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1310633 tn?1430224091

Obama: 9 million covered by health reform. Well maybe.

NEW YORK (CNNMoney) In his first State of the Union since a major provision of his signature health care reform act took effect, President Obama took time out to praise the achievements of Obamacare.

Obamacare got a bad rap after the disastrous launch of the federal and state exchanges in October. But enrollment has since improved, but not quite to the level that the president extolled.

Obama said Tuesday that more than 9 million people have signed up for insurance thanks to Obamacare.

Here's how it breaks down:
Some 2.1 million had signed up for private insurance through the state and federal exchanges as of Dec. 31. This figure was updated to 3 million last week. However, it includes both people who have paid their first month's premium and those who have not yet fully enrolled. Those who don't pay by their insurers' deadline will not be covered.

More than 3 million young adults under age 26 obtained insurance through their parents' policies. This provision was one of the earliest ones to take effect, starting in September 2010.

And another 3.9 million people learned they're eligible for Medicaid or the Children's Health Insurance Program (CHIP) in October and November.

But this final figure is pretty squishy since it includes people who already had Medicaid and were simply renewing. Administration officials could not give the percentage of renewals. Experts say renewals could be a sizable chunk of that figure.

Still, Obama took the opportunity to highlight how health reform was helping Americans, pointing to a newly covered single mom from Arizona whose emergency surgery earlier this month would have bankrupted her had she remained uninsured. Prior to Obamacare, she could not obtain insurance because of a pre-existing condition.

And he highlighted Kentucky Governor Steve Beshear, whom he called "a man possessed" with covering his state's families.

The president also wove his income inequality theme into his lauding of Obamacare.

"For decades, few things exposed hard-working families to economic hardship more than a broken health care system," he said. "That's what health insurance reform is all about -- the peace of mind that if misfortune strikes, you don't have to lose everything."

SOURCE: http://money.cnn.com/2014/01/28/news/economy/obamacare-enrollment/index.html?hpt=po_c2
22 Responses
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649848 tn?1534633700
One thing people don't realize is that ACA is affecting Medicare as well as everything else that's health care related...

I'm not speaking for Brice, but this is my understanding of the situation... Brice's mother lost the Medicare supplement that she'd paid into for 28 yrs and which should have taken care of her bills as long as she lived.  As a result of losing this insurance, she's responsible for paying everything that Medicare doesn't pay... yes, you're right... they can get an attorney and possibly get the coverage reinstated if they can prove that the documentation was provided (which Brice says they can) and after a long court battle, they might be able to get the insurance reinstated; however, from what I've seen of the courts, she would still be responsible for the bills incurred while the insurance was not in effect.  From his earlier posts, we can deduce that Brice is with his mother this weekend and I know, without a doubt that he will correct me if I've made any incorrect statements.

Pretty sad state of affairs when someone spends 28 yrs working to guarantee coverage, then losing it because of someone's incompetence..

Those states that refused to expand Medicare are not necessarily "obstructionist", because the majority of people in those states, including our fair state of FL don't want the ACA.  As you very well know, I'm one of those and as I've posted, I'm seeing the effects of it on my own health care.  

I'm delighted for anyone who didn't have health insurance and does now, but I'm totally disgusted that those of us that had adequate health insurance are having to take less quality to accommodate that... I spent so many of my prime years feeling like crap, and now I give up feeling well for the first time in 20 yrs, because insurance won't pay for the meds I need to maintain that... I do blame the ACA for that.

I also blame ACA for not doing anything to lower the price of health care so people might be able to afford it without having to worry if they have insurance... That's what it all started out be anyway; or at least that's what we were told... it was all lies to get everyone in the mode for government run health insurance.  I hope everyone here gets a chance to talk to people from U.K, and even some areas in Canada where they can't get testing, treatment because of the state run guidelines...
Helpful - 0
Avatar universal
I realize that Medicare is a free standing from the ACA. I also realize that it does not pay 100 percent and most people on it must carry supplemental insurance as well. Im not understanding if it was the medicare that Brices mom lost or the supplemental care policy she had? I cannot fathom it would be medicare but truth is stranger than fiction I spose. And if it was the supplemental and he has documentation proving she met the requirements, if it was me, I would be getting an attorney and making them pay back medical as well. It would be Brice that needed to do this as I understand his mom is not well. I hope he manages to get something figured out sooner rather than later.

As far as living in an obstruction state, what I was saying is that those states that refused to expand medicaid, also rigged the exchanges to be high. Here in florida, they suspended the right of the department of human affairs I think it was, to not have the ability to negotiate rates lower until 2016. Coincidence? I dont think so.
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649848 tn?1534633700
No, you don't have to get another policy to supplement your insurance policy... I'm talking strictly about Medicare, because you mentioned above that someone on Medicare, like Brice's mother, would have their care paid by Medicare.  I was pointing out how Brice's mother lost the plan that she'd paid into for many years and how being on Medicare doesn't guarantee payment of ALL the medical bills.

