The Real Story Behind the Phony Canceled Health Insurance Scandal

@parados,

oral boy lives in his own cloister without the benefit of having the skills to live beyond it. He must not use any media (tv or newspaper) to educate himself about any issue - or is blind to the realities of what most people perceive to be factual. He probably never read any of the ACA regulations and processes, or the benefits the 8-million people who have signed up are enjoying.

No more insurance company controls on what they can be treated for, canceled, or limited in $$$$$.

TNCFS

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@oralloy,

oralloy wrote:

parados wrote:
Most health insurance has networks. It's how they keep the cost down. Insurance companies negotiate payment schedules with providers. You don't get to go to people they haven't negotiated with because they can't control the cost.

Traditional plans don't do that.

incorrect

traditional American health insurance plans have used networks for at least the last 30 years.

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@parados,

parados wrote:

It seems almost no one has a traditional plan then, oralloy, other than you.

I doubt that. Maybe post-2014 no one has traditional insurance. But not before.

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@ehBeth,

ehBeth wrote:

oralloy wrote:
parados wrote:
Most health insurance has networks. It's how they keep the cost down. Insurance companies negotiate payment schedules with providers. You don't get to go to people they haven't negotiated with because they can't control the cost.

Traditional plans don't do that.

incorrect
traditional American health insurance plans have used networks for at least the last 30 years.

If so, there is certainly no requirement to stay within that network in order to have your treatment paid for in full. What would be the point of such a network?

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@oralloy,

orally wrote:

The first time bobsal ever raped a child was in 1978. There was a little red-headed girl three doors down from him and he just couldn't take his mind off from her.

One day, bobsal saw a chance when no one was looking and quickly snatched her away. However, after he was done raping her, she just wouldn't stop crying. In a panic and trying to stifle her sobbing, bobsal smothered her until she stopped moving.

No one ever found out what bobsal did with the corpse. Perhaps he still has it. Unfortunately, even though the police are sure he is the perp, they could never find enough evidence to support a successful criminal prosecution. The poor child remains listed as a missing person.

How do you know all this? Were you an eyewitness to these horrifying events; or do you simply want to follow in the footsteps of Stephen King, an accomplishment that would result in your being lionized by virtually all of us here at A2K? Cool

Here's another quotation:

Setanta wrote:

You can't beat this place for entertainment.

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@wmwcjr,

wmwcjr wrote:

How do you know all this?

Sorry, that's classified information.

At any rate (knock on wood) it appears that the personal attacks have ended and the thread has returned to the primary topic of how the Left has once again been busted for lying about the insurance policies that people were forced to abandon.

wmwcjr wrote:

or do you simply want to follow in the footsteps of Stephen King, an accomplishment that would result in your being lionized by virtually all of us here at A2K?

Never aspired to be an author.

If I am to be lionized, I would like it to be for my unfailing defense of the innocent and my devotion to always doing the right thing.

I don't like the way Stephen King's stories sometimes end. I like my story endings to be reasonably happy. I don't like ending a story feeling like I've just been punched in the gut.

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oralloy, you insist you're never wrong. You're wrong. That is precisely the way "traditional" insurance plans work. I suggest you look at one of the BlueCross/BlueShield websites, such as this one:
https://www.blueshieldca.com/bsca/find-a-provider/choosing-a-provider.sp
You go out of their netweok, you're probalby going to be liable for at least anything above what they would reimburse for an in-network provider (which if you have actually looked at and Explanation of Benefits from your provider, is usually just a small fraction), so if if't mildly complex, i've seen examples where out of a total bill of say around $2500, they might reimbusrse the provider say $400, and you don't have to pay the rest. Go out of netweork and yYOU pay that $non-reimbursed $2100. And you might have to pay the whole damned bill at worst. You're flatly up a tree on this one.

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@MontereyJack,

MontereyJack wrote:

oralloy, you insist you're never wrong.

No I don't.

MontereyJack wrote:

You're wrong. That is precisely the way "traditional" insurance plans work.

No, with a traditional plan you don't have to worry about networks. You can be treated anywhere you like and have your coverage paid in full.

MontereyJack wrote:

I suggest you look at one of the BlueCross/BlueShield websites, such as this one:
https://www.blueshieldca.com/bsca/find-a-provider/choosing-a-provider.sp

That link did not have a single thing to say about traditional plans. It only referred to PPOs and HMOs.

MontereyJack wrote:

You go out of their netweok, you're probalby going to be liable for at least anything above what they would reimburse for an in-network provider

The nice thing about having traditional insurance was there was no network to go out of. I could simply be treated anywhere I liked.

MontereyJack wrote:

You're flatly up a tree on this one.

No, as usual, my facts are all in order. It's a shame the Left has to keep making things up instead of simply telling the truth.

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@oralloy,

oralboy, Did you or your family ever have a pre-existing condition and received health insurance? If yes, where, for what, and what insurance company? Or, have you ever heard of patients being denied medical care because their insurance company denied the claim? How about the amount of their co-pay?

Did you know that AARP was sued by the government for false health insurance coverage?

