Unaffordable Health Care

It’s going to be another beautiful day in San Diego. The skies are clear, the sun is shining and the expected high temperature is 75 degrees. But I’m sitting at my laptop not feeling so good. In fact, I’m mad as hell.

Yesterday, Donna and I had a conference call with a representative from Towers Watson – an insurance administrator that runs a brokerage called One Exchange. Up to this point, my former employer offered health care insurance as part of my pension plan. That ends on December 31st. I need to find health care insurance under the Affordable Care Act (ACA) also known as Obama Care.

I have to say, ACA is anything but affordable – it’s an Orwellian doublespeak term. Since the inception of Obama Care, my health care benefits have deteriorated. Three years ago I paid a monthly premium of about $300 for coverage for both of us. I had a deductible of $600 and had nationwide coverage. Two years ago the cost rose to about $400/month and the deductible went up to $1,000. Last year the cost rose again to $500/month and the deductible jumped to $2,600.

Now the costs have risen so much, my former employer no longer offers a health care plan. Instead, they offer a subsidy if you don’t qualify for government assistance. Apparently it’s more affordable for them to fund a health care spending account for retirees than to participate in group health care.

The subsidy they’re offering me amounts to about $1,041/month. Sounds pretty good, right? Add to that the $500/month I paid for health care last year and I should be able to budget a little over $1,500/month for my premium and out of pocket expenses. But here’s where it gets ugly.

The lowest premium I can find in our domicile state, South Dakota, is $1,399/month. That leaves me a little over $100/month for out of pocket expenses. But there’s a rub – it covers nothing until I meet the deductible of $13,100! Basically, I’m self-insured for the first $13,100 and I get to pay $1,399/month for this! If I want to have a plan that’s comparable to what I had before, it would cost $2,367/month but it doesn’t offer a nationwide network.

How is this affordable? I hope this ACA is replaced with something that’s more sensible soon. I’m thankful for my former employer funding a health care spending account for me, otherwise I would be spending nearly three times my current monthly premium for no coverage until I hit $13,100 in costs. We’re looking into private market plans now since we don’t qualify for federal subsidies. End of rant.

On a more positive note, I was able to get out and play pickleball on Wednesday. I had soreness in my foot afterward again, so I think it’s best if I lay off and rest my foot to allow it to heal.

A couple of months ago I replaced our toilet seat. I posted about the way it mounted to the toilet – it was supposed to be a quick release system for cleaning. Well, that may be good in theory but in practice the quick release would release every time you closed the lid. I got tired of the seat and lid flopping around, so I ordered a new seat and lid on Amazon.

The new one is made of bamboo and has brushed nickel hinges that mount with stainless steel screws. The quick release concept doesn’t work for me. I’m more than happy with the conventional and secure method of mounting the hinges.

New bamboo toilet seat and lid

New bamboo toilet seat and lid

The photo makes the seat look much lighter than the flooring – in reality the difference in color isn’t so noticeable. I think the flash on my camera may have affected the color tone.

Securely attached with brushed nickel hinges

Securely attached with brushed nickel hinges

I threw the quick release seat in the dumpster.

I also set up the decorative laser light that Sini gave us. I have it pointed at a tree in front of our site. The points of light look like a bunch of tiny Christmas lights in the tree.

Points of light from the laser on the tree

Points of light from the laser on the tree

It also splashes a few points of light on our coach.

Laser lighting up the front corner of the coach

Laser lighting up the front corner of the coach

Thanks Sini!

Donna made a spicy beef stir-fry for dinner. She cut flank steak across the grain and made it with shirataki noodles. This was a simple recipe but it was so good! I’m getting hungry just thinking about it.

Stir-fry with shirataki noodles

Stir-fry with shirataki noodles

I don’t have a plan for today. I think I’ll finish a book I’ve been reading and maybe go for a bike ride and enjoy the great weather after our dental appointments at 1pm.

 

5 thoughts on “Unaffordable Health Care

  1. Catherine

    My oldest had the same issue—and had to choose to pay the fine—he could get insurance that was worthless and then have no money to eat—think eating comes first in taking care of one’s health.

  2. Tracy Axcell

    I finally joined a health sharing group. $200 a month and I’ve been super pleased!! Liberty Health Share is who I use. There’s also Medi-share

  3. Charles Pennington

    I totally agree…The problem is the provider charges…I had outpatient back surgery in May…The surgery lasted two hours and I was home @ 4:30 pm…The hospital and doctor charged $36,000…After the network discount, the insurance company paid $19,000 and I paid $4000 (deductible & coinsurance) for a total of $23,000 for a two hour procedure.
    My health insurance went from $250 monthly (dependent on my wife’s plan) in 2013 to $876 monthly effective 2017…Those premiums are just for me.

  4. Pingback: Getting Healthcare While We're Covered - Flying The Koop

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