I'm not on it yet either, but my husband just went on it the first of Jan and we did a lot of research to find policies prior to his going on it.  Since I will go on it the first of June, I will have the same options for this year that he had.

This has nothing to do with the fact that we live in an "obstructionist" state --- this is Medicare, that's federally funded and available to those 65 and older, no matter what state they live in.
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Avatar universal
Is it possible for you to contribute to a conversation without the condescending attitude? Do you sleep at night and have dreams of how nasty you can be the next day?

I didnt say the program was a failure for starters, and absolutely the exchanges these states put in place are rigged! Were you born under a rock? If you want to pretend to know it all then do some damn research and keep up on things.

Otherwise, dont waste my time

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1310633 tn?1430224091
"...the state set up and rigged them to be unaffordable..."

You're joking, right?

You're really trying to blame your "obstructionist" state for the failure of this program?

I've been waiting for you Libs to start pointing the finger at someone for why it's not working, but I never thoughta that one, Teko.

Truly a creative finger-point you've come up with there.

I felt SURE you'd try and blame Bush somehow.
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Avatar universal
As I am not on medicare I do not claim to know how it does or does not work, but it sounds much the same as many of the plans that are not medicare that you have to choose from. They are different as well in the same ways you explain. For instance, the plan I have, because of affordability is a silver 70 thirty plan. And in it there are hmo approved doctors and a deductible for pharma or scripts that need to be met as well, and then there are certain medications that are only available in generic form. The only saving grace is that after you pay your deductable, their is a limit on out of pocket for the year which is not a cure all, but at least you know there is a limit.  Now I do have older siblings on medicare and they have always had to carry a supplemental policy because medicare has never paid one hundred percent for everything. What I have found is like you, their are several different plans that are taylored by the insurance companies, so you do have to be careful and pay close attention. I would call the national website and talk to them to find out what might be the best route to go. What I would not do is go local in a state in obstruction mode who has an agenda to turn people against the aca for political purposes, is all I am saying. So since I got a silver plan, do I now need a supplemental as well I wonder?
Helpful - 0
649848 tn?1534633700
"People that were already on medicare or medicaid are considered to have already complied and need to not do anything further."  Not so. Of course, you do nothing to "apply" to Medicare, but it doesn't end there.

The problem with Medicare is that it doesn't pay for everything, so if one doesn't have a supplemental insurance plan, they will be stuck for everything Medicare doesn't pay.  Medicare, basically, pays 80% for hospital stays... the remaining 20% is patient responsibility, so it, and for the most part, doctor visits and medications have to be covered by a supplemental plan or be paid out of pocket.

If I understand it correctly, this is what happened to Brice's mother: she'd paid into this policy for many years and it should have supplemented her Medicare and picked up what Medicare didn't pay, but she ended up being dropped from it, through no fault of her own, because her paperwork was "lost".  Hmmmm!!   Now she's stuck with the bills...  that's quite an impact on someone getting $700 SS each month.

Since my husband just went on Medicare the first of the year and he got a really good Medicare Advantage Plan, I'd thought to go on the same plan when I switch to Medicare in June; however, as I research, I find that not all Medicare Supplements or Advantage Plans are created equal.  Some are not friendly to those of us with chronic conditions. Though they can't deny us coverage, they can put very unpleasant stipulations in the policies, which, in turn make these plans unfavorable to doctors cause a lot of out of pocket expense.

I find that the thyroid medication I've been taking for several years and have done very well on, is not covered, because it's not "preferred", nor is the medication I take for peripheral neuropathy covered, because it's prescribed "off-label", even though it's a common, relatively inexpensive treatment, etc... Not to mention that neither my endo, neurologist or urologist take many Medicare supplements.  What I'm looking at is a lot of my care having to be paid out of pocket if I want to maintain the level of care I'm currently getting via my (previous) employer insurance and with which I feel well.

Most people will say this isn't related to the ACA, because it's Medicare, my doctors tell me that's the reason they stopped accepting a lot of plans.
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1530342 tn?1405016490
Good info...
Helpful - 0
Avatar universal
I got a policy, went thru the national website since I live in a state that is in obstruction mode, I dont trust the exchanges the state set up and rigged them to be unaffordable. I deal with an insurance company based out of kentucky. I got affordable rates and honestly I cannot think of one negative about it. Since I didnt have coverage or a primary care physician before I got this, I have no problems with the doctors in the network.

