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California Affordable Care Update

31 posts
  1. Sandy Clark
    Sandy Clark avatar
    0 posts
    1/27/2014 9:01 AM
    3 times as many in California have lost insurance as have signed up. Seems like we are sort of going backwards rapidly! Was the goal to help those who were uninsured or create many times more uninsured? Think I missed something here. Along with Health Net doctors having a ratio of 1 doctor for every 60,000 plus patients, it doesn't sound like California is doing to well. Last I heard Oregon was having a bit of a problem as well. I am glad the few of you that are optimistic and think you have landed good plans are in good shape. The overall reports from nearly every state show that far more just are not seeing your optimism or success!



  2. Trevor Monreal
    Trevor Monreal avatar
    5 posts
    1/27/2014 2:01 PM
    I think the goal is to legalize cannabis (marijuana).
    Once we get stoned we will soon forget any medical ailments we may be experiencing.
    Heck, I keep pushing for us to get rid of the Grille and put in a dispensary.



  3. Sandy Clark
    Sandy Clark avatar
    0 posts
    1/27/2014 2:01 PM
    Well, unless Barona changes the work policy, it will never do me any good. Shoot, I have tons of medical reasons to use it like glaucoma, headaches, probably arthritis, some would think physcosis due to my political beliefs! I could still never smoke it. It would have to be eatable within brownies or some other tasty dessert food! You may be right. If we are all stoned, we will never realize we have anything wrong. Guess I am out of luck until someday after I retire!



  4. Sandy Clark
    Sandy Clark avatar
    0 posts
    1/27/2014 2:01 PM
    Wait a minute, maybe I need it to spell better. Spell check didn't pick it up. I think it is psychosis. I guess I must have it!



  5. Larry Allan
    Larry Allan avatar
    0 posts
    1/28/2014 12:01 PM
    I understood, no problem, i guess its cause I'm high



  6. Wahlin Scott B
    Wahlin Scott B avatar
    1/28/2014 2:01 PM
    My younger son got a job working for a motorcycle club (MC) in Denver a week after the recreational pot law took affect. I guess someone in the MC needs to shave and look good in a suit. I am not sure why an MC needs a graphic designer, but they employ a few of them. I am going out for a month this summer. Retired here Sandy! ;)

    As a point of interest as many people signed up for private insurance in the ACA Marketplace as listen to Fox News in December. This does not include those who have signed up in January, who will sign up in February and those who qualified for Medicaid.



  7. Sandy Clark
    Sandy Clark avatar
    0 posts
    1/28/2014 3:01 PM
    Signed up and actually have paid for verifiable insurance are numbers that are very far apart! a huge percentage of those that have signed up think they have insurance but the number that on the insured side leaves quite a bit to be desired. Scott, I am not quite envious of you yet. I am still enjoying work everyday I come in. knocking off a bunch of weight and getting myself back in fairly good shape has definitely increased my energy at work. Now I just need to get the bike and surfboard out in my off work hours and everything will feel like it did 30 years ago!



  8. Gary Carls
    Gary Carls avatar
    20 posts
    1/29/2014 9:01 AM
    Sandy,

    Glad you are feeling good but doubt you will ever feel the same as you did 30 years ago unless you start sampling the products in Colorado. :D Of course if you do that you'll never be able to keep the weight off. :) :D I joke with the young guys at bowling that at my age the day nothing hurts is the day I start to worry. :D

    Does give me an idea for my retirement business though. Since I have that house in Colorado now perhaps I could start a "visitation center" for wayward superintendents! What do you think? :D

    Have a great day and hope to see you in Orlando!

    Gary K. Carls, CGCS, President - Oakland Turfgrass Education Initiative

  9. Canedo Alberto J
    Canedo Alberto J avatar
    1/29/2014 11:01 AM
    Gary, I would visit you out there, but how does it taste like. Never have done Mary-J., but have done PED's during my high school and college baseball career. Probably would help me relax and take the pain away. :D



  10. Wahlin Scott B
    Wahlin Scott B avatar
    1/29/2014 2:01 PM
    Sandy Clark, CGCS said: Signed up and actually have paid for verifiable insurance are numbers that are very far apart! a huge percentage of those that have signed up think they have insurance but the number that on the insured side leaves quite a bit to be desired.


