Who were ACA plans created for? ACA plans were designed only for people with major pre-existing conditions like heart disease, cancer, COPD, diabetes, etc. and those who are in need of maternity care. ACA/ObamaCare makes health insurance guaranteed issue meaning you can’t be denied health status, age, gender, or other factors. Just because insurance is guaranteed issue doesn’t mean you can’t be charged more for certain factors, although the ACA limits this as well.
However, ACA plans do NOT benefit HEALTHY individuals with NO major pre-existing conditions. Healthy individual and families have MORE healthcare insurance options than those who are sick. Those with no major pre-existing conditions can get Major Medical Non-ACA plans. Below are the top 5 biggest problems with ACA plans.
1.) Narrowing Networks- What if you do have cancer or heart disease? Wouldn’t you want to have the option to go to a great hospital for better care? Most of America’s best hospitals in the
National Comprehensive Cancer Network are not covered in most of their states’ exchange plans, and an American Heart Association study found that only a few insurance plans found on the
exchange included access to the specialists essential to diagnose and treat stroke – one of the most disabling and deadly diseases in the United States. The ACA plans are now HMO plans not
2.) Skyrocketing Premiums- in 2018, ACA plans are increasing an average of 25%-53% depending on which state you live in. Millions of people will NOT qualify for subsidies.
3.) Lack of Insurance Carriers-Many carriers have pulled out from selling ACA Plans like United, Aetna, Anthem. etc. BCBS is one of the very few selling ACA plans.
4.) Increasing Deductibles-Health insurance deductibles will be increasing at rapid rates. What’s alarming is these deductible increases are happening at the same time premiums are skyrocketing.
5.) Small Businesses No Longer Offer Insurance-Over 4 million people lost their employment-based health insurance this past year. Many businesses found it more cost-effective to pay the penalty and let their employees purchase their own health insurance on the exchange.