Ask the Guy who successfully enrolled in Obamacare on the healthcare.gov website

After trying a couple of times a week since the the October 1 rollout, I was finally able to successfully enroll in a healthcare plan on the healthcare.gov website.

There is only one provider in New Hampshire: Anthem Blue Cross/Blue Shield. I had my choice of five bronze plans, three silver plans, two gold plans. Anthem does not offer a platinum plan in New Hampshire.

I am a single, self-employed male, age 59. I have had no health insurance since July of 2010, when I lost COBRA coverage on my wife’s employer’s plan. I selected a silver plan which costs $592 per month. I am eligible for a federal tax credit of $486 per month. My total monthly premium will be $106.

What will I get for my $106? Annual deductible of $750. Annual out of pocket maximum of $1500.

$20 co-payment for primary care doctor visits. No co-insurance for primary care doctor’s visits.

Specialist visits - No Charge After Deductible In-Network; Not Covered Out-of-Network

X-rays and diagnostic imaging - No Charge After Deductible In-Network; Not Covered Out-of-Network

Laboratory and outpatient professional services - No Charge After Deductible In-Network; Not Covered Out-of-Network

Emergency room care - $100 Copay before deductible In-Network; $100 Copay before deductible Out-of-Network

Inpatient doctor and surgical services - No Charge After Deductible In-Network; Not Covered Out-of-Network

Inpatient hospital services (like a hospital stay) - $250 Copay per Stay In-Network; Not Covered Out-of-Network

Hearing aids - No Charge After Deductible In-Network; Not Covered Out-of-Network; 1 Item(s) per Episode

Generic drugs - $15 In-Network; Not Covered Out-of-Network

Preferred brand drugs - $35 In-Network; Not Covered Out-of-Network

Non-preferred brand drugs - No Charge After Deductible In-Network; Not Covered Out-of-Network

Specialty drugs - No Charge After Deductible In-Network; Not Covered Out-of-Network

Three month in-network mail order pharmacy benefit - Yes

Prescription drug deductible - Included in Combined Medical & Drug Deductible

Prescription drug out-of-pocket maximum - Included in Combined Medical & Drug Maximum