Flopper
Diamond Member
Prior to the law's passage, we saw a race to the bottom among insurance companies, with insurers cutting benefits to lower premiums. The essential health benefits listed below set a standard for insurance. Anything below that is not true health insurance. In some states such as Ohio and Florida, the insurance commission allowed companies to market bare bones plans which appeared to offer comprehensive coverage but in fact offered little except a low premium. The existence of these plans prior to the ACA are the primary reasons we are seeing large increases in premiums in some states.Not until ACA came along. Prior to that, all our transactions with insurance companies were voluntary. If we didn't like the way they shared risk, or who they shared it with, we didn't have to do business with them. Congress took away our right to make that choice. And the Court let them.
It sounds like you believe there was a free market for healthcare insurance before the ACA where we could really choose a plan that best met our needs. The fact is 85% percent of the people were covered by either:
The rest of us had to deal with the individual healthcare market which in most places only had a few plans available with crappy coverage, sky high premiums, and pre-existing condition limitations.
- The plan(s) their employer chose for them
- Medicare if they were seniors
- Medicaid if they were poor
- VA if they were Vets.
We have never had an open free market for healthcare insurance.
So, you've taken a system that you didn't approve of and have made the situation much worse. Between having to pay for coverage that isn't needed except in the minds of some government drones and the incredibly high deductibles, the ACA is setting us ALL up for bankruptcy.
Thanks for that.
The inclusion of the essential benefits in all insurance plans makes possible a logical comparison of plans. The buyer need only consider premium, deductible, co-pays or co-insurance, healthcare providers in the plan, and customer service. Prior to the ACA it was virtually impossible to compare plans because of the variation of covered services and the amount of that coverage within each plan. The insurance companies created plans that could not be compared to other plans. People bought plans based on premium and deductible and only hoped that benefits would meet their needs.
Ambulatory patient services
Emergency services
Hospitalization
Maternity and newborn care
Mental health and substance use disorder services, including behavioral health treatment
Prescription drugs
Rehabilitative and habilitative services and devices
Laboratory services
Preventive and wellness services and chronic disease management
Pediatric services, including oral and vision care
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