Do you know how many families went bankrupt because of an serious illness in the family?

What would you have done if your child had a serious illness, and y0ur health insurance didn't cover the total cost?

Finally, where are you getting all of your information on ACA?

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oralloy, it's a shame you keep believing the lies the right tells. For the last twenty years or so, the large majority of people with private or compoany=provdied health insurance got their insurance through HMOs or similar organizations with approved networks of physicians. That pretty much means the traditional helath plan now, until Obamacare reformed a number of medical abuses. Or are you thinking of something George Washington might have had which provided coverage for medical procedures as long as they involved leeches?

1 Reply

@MontereyJack,

MontereyJack wrote:

oralloy, it's a shame you keep believing the lies the right tells.

The lies are coming from the Left.

It was a lie when the Left said that people could keep their plans if they liked them.

It was a lie when the Left said that the reason people were forced off their plans was because their plans offered poor coverage.

The first lie was perhaps justifiable, in that Obamacare may not have passed if they had not lied about it.

The second lie is just a self-inflicted wound. Every time the Left lies about the issue now, the only result will be that they will be busted for lying again.

MontereyJack wrote:

For the last twenty years or so, the large majority of people with private or compoany=provdied health insurance got their insurance through HMOs or similar organizations with approved networks of physicians. That pretty much means the traditional helath plan now,

No, a traditional plan is one that has no networks. People who had traditional plans could be treated anywhere they liked and have their bills paid in full.

MontereyJack wrote:

Or are you thinking of something George Washington might have had which provided coverage for medical procedures as long as they involved leeches?

I'm thinking of something people had in December 2013, but were then forced to give up and replace with something lesser from the exchanges.

1 Reply

@oralloy,

Quote:

Re: wmwcjr (Post 5641445)

wmwcjr wrote:

How do you know all this?

Sorry, that's classified information.

oralloy wrote:

I don't like the way Stephen King's stories sometimes end. I like my story endings to be reasonably happy. I don't like ending a story feeling like I've just been punched in the gut.

Heh, I know what you mean! (However, I must confess that I usually find King to be entertaining.) I don't mind unhappy endings if there is some point to it all. I bought a copy of Pet Sematary for my sister's birthday in the year it was published. A friend she was living with at the time later told me that when she finished it, she was so mad that she spent some time pacing around the house. My sister later told me, "Stephen King lets his characters grow, then he crushes them like insects!" Twisted Evil

So, I presume you didn't (or wouldn't) like his TV miniseries Storm of the Century. Razz

Now, I know this has absolutely nothing to do with the thread. . . . Embarrassed

1 Reply

@wmwcjr,

wmwcjr wrote:

So, I presume you didn't (or wouldn't) like his TV miniseries Storm of the Century.

I did not. I saw it when it was first broadcast. I was not expecting the ending, and I was not ready for it.

It pissed me off then and I am still pissed off about it now. It is what I was thinking of when I wrote my earlier comment about not liking unhappy endings.

I might be accepting of an unhappy ending if there were some good reason for it. But generally I like my entertainment to make me feel good, not to make me feel bad.

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@MontereyJack,

MontereyJack wrote:

oralloy, you insist you're never wrong. You're wrong. That is precisely the way "traditional" insurance plans work. I suggest you look at one of the BlueCross/BlueShield websites, such as this one:

Oralboy is worse off because Obamacare does not cover vet's bills.

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@wmwcjr,

wmwcjr wrote:

How do you know all this? Were you an eyewitness to these horrifying events;

It's clear something turned him into the creature he is today, something he witnessed or participated in, followed by years of simmering resentment.

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@oralloy,

Orraloy plays gynecologist with his mommy and thats all anybody needs to know about him. Other than he's a 40 yr old virgin (outside of his mommy) who lives in the basement due to mental problems, who's never had a job, ever bought health insurance what with receiving it free from the state or thrown away any of his extensive "Tijuana" porno collection.

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For Oralloy:

http://imgs.xkcd.com/comics/free_speech.png

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@oralloy,

You wrote,

Quote:

It was a lie when the Left said that people could keep their plans if they liked them.

It was the insurance companies that canceled them; the same companies that denied the coverage for pre-existing health problems and limited their coverage.

Under ACA, people buying insurance cannot be denied or canceled with no limits about pre-existing health issues or lifetime limits - at lower cost.

The consumer "benefited" from being canceled by the insurance company.

Those same insurance companies that denied coverage for some treatment sat in offices without any medical knowledge or ethics, and cut them off without any recourse. The premiums people paid into those insurance companies had to pay their CEO's and officer's high salaries and/or bonuses and pay stockholders a profit for them to remain in business.

Your lack of knowledge in most issues proves how ignorant you are!

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@bobsal u1553115,

Thanks for the good information on this important issue.

I read that a very large percentage of the insureds in a plan each year are new insureds. Therefore, the insurance companies canceled the old plans because they didn't provide the ACA benefits to which the new insureds are entitled. In light of this, it would be very unfair to accuse Obama of lying.

1 Reply

The Real Story Behind the Phony Canceled Health Insurance Scandal

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