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Sangye
03-02-2010, 08:18 AM
Today I canceled my private health insurance. I've held onto it since I stopped working in 2006, always expecting/hoping to be back to work within a few months. I'm glad I had it for the first 2.5 yrs, since I didn't qualify for Medicare until then and wouldn't have had any way to pay for my care. I have lived in constant fear of losing this policy, even though I've had Medicare for 1.5 yrs. (As soon as I go back to work I'll lose Medicare, and with our current disaster of a system, I'd be completely unable to get insurance at any price.)

When I bought the policy 6 yrs ago, the premiums were $143/month with a $2,500 annual deductible. It's gone up every year-- usually around 25% a year. I just got notice that it increased again to $725/mo with an annual deductible of $2,950. This represents a 400% in 6 yrs. (If I were still working as a chiropractor and raised my rates 400%, I'd be charging $1,000/hour. I could treat Oprah.)

My insurance company (United Healthcare) was one of the top 3 companies reporting enormous profits in 2009. They gave their CEOs enormous bonuses, paid for by sick people living so far below the poverty line they can't even see it.

For the past year, my insurance has cost 84% of my Social Security Disability income--my only income. The stress of living like this has been crushing, to say the least. This weekend I conceded that there's no way I could afford such a monthly expense even if I were able to work.

I have Medicare and a Medicare assistance program called Qualified Medicare Beneficiary (QMB). (QMB is for low income people.) Between the two, I have 100% coverage and premiums, etc... are paid for.

It was terrifying to make the call to cancel it. But now I feel like a huge burden has been lifted. I can finally relax a little and focus on getting well. I have no doubt this stress has allowed the Wegs to dig its flinty heels into my body more easily. Well Wegs, be warned: I get more rituxan starting Wednesday. I might just call and cancel you, too.

elephant
03-02-2010, 08:41 AM
Great Sangye, glad you got a load off your back. I bet it was like carrying a ElEPHANT on your back! :)

JanW
03-02-2010, 09:18 AM
Wow, Sangye...I am sure you are happy to be relieved of that burden.

Jack
03-02-2010, 09:55 AM
I'm sure you are doing the right thing Sangye, but you're going to have to explain to some of us how the US system works. I gather that you have to have insurance if you are in work, but get Medicare if not? Or is it more complicated than that? If you start work again, will you lose all your cover?

Sangye
03-02-2010, 10:21 AM
There are no requirements for anyone to have insurance in the US, and no requirements for employers to provide coverage.

Once someone is 65 or has been on disability for 2 yrs they're covered by Medicare. Medicare is excellent coverage. I've never heard of anyone who'd give it up. It's government-run, so the "We don't want government running/ruining our health care" argument is odd.

Basically there are 5 types of health insurance coverage in the US :
1) Employer-subsidized-- this is lost if you can't work or lose your job
2) Self-subsidized (eg self-employed)-- this is extremely expensive, what I had. Can't get it if you have "pre-existing conditions" or at best, those conditions won't be covered. Almost anything is considered a pre-existing condition.
3) Medicare
4) Medicaid/ State Medical Assistance-- for very low income. Terrible coverage. Hardly any docs take it, you might wait months for treatment, you can't see a non-Medicaid doc (eg Weg specialist), can't use it in another state.
5) Federal Employees Insurance-- great coverage. All fed employees have it, including Congress.

Other costs:
- Vision and dental coverage is not part of any of these plans, except some employer-subsidized plans and the Fed Employees plans
- Prescription drug coverage is highly variable in private insurance plans.
- All plans have annual deductibles that must be paid before insurance pays for anything.
- Most plans only cover docs/facilities in their "networks." If you go to a doc not in the network either you pay 100% or a much higher % than normal.
- Most plans cover 80% of your costs. You have to cover the remaining 20%. That 20% breaks the banks for many people.

If I start work again, I'll lose Medicare and have no coverage at all. This is why I've kept my insurance all this time. I truly had no choice. I can't afford the insurance now, and I can't afford it if I'm working again.

pberggren1
03-02-2010, 01:37 PM
How do you survive on such a low income Sangye? I get $620.00 per month from the Federal Government's Canada Pension Plan Disability. I would not be able to live without my parents. My heart goes out to you.

Sangye
03-02-2010, 01:42 PM
Thanks, Phil. It's been pretty bad. Even without the health insurance cost, it's still far from okay.

Sangye
03-02-2010, 01:44 PM
On a lighter note, I saw a joke on Twitter this weekend: How are there so many Canadians at the Olympics? I thought they were all standing in line at doctors' offices. :D

There were a lot of other "Wish we were there" kinds of tweets about our health care system compared to Canada's.

pberggren1
03-03-2010, 08:58 AM
Sangye, our system in Saskatchewan is fairly abused.

I am fortunate that I live here. My Cellcept costs $950.00 but I only pay $50.00 and I don't have to pay to have labs, exams, CT scans, doc appointments, etc. This is all covered through Medicare.

Sangye
03-03-2010, 09:01 AM
Wow-- you're covered by national health care, and yet you live. :D

pberggren1
03-03-2010, 09:02 AM
Glad you have a sense of humor Sangye!

Sangye
03-03-2010, 09:05 AM
LOL-- Of everything I came into this mess with, my sense of humor is about the only thing I've got left. Well, there's one more thing I guess: I still have good eyebrows. :D

Lightwarrior
03-03-2010, 11:53 AM
LOL-- Of everything I came into this mess with, my sense of humor is about the only thing I've got left. Well, there's one more thing I guess: I still have good eyebrows. :D

ROTFL Show off

Sangye
03-03-2010, 01:33 PM
LOL! That totally got me laughing~ :D

jola57
03-06-2010, 09:16 PM
Ah but can you wiggle them?

andrew
03-07-2010, 10:01 AM
Ah but can you wiggle them?

Check this out: YouTube - Cadbury "Eyebrows" TV Advert - Official! (http://www.youtube.com/watch?v=Zlzlcjg4-sg)

Sangye, big decision you made but one that had to be done. The way that insurance company is run seems criminal. I hope the decrease in stress helps you fight the Wegs better!

Sangye
03-07-2010, 10:32 AM
LOL-- Well, okay. I said I had good eyebrows, not talented ones... :D