ACA has 90 day grace period to pay premium

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133743Hokie
Posts: 11220
Joined: Thu Aug 22, 2013 12:29 am

ACA has 90 day grace period to pay premium

Post by 133743Hokie »

Gotta love this feature of O'care. You have a 90 day grace period to pay your premium, so essentially you can get 90 days of benefits for nothing. The insurer will cover costs the first 30 days, but the hospitals/doctors will be left trying to collect medical costs directly from the patient for the last 60 days. Even worse, it opens up the system to being gamed, as follows...

Or as Missouri Hospital Association officials put it: “We also are very concerned that some disreputable individuals will learn they can manipulate the system and win a full year’s insurance coverage on only nine months of premiums. Knowing they are entitled to three months of grace-period coverage, dishonest persons could stop paying premiums on the ninth month, enjoy free coverage during the 90-day grace period, have their coverage terminated, and then reenter the exchange market where the Affordable Care Act’s guaranteed-issue mandate would prohibit another plan from denying them coverage.”
cwtcr hokie
Posts: 13399
Joined: Thu Aug 22, 2013 1:25 pm

Re: ACA has 90 day grace period to pay premium

Post by cwtcr hokie »

yea, techmom pointed that out a couple of weeks ago. I guarantee it will lead to people "buying coverage" which means requesting it, then not paying and getting free(as they technically have insurance) and thus raise all of our honest folks costs again as the medical providers and such have to chase down people for payments

it is fubar beyond belief
133743Hokie wrote:Gotta love this feature of O'care. You have a 90 day grace period to pay your premium, so essentially you can get 90 days of benefits for nothing. The insurer will cover costs the first 30 days, but the hospitals/doctors will be left trying to collect medical costs directly from the patient for the last 60 days. Even worse, it opens up the system to being gamed, as follows...

Or as Missouri Hospital Association officials put it: “We also are very concerned that some disreputable individuals will learn they can manipulate the system and win a full year’s insurance coverage on only nine months of premiums. Knowing they are entitled to three months of grace-period coverage, dishonest persons could stop paying premiums on the ninth month, enjoy free coverage during the 90-day grace period, have their coverage terminated, and then reenter the exchange market where the Affordable Care Act’s guaranteed-issue mandate would prohibit another plan from denying them coverage.”
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