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mastershakeman
Oct 28, 2008

by vyelkin
the loving stupid exchange is STILL doing their bullshit about 'lets check with your state to make sure your kid won't get CHIP' thing to just make a million extra hoops

i'm nowhere near that cutoff and I know it and they know it. but instead, as per last year, I have to do the full application, wait for illinois to respond (which they didn't last year until late january), and had insurance reps assuring me on the phone that dont worry, any hospital visits will be paid for by insurance when they retroactively apply insurance to my kid and definitely, absolutely, won't completely gently caress me over on this

god DAMNit

at least they aren't requiring proof of future income like they did 2 years ago, that was a blast. well, they still can, since 2 years ago they asked for it in february or march or so

btw here's the current bronze plan, the only plan accepted (bronze/silver/gold all work) for my local hospital, for 2 30-40 year olds:
$770/mo, 16300 deductible/16300 oop max . lol. i think this might actually go up when the kid gets enrolled , too, but maybe not. doesn't really matter.

mastershakeman has issued a correction as of 23:42 on Dec 14, 2019

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mastershakeman
Oct 28, 2008

by vyelkin

Soap Scum posted:

a friend of mine has a one-year-old child who's extremely sick and needs a lot of care/medication (they should be totally normal and healthy in the long run, but had a severe congenital defect which does heal over time). she's moving and is in the process of finding new insurance because of it.

in the meantime, she needed two extremely common drugs. one is potassium chloride, which shouldn't really need to be prescription, i mean here's some for like $10 for weightlifters i guess, and the other is sildenafil (generic name of viagra), which you can also find really cheaply -- like here's an example for $12 if you have a prescription.

her new pharmacy in the location she's moving to told her that without insurance, the potassium chloride would cost her $500 and the sildenafil would cost her $4,000.

it's just so loving absurd. like she's better off walking up to old dudes in the street and asking if they have viagra. she might get the insurance situation figured out in time but i'm considering telling a doctor my poo poo doesn't work if she can't buy it online and it'll save her $4,000. gently caress whatever part of our system it is that puts that price so loving high for a kid who's gonna die without it.

This reminds me that lots of people, including myself, currently don't have their kids insured because the ACA website stopped allowing that 2 years ago. Instead the application gets sent to your local state for Medicaid enrollment where it sits around for a while then gets denied, at which point it's on you to re enroll your kid and hope the pinky swear by the insurer to backdate coverage actually happens

mastershakeman
Oct 28, 2008

by vyelkin

Willa Rogers posted:

what happens is that children's coverage is almost always bumped to the states, for the purpose of each state determining eligibility for CHIP or Medicaid, and then wends thru the state's underfunded human-services depts. till a decision is made based on that state's eligibility criteria.

so our hosed-up hybrid system (as opposed to a federalized M4A) makes you go thru the absurd process of waiting for the state to reject you or accept you, which can take a half-year, before you can then go back to the federal healthcare.gov and pick out a paid plan for your kids.

it's a loving rube goldberg contraption, except your kids' health and lives depend on the outcome.
Right and prior to a couple years ago this didn't happen, because presumably the website wasn't coded to check for the kid potentially qualifying for chip . Then they added it because why not gently caress with you

My guess is the code for kids got updated when the govt stopped demanding you verify how much you would make in the future. They did that for a few years as well and have apparently given up on it, probably because people just submitted random rear end documentation and begged until they got verified and the whole thing was a waste of time

I don't know how tough it is to get on Medicaid in states where it expanded but it sure does seem like a vastly better option than using the exchange

mastershakeman has issued a correction as of 21:17 on Jan 7, 2020

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