Text 10724, 123 rader
Skriven 2013-10-14 13:00:50 av Janis Kracht (1:261/38)
  Kommentar till text 10699 av Roy Witt (1:387/22)
Ärende: APODs
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Hi Roy,

>> ooh.  Still, no one has been able to prove statements like you
>> posted.

> BS...

It's true; can you point me to a site with verifiable information ?

>>>> Want to know how much our Insurance company had to spend on my last
>>>> visit to my neuro?  We checked, and it cost Aetna $2.00 (two
>>>> dollars). Meanwhile I paid that $60.00 copay, plus the monthly fee..

> Sucker.

Sucker or no, if your employer offers insurance you have  to go through them.
No choice right now.

>> Neither are ours.. a drug I'm supposed to start taking goes for
>> something like $150,000  year..

> A drug I take now is billed at over $20,000/per unit. That's on an average

Darn that's insane...

> of twice a month (every two weeks). I pay a $20 copay while Aetna, who is
> managing my Medicare account, pays the practioner $6k when it's all said
> and done. That doctor has learned a thing or two about billing to get paid
> a fair price for his materials and services and I don't blame him for
> doing so. My only wish is that he didn't have to do that because of the
> Obama administration's screwing the people with his socialism.

I only use medicare for Hospital/Docs-in-hospital.. not for drugs or doctor
visits in the doc's offices.  That will probably change in the future, well, it
will change in the future, but not right now.

>> needless to say Aetna says I don't need it.

> Reason given? Are you under the care of a doctor of your own choice or

Sure, 'they' said I don't have Relapsing/Remitting MS and my doc disagrees with
them.  I'm one of those people who have had MS for years, and it's just a
nuisance..  I have an apt. set up for a second opinion, but it's pretty obvious
Aetna doesn't want to pay the high fee for this new drug that recently hit the
market.

> are you forced to use a network doctor? Since when is it Aetna's choice
> to give you their 2nd opinion? I'd get one from a doctor of my own choice
> in any case.

Yep, doc in the network.. My neuro is setting this up the 2nd opionion.


>> Truthfully, I don't care about this one, but it makes me laugh at
>> Aetna's med. practices.

> They're just going by what the Unaffordable Healthcare Act has done to the
> medical practice. Many doctors refusing to take new patients due to the
> Obama-scare plan, many more are taking cash only.

Nope, not ours.

>My doctor continues my
> coverage because it is Medicare and not Obama-scare.  Both my doctor and
> my RN sister know what's coming, they're not very happy about it because
> of the high costs of premiums and the worse health care that will be
> coming with those premiums.

Nah, Roy.. this is how Aetna has always been, well before Obamacare was passed
as a law.  Our plan really stinks to high heaven.. It's a very small company
and you don't get big benefits at place like that.  You really have to consider
it more catastrophe insurance.


>>>>> costs, and I expect to see my contributions to go up.. On the same
>>>>> token, my employer can no longer provide healthcare coverage for
>>>>> part timers, instead they have to goto them exchanges.

>>>> Have you checked out "the exanges"?

>>> Yes and you apparently dont understand them...

>> Yes, I do. <g>

> Apparently not. I've checked them out too and I'm very glad that I won't
> have to put up with Obama-scare.

Like I said, it's all according to what you're paying where you live.  For us
when it comes down to it, it won't be much different than what we're paying
now, but the coverage will be MUCH better, and copays won't exist.

>> We won't qualify until our Employer changes the way things happen
>> with insurance.. we checked it out given a number of "changes".

> How much did your premium skyrocket under Obama-scare?

It's will be about the same cost as we're paying now.. not much more.  It's the
benefits that will increase.. dramatically.

>>>> I bet your cost will be lower
>>>> than you're paying now for the same service.. or if it's the same
>>>> cost, you won't have to pay the same kind of copays just like us.
>>>> Just a guess.

>>> I will let you know come 11/06 when we have open enrollment..

>>> Right now I pay $75 bi-weekly, thats pre-tax deduction, your
>>> sweetheart wants to tax that benefit.

>> We pay $610.00 month.. that's just our portion... our employer puts
>> his part of course.

> Wow! That must hurt. Mine is less than $100/mo and won't be changing
> for a while.


Yep.. a little <bg>

Take care,
Janis

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