    It does not take rocket science to determine whether you have insurance or not. You buy the insurance from private companies, not the government. I think I have said that before. Of course it is verifiable, you have an insurance card just like you have always had. The millions who have gotten insurance through direct purchases through the healthcare marketplace and medicaid is completely verified.



  11. Clay Putnam
    Clay Putnam avatar
    33 posts
    1/29/2014 3:01 PM
    Scott Wahlin, CGCS said:
    Sandy Clark, CGCS said: Signed up and actually have paid for verifiable insurance are numbers that are very far apart! a huge percentage of those that have signed up think they have insurance but the number that on the insured side leaves quite a bit to be desired.


    It does not take rocket science to determine whether you have insurance or not. You buy the insurance from private companies, not the government. I think I have said that before. Of course it is verifiable, you have an insurance card just like you have always had. The millions who have gotten insurance through direct purchases through the healthcare marketplace and medicaid is completely verified.


    Ahh, I'm starting to find out you may need to be a rocket scientist to determine if you have insurance. My 2014 insurance card still has not arrived. I went to the Dr.s office and they would not see me without my new insurance card. Called the insurance company, they are showing my insurance payment has been received and that I am verifiable. Went back to the Dr.s office, they pulled up my info on the computer, and it shows, "non-varifiable". I was sent packing and told no treatment for you.

    Apparently you have the greatest insurance in the land, Scott. Cause there are lot of us are floating around in the cesspool of insurance purgatory. Thanks Barack...



  12. Melvin Waldron
    Melvin Waldron avatar
    43 posts
    1/29/2014 3:01 PM
    Clay Putnam, CGCS said:
    Scott Wahlin, CGCS said:
    Sandy Clark, CGCS said: Signed up and actually have paid for verifiable insurance are numbers that are very far apart! a huge percentage of those that have signed up think they have insurance but the number that on the insured side leaves quite a bit to be desired.


    It does not take rocket science to determine whether you have insurance or not. You buy the insurance from private companies, not the government. I think I have said that before. Of course it is verifiable, you have an insurance card just like you have always had. The millions who have gotten insurance through direct purchases through the healthcare marketplace and medicaid is completely verified.


    Ahh, I'm starting to find out you may need to be a rocket scientist to determine if you have insurance. My 2014 insurance card still has not arrived. I went to the Dr.s office and they would not see me without my new insurance card. Called the insurance company, they are showing my insurance payment has been received and that I am verifiable. Went back to the Dr.s office, they pulled up my info on the computer, and it shows, "non-varifiable". I was sent packing and told no treatment for you.

    Apparently you have the greatest insurance in the land, Scott. Cause there are lot of us are floating around in the cesspool of insurance purgatory. Thanks Barack...


    Clay, it seems your issue is with your insurance company. Of course you can claim it's the president's fault and ACA if you had your insurance dropped and you had to purchase your own. Did your employer switch? It could be as much their fault too.

    My question is why can't your doctor call your insurance company and validate your payment and card? I would think they would like to have your business?

    Not that it is the best solution but can't your doctor see you without insurance? You wouldn't have met your out of pocket expenses yet anyway?

    Our employer didn't switch anything but prescription plan, we have had an issue with our first fill, (it has something to do with switching prescription plan in conjunction with assistance we get with prescription fill) none of this has anything to do with ACA. I also have a staff member who hasn't received their new card yet, not ACA's fault either. I guess my point is, things happen at the first of the year ACA or not. So unless you provide more specifics, (not that you need to and don't expect it) it is easy to blame ACA, many people do, but usually it's unfounded. I'll take your word for it, hope it gets resolved soon.

    Mel

    Melvin H. Waldron III, CGCS, Horton Smith Golf Course, City of Springfield/Greene County MO

  13. Wahlin Scott B
    Wahlin Scott B avatar
    1/29/2014 3:01 PM
    If you are determined to fight the system I am sure you can make it difficult for yourself. I chose Blue Cross and Blue Shield (Florida Blue) in the ACA Marketplace because I felt it was the best deal. It included health, dental and vision for less than half of what I was paying. I got my initial insurance card online and my permanent card came two days later. I do not know of anyone who is having problems in Florida, a state whose governor is doing his best to torpedo the ACA.



