With average family plan premium topping $16,000 for the first time, with workers paying on average $4,565, workers will feel an increased pinch: More than a third have annual deductibles of at least $1,000 before insurance kicks in, while wages continue to grow far more slowly than health insurance costs.
Because insurers are overspending on profits and administration instead of medical care, the amount that must be refunded in this state by Aug. 1 tops $54 million. That’s only half of what insurers had to pay in rebates to Floridians last year. Nationally, insurers are refunding $504 million.
Whether individuals will be better or worse off under those rules depends on their age, health status, where they live – and perhaps most important, whether they end up needing substantial medical care in the coming year. Generally speaking, those who are younger and healthier may pay more than they would have, while older and sicker people are likely to be better off.
It’s not a prescription that a doctor can write. It’s not something insurance will usually pay for. But more patients are finding out how horseback riding, or even just being around the animals, can help them feel better.
Florida’s rejection of federal aid for the expansion of Medicaid leaves the state with a bare-bones alternative to provide health care for the poor and uninsured while setting a defining marker against Obamacare and the federal vision of health care reform.
As more small employers avoid the health act’s requirements through self-coverage, small-business marketplaces intended to cover millions of Americans could break down and become unaffordable.
Although Florida lawmakers have made it known they have no intention of going along with an expansion of Medicaid under the federal health care law, legislative leaders say they’re open to crafting an alternative that would find some way to expand health care coverage to many more uninsured as the law envisions.
Even when deductibles are included, 36 percent of policies offered to individuals on the private market exceed the new health law’s allowable limit. Once the cap is enforced, consumers may see higher premiums instead.
People leaving medicare Advantage for traditional Medicare are have higher levels of significant health problems, fueling concerns that the private plans cater to more profitable, healthy beneficiaries but don’t provide the most attractive care for the very ill.
A fund-raiser is being organized by the Flagler County Educators Association and the Matanzas High School Student Government Association on Mr.s Nahirny’s behalf Friday, Dec. 7, at Matanzas High School, from 2:30 to 5:30 p.m.