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View Diary: FACTS - Affordable Health Care (11 comments)

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  •  Deductibles (3+ / 0-)
    Recommended by:
    worldlotus, FloridaSNMOM, Lujane

    How will deductibles work?

    •  Deductibles (1+ / 0-)
      Recommended by:

      This will depend on the private insurance carrier you choose and the level you choose for out of pocket--Bronze is 60-40%; platinum is 90-10%.  Premiums and details will be available October 1.  There is a 9.5% of annual net income limit on annual costs.

      For those on the federal exchange, there will be 11 private insurance companies from which to choose.

      Go to: and open an account now.

      •  Yes, I did that. (0+ / 0-)

        Set up the account, that is.

        My confusion is with the way Obamacare handles deductibles.

        Say you have an 80-20 plan. Does that mean that I have to pay 20% of every doctor visit, every med, every test, etc., until I hit the deductible OR, as I have seen mentioned, are all of those things, the things a person might need in an average non-hospitalization year, covered and the deductible only applies to major medical/hospital expenses?

        OR are some completely covered but the deductible applies to some office visits, etc.? Example: The preventive care mammogram -- no deductible. But the follow-up tests, if needed -- 20% deductible?

        Or is there no rule about this in Obamacare and each insurance company will decide which things have a deductible charge and which are completely covered?

        Under the hypothetical 80-20 plan above, in the first case, I have crap insurance. In the second case, I have good insurance.

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