  14. Clay Putnam
    Clay Putnam avatar
    33 posts
    1/29/2014 6:01 PM
    Mel,

    Yeah, I was none too pleased with the insurance co., as I'm sure you can imagine. I've been with Blue Cross Blue Shield for years and I never had this issue in the past. Insurance cards were always delivered prior to the start of the new year with no hiccup in coverage or being able to see a provider.

    BCBS, on a few occasions, told me the backup of delivering the cards this year is due to the backlog created by the ACA. Of course I was skeptical but then I thought about the seamless transitions in the past. Never an issue until now. What changed? The only difference this year, ACA. Coincidental? I suppose it depends on your stance.

    As for the provider, I can't answer for him. His office policy is no card, no service. Regardless of out of pocket.



  15. Andrew Cross
    Andrew Cross avatar
    5 posts
    1/29/2014 8:01 PM
    Clay,

    I'm on BCBS Illinois this year, I got one set of cards on about Dec 15th, then just after the new year they sent me 2 more sets of cards the same day, then yesterday I got one more set of cards. All this because they changed the phone number on back of card for substance abuse, however my first set was right, then they issued two screwed up sets and now fixed it.

    They are right on top of their game, you need a set of ID cards?



  16. Clay Putnam
    Clay Putnam avatar
    33 posts
    1/29/2014 9:01 PM
    Andrew,

    You're an obvious hoarder. Send one my way.



  17. Kim Brock
    Kim Brock avatar
    3 posts
    1/29/2014 10:01 PM
    Scott, How can your insurance cost be half of what it was before the ACA? Do you have less coverage than before or higher deductibles? Or is your plan subsidized. I don't see how insurance companies could stay in business unless they are heavily subsidized. Kim



  18. Melvin Waldron
    Melvin Waldron avatar
    43 posts
    1/30/2014 8:01 AM
    Clay Putnam, CGCS said: Mel,

    Yeah, I was none too pleased with the insurance co., as I'm sure you can imagine. I've been with Blue Cross Blue Shield for years and I never had this issue in the past. Insurance cards were always delivered prior to the start of the new year with no hiccup in coverage or being able to see a provider.

    BCBS, on a few occasions, told me the backup of delivering the cards this year is due to the backlog created by the ACA. Of course I was skeptical but then I thought about the seamless transitions in the past. Never an issue until now. What changed? The only difference this year, ACA. Coincidental? I suppose it depends on your stance.

    As for the provider, I can't answer for him. His office policy is no card, no service. Regardless of out of pocket.


    Thanks Clay,

    I can see your point.

    Mel

    Melvin H. Waldron III, CGCS, Horton Smith Golf Course, City of Springfield/Greene County MO

  19. Robert Crockett
    Robert Crockett avatar
    4 posts
    1/30/2014 1:01 PM
    Kim Brock said: Scott, How can your insurance cost be half of what it was before the ACA? Do you have less coverage than before or higher deductibles? Or is your plan subsidized. I don't see how insurance companies could stay in business unless they are heavily subsidized. Kim

    I believe in a previous thread Scott said he could keep his insurance from his former employer :o However, things change.



  20. Wahlin Scott B
    Wahlin Scott B avatar
    1/31/2014 5:01 PM
    My plan is subsidized. I am with Blue Cross and Blue Shield. I have my card and my plan covers dental and vision, as well as health. I have been paying taxes for a long time and still do. Without Obamacare I would do what my predecessors did, and put everything I had in my house and my car (things the right wing cannot touch) and go to the emergency room (thanks to Reagan) for my health care.



  21. Sandy Clark
    Sandy Clark avatar
    0 posts
    3/6/2014 5:03 PM
    Just a quick update on my insurance at Barona. We received good news in that our policies, whichever one you had chosen, will remain the same for 2014 so I no longer need to determine if I should switch to Medicare this year. We have 3000 people so we probably have pretty strong bargaining power. I will be nearly 69 years old before I have to be concerned with this issue again. Thank goodness!



  22. Ronald Kirkman
    Ronald Kirkman avatar
    42 posts
    3/6/2014 5:03 PM
    Greetings;

    You guys should know the Democrats will not believe you because you are Republicans. The Dems will have the final say. If Scott's plan is that good you know who is paying for it and that is us the taxpayer. I have full Bl.Cr. Bl.Sh. and medicare and it still costs me $45.00 per visit to go to Physical Therapy for my knee. Mater of fact most of my co-pays cost $45.00. When I had surgery for my torn miniscus I had to pay $150.00

    Something I heard on TV an hour or so ago that some Unions are going on strike in Nevada and they want Harry Reid to stop Obamacare. I'm sure some of you may have heard it also. I am going downstairs to watch the Telly and see what this is all about. Megan Kelly will know.

