Check your network and check your doctors. Most Obamacare plans offer restricted networks in state and you are out of network if you are out of state.
Americans are among the most mobile people on earth, but ObamaCare may soon start freezing them in place. Millions are losing their health insurance policies and being forced onto the ObamaCare exchanges, where most plans only provide local medical coverage. As Americans realize they must pay for all non-emergency medical care when they leave their home county, their decisions may have a profound impact on the real-estate market, particularly the second home sector, and on the travel business.
I recently interviewed a woman I’ll call Sue, whose story may become increasingly common. Sue, a 60-year-old retiree, and her husband bought a second home in South Carolina to escape the Connecticut winters. “I had a Blue Cross Blue Shield policy in Connecticut, and I used it with no problem in South Carolina. I found an internist and ophthalmologist and dermatologist down here, and kept the rest of my doctors up north.”
“The price was reasonable. It cost me $450 a month, with a $2,500 deductible. It was slightly more for out of network; there was no co-pay, and I got my prescriptions filled in both states with no problem.”
“Then I got the letter telling me that my policy would no longer exist, because it didn’t comply with the new health care law. They wanted to transfer us into a new plan that doubled my premium to $900 a month. The deductible went up to $3,500, and it covered zero out of network.”
In Colorado, the only companies offering plans with nationwide networks are:
- Rocky Mountain Health Plans
- Cigna (only available for purchase in the immediate Denver metro area)
- Assurant Health
In fact Assurant Health offers plans with nationwide networks in 42 states. HOWEVER, you won’t find them on any Federal or State “Exchange or Marketplace”. That means their plans are not eligible for premium assistance but they are still the same Bronze, Silver, Gold and Platinum plans required by Obamacare.
One issue that bothers me in the above article is this paragraph:
“My husband looked around and finally found a policy that has out of network coverage, but it comes with a very steep price. It’s $900 a month, with a $7,000 deductible and a co-pay on everything. Basically, it’s catastrophic insurance, and I’ll be paying my South Carolina doctors out of pocket.”
The maximum out of pocket per person for any ACA compliant plan is $6350. Either this plan is not ACA compliant (i.e. not a true major medical plan) or Sue is confused about the deductible.