime per beneficiary limits on specific covered benefits that are not essential health benefits under section 1302(b) of the Patient Protection and Affordable Care Act, to the extent that such limits are otherwise permitted under Federal or State law.
- See more at: http://thanksobamacare.org/index.php?id=11#sthash.3ATKUIz4.dpuf
zinnisking
(405 posts)TheKentuckian
(25,029 posts)I've seen them on major medical and pharmacy benefits in no small numbers this year.
Peacetrain
(22,878 posts)dollar cap on our insurance through where my husband worked.. I think the ACA helps with that..
randys1
(16,286 posts)ALL RATE increases will be blamed on Obama...
My hope was the insurers would go too far and raise premiums so much that the people would finally wake up and DEMAND single payer
Spazito
(50,444 posts)"I find it strange that Obama, a Socialist-marxist-mouist-leninist-stalinist, would help the private insurance industry by putting limits on how much $ they have to fork over."
Peacetrain
(22,878 posts)and that has finally started to subside.. My husband still works even though I am retired.. but at least for the last couple of years our cost of living did not go straight to BC/BS
Travis_0004
(5,417 posts)Samantha
(9,314 posts)and the safeguards built into plans wrapped into the Affordable Care Act probably are not applicable to those other plans. This is just a guess on my part, but that would seem to make sense.
Sam
MineralMan
(146,325 posts)full of crap.