headoverheels

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Everything posted by headoverheels

  1. https://www.washingtonpost.com/lifestyle/style/a-thanksgiving-tradition-for-the-birds/2015/11/25/eb2a5d8a-9387-11e5-a2d6-f57908580b1f_story.html Lots of turkeys in my 'hood, but none are white, or obese.
  2. Cogent ruling on the Wisconsin law: http://www.vox.com/2015/11/25/9801108/anti-abortion-scott-walker-defeat Law absolutely unjustified on any count. I hope that the SCOTUS ruling on the similar Texas law goes the same way.
  3. I agree with that. There is lyme disease here, and I have found ticks on my clothing after hiking.
  4. You have told me nothing that I already did not know. My original question was in regard to the amount of reimbursements through state-exchange plans, vs. Medicare rates. If significantly lower, I can see why a practice will not take them.
  5. This is an easy one. Employer offered coverage is different than 100% individual coverage. Anthem for employers is going to cover specific doctors. Just like BCBSNC employer plans will. I do not have an employer plan, I own my plan, it is individual. Now, if you had to use the marketplace because you qualify for a subsidy, and lost employer coverage, there would be a plan which can suit you. For what it is worth, I learned to do insurance billing when a coworker went out sick. All insurance policies, to my knowledge, allow for "negotiated rates". You may have a deductible to meet, etc.. But you can choose your plans and deductibles. I am referring to the individuals which the ACA is attempting to cover, and those are INDIVIDUALS. I don't know whether you don't understand what I am saying, or whether I don't understand you. With my employer plan, I have NEVER found a medical provider which doesn't take it. I don't have to have a referral, I don't have to see my primary care doctor before a specialist. Those same MDs will not take ANY insurance provided though the same insurers (e.g.Anthem), if it is insurance obtained through the state exchange. I haven't pressed them on that, since I have other insurance, but I have seen the sign at the check-in desk, and have been told that over the phone when making an appointment with a new doctor. My understanding (maybe out of date) is that NC uses the federal exchange. Here, we have a state exchange which also negotiated rates for services.
  6. What insurance company is your policy through? My insurance is though Anthem, provided by my employer. If I got a plan though the state exchange, provided by Anthem, I would not have coverage to use any of the 5 MDs I've used in the past year, and possibly not the surgery center or anesthesiologists. I could certainly still pay cash with the state exchange Anthem plan, and get partially reimbursed by the insurance, but I wouldn't have the protection of negotiated rates. e.g., the surgery center billed over $14k for ~30 minutes of theater time and preop/recovery, and was allowed $2.3k by Anthem, since they accept my non-state exchange Anthem plan.
  7. That may be true in NC, but here in California, I can assure you that most/all of the providers I use will not accept any insurance obtained through the state exchange.
  8. United Healthcare is an additional provider in California, starting in 2016. The total number is going from 10 insurers to 12. Insurance rates for Covered California plans are going up an average of 4% for 2016, after going up an average of 1% in 2015.
  9. What is the case for this reducing costs? I guess I can imagine it in low-population states that may have less "competetion," but I don't see what improvement it would have in states like CA or TX.
  10. This does not add up. "ACA" is not an insurance policy. It is a program to get people on insurance. The policies are issued by private insurance companies. Payments are still negotiated between insurance companies and providers. So does your provider not accept people insured by insurance companies? I've used to at least 5 medical providers in the past year who either had a sign at the front desk saying that they do not accept insurance obtained through the state ACA exchange, or who said that when I called to make an appointment, or both. Others may have had that policy, but I didn't notice, since I have insurance through my employer.
  11. I'm curious as to the amount the ACA reimburses (about same as Medicaid, according to your post) vs. the amount that Medicare pays. I use a doctor/practice that doesn't accept ACA coverage, but the great majority of their practice is old folks on Medicare.
  12. ' . . . the Democratic mayor of Roanoke, Virginia, David Bowers . . . ' The links still opens for me just fine. Jerry Baumchen I didn't see any in there saying that the Syrians are fleeing global warming, which is what I asked about.
  13. You don't really think that Carson drew the map, or did a detailed review of it, do you? He has people for that. He needs better ones.
  14. Also raises the query why would they be attacked in the first place when everyone knows all Texans have guns. A couple of them had moved there recently, to be closer to their daughter. The daughter should have supplied the guns for everyone, but apparently did not.
  15. This one is: http://www.nbcnews.com/news/asian-america/virginia-mayor-compares-barring-syrian-refugees-japanese-american-internment-n465877 Jerry Baumchen The funniest one is a Democratic candidate saying the Syrian refugees are coming here and elsewhere because of global warming You can't make that stuff up I didn't see that in the two links -- who was it?
  16. THE Amazon probably has a bunch of them.
  17. Maybe not, but that wasn't the origin of the 100,000 number (self-induced admitted), just an attempt at estimating the real number.
  18. Impressive how it instantly trims off the side branches.
  19. Is Beck still shilling for gold, as he was when it was worth 80% more than it is today?
  20. What is "lazing?" I've know a lot of lazy Christians, as well as lazy Muslims. You "paint" a target with radar, you "sparkle" the target with a laser designator. Lazing is target identification for precision munitions. So someone cannot spell, and doesn't know what the "s" in laser means.
  21. What is "lazing?" I've know a lot of lazy Christians, as well as lazy Muslims.
  22. At least this one didn't shoot or beat anyone (as far as I know) http://www.nj.com/bergen/index.ssf/2015/11/disabled_waldwick_cop_pleads_guilty_to_collecting.html Only 1 year for stealing $321k?