Brice, if you are, or your mother is in an obstruction state, go to the national website. Altho if your mom is on medicare, she is considered covered already and she need not apply. It sounds like your problem is unrelated to obamacare. People that were already on medicare or medicaid are considered to have already complied and need to not do anything further.
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649848 tn?1534633700
I had the following posted as my status at one time:  Everyone is going through something, of which you know nothing.  Always be kind.....

I would remind everyone in this group... we call came here looking for support of some kind for some issue we are/were dealing with.  We don't know what everyone else is dealing with and some of the rudeness I've been seeing here is quite disturbing.  

I've said before and I'll say again... if all one has to say is snide or rude remarks, name calling, etc  they have nothing to add to the discussion at hand and should probably just not post at that time.
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1310633 tn?1430224091
Is that an attempt at an apology, with a touch of aplomb?

Since Grimm's apology wasn't acceptable for what he did, and he should be in jail, or fired, or forced to resign... what's good for the goose.

I think you should be banned from CE for your remarks.

How does that sound?

(amazing how the double-standard engine comes grinding to a halt when it's one of your own, or YOU, that's under fire)
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Avatar universal
I had no idea that your Mom was sick. From your post I thought she was in good health. I am sorry for my remark.

Mike
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1310633 tn?1430224091
I realize that people that previously didn't have access to insurance, now DO have said access.

But at what cost? And I'm not talking financial cost either.

2-3 million people have LOST coverage that they had PRIOR to this program coming online, and that's just the beginning.

Once the Employer Mandate kicks into gear next year, it's estimated another 20-30 million will lose their existing coverage. POOF. Gone. Dropped.

So we have this amazing program that gives a previously uninsured 10-15M people access to insurance, but the cost is to make 20-30M already insured people, UNINSURED.

Tell me how the heck that makes sense?!?

(not to mention how much $$$ it's costing, but that's irrelevant).
Helpful - 0
Avatar universal
My mom is not doing fine, jack ***.....  she was in the ICU on life support for 5 days.  I wish you lived near me....
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163305 tn?1333668571
My main problem with the plan is that it hands everything over to the insurance companies.

However, I do know people benefiting from it, people who had no health care or insurance at least now have something, at least in my state.
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Avatar universal
My 73 year old mom is taking a screwing right now.....

It sounds like your mom is doing just fine. Go girl go!
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Avatar universal
I know... affecting my family negatively and I am supposed to be glad about it.  I'll get on board the train if there is any money left to buy a ticket.
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1310633 tn?1430224091
But Brice, she is but ONE isolated incident.

This isn't the norm.

The norm is that Obamacare is AMAZING and AWESOME and COOL and the greatest thing ever, and for everyone!

What's your problem?

Crybaby.
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Avatar universal
My 73 year old mom is taking a screwing right now.... the only insurance she is is Medicare...$700 a month, for a woman who has rarely ever been sick.  She was hospitalized in the early 70's to have her gal bladder taken out.

She was part of an insurance trust.  She was asked to send in some documentation, which she did and we have proof... they lost in and consequently dropped her from a program that she paid into for 28 years.  Insurance people are scumbags!  Now, now that she needs this insurance, she's not covered?  Scumbags.....

I am headed her way tomorrow and will be exhausting every insurance lead I can to get her some coverage that is affordable.  

Good luck to me for that.
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649848 tn?1534633700
"That's what health insurance reform is all about -- the peace of mind that if misfortune strikes, you don't have to lose everything."

Notice now, that it's "health INSURANCE reform, not health CARE reform? Nothing's changed with health "care", either, quality or cost, but if everyone has "insurance" it doesn't matter, because someone else is paying for it!!
Helpful - 0
Avatar universal
Anything to fit the talking point.
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1310633 tn?1430224091
"...includes both people who have paid their first month's premium and those who have not yet fully enrolled..."

"...3 million young adults under age 26 obtained insurance through their parents' policies..."

"...3.9 million people learned they're eligible for Medicaid or the Children's Health Insurance Program..."

"... figure is pretty squishy since it includes people who already had Medicaid and were simply renewing..."

So...

We've been able to add 3M kids to their parents insurance policies (which might get cancelled when the employer mandate kicks in).

We've put an additional 3.9M on Medicaid (a program that's already been raped and is seriously lacking funding).

And the numbers that are being quoted include people that were simply renewing their Medicaid.

Talk about SKEWING the numbers.

Guess he's going for biggest lie of 2014 now as well, since he's already got 2013 under his belt. That'll be his legacy, like it or not... biggest Presidential liar in U.S. history.

But what do I know... I'm just a racist crybaby that hates women, poor people, the homeless, the uninsured, and the unemployed.
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