Why This Woman's Health Care Plan Costs 994% More Under Obamacare - Arit John - The Atlantic Wire
Because she doesn't have a Bronze plan, or a Pewter plan, or even a Lead plan . . .
the plan that Barrette paid $54 a month for is barely health insurance at all. It’s part of a subset of insurance that Consumer Reports calls “junk health insurance” (and which even the company that sells it recommends that customers not rely solely upon) and it pays only $50 towards most of the services it covers. That’s it. If Dianne went to the doctor every week for a year, her plan would pay, at most, $2600. Meanwhile, based on average office visit charges, Diane would pay about $5,600.00. She probably doesn’t go to the doctor every week, of course, which means her plan pays a lot less, while her premium buys her a lot less. If she goes to the doctor, say, six times in a year, she’s paid a $648 premium for the privilege of spending another $600 on office visits. The plan also pays up to $15 per prescription, which will get you a few milligrams of most prescription drugs. The one decent deal on her plan is that it covers 100% of in-network lab services.
Her plan does not cover any hospitalizations, unless related to complications from pregnancy. So, if she gets hospitalized and can't come up with the balance . . . who does pay?