    What did Obama push back today? I heard something about till after the elections. I hear all these things as I am waking up from my naps.

    Capt. Kirk
    Retired Alien
    Needham Golf Club
    Needham, MA



  23. Jon Gansen
    Jon Gansen avatar
    1 posts
    3/7/2014 6:03 AM
    He pushed back the cancellations of private insurance plans. They were set to go out right before elections.



  24. Wahlin Scott B
    Wahlin Scott B avatar
    3/7/2014 7:03 AM
    "If Scott's plan is that good..." is a pretty nasty thing to say. There is no way I will ever get even between the taxes I have paid and the benefits I will receive. You folks on the right are just not nice at all. That is just the way it is.



  25. Ronald Kirkman
    Ronald Kirkman avatar
    42 posts
    3/7/2014 9:03 AM
    Scott Wahlin, CGCS said: "If Scott's plan is that good..." is a pretty nasty thing to say. There is no way I will ever get even between the taxes I have paid and the benefits I will receive. You folks on the right are just not nice at all. That is just the way it is.


    Scott;

    You are not the only one that pays or paid taxes. I am at least 20 years older than you and I have to pay a little over $6000.00 in taxes just on our Social Security and that is thanks to the LEFT Al Gore for breaking the tie in taxing S.S.

    Have a nice day.

    Capt. Kirk
    Retired Alien
    Needham Golf Club
    Needham, MA



  26. Wahlin Scott B
    Wahlin Scott B avatar
    3/7/2014 10:03 AM
    Ronald Kirkman said:
    Scott Wahlin, CGCS said: "If Scott's plan is that good..." is a pretty nasty thing to say. There is no way I will ever get even between the taxes I have paid and the benefits I will receive. You folks on the right are just not nice at all. That is just the way it is.


    Scott;

    You are not the only one that pays or paid taxes. I am at least 20 years older than you and I have to pay a little over $6000.00 in taxes just on our Social Security and that is thanks to the LEFT Al Gore for breaking the tie in taxing S.S.

    Have a nice day.

    Capt. Kirk
    Retired Alien
    Needham Golf Club
    Needham, MA


    I did not bring up your name. Leave me out of your rightwing BS.



  27. Corey Eastwood
    Corey Eastwood avatar
    82 posts
    3/7/2014 11:03 AM
    Capt.

    Don't forget to deduct your Casino losses.

    2 down after 2

    Corey Eastwood CGCS, Stockton Golf & CC, Retired

  28. Ronald Kirkman
    Ronald Kirkman avatar
    42 posts
    3/9/2014 5:03 PM
    Corey Eastwood, CGCS said: Capt.

    Don't forget to deduct your Casino losses.

    2 down after 2


    Corey, Already deducted the losses and taxes are complete and I have received the check from the government. And, I might add all on the up & up!

    Now this 2 down after 2 was in San Antonio, was it not? I remember, I was going to whip your butt! Just to have you 2 down was a moral victory. However, you had me 3 down after 9 and the rest is history.

    Are you still hitting your 1 iron 250 to 275 yards?

    Why don't you play in the GCSAA Championship? One thing for sure, you won't come in last!

    Capt. Kirk
    Rretired Alien
    Needham Golf Club
    Needham, MA



  29. Robert Crockett
    Robert Crockett avatar
    4 posts
    3/10/2014 9:03 AM
    Sandy Clark, CGCS said: Just a quick update on my insurance at Barona. We received good news in that our policies, whichever one you had chosen, will remain the same for 2014 so I no longer need to determine if I should switch to Medicare this year. We have 3000 people so we probably have pretty strong bargaining power. I will be nearly 69 years old before I have to be concerned with this issue again. Thank goodness!

    Yes... until the 2014 midterm elections are over. Then you can't keep your plan or your doctor again :o



  30. Sandy Clark
    Sandy Clark avatar
    0 posts
    3/10/2014 9:03 AM
    I have it for a year and at that point if I don't like what Barona offers, I can jump to Medicare unless it is so bungled up by then that it turns out to be lousy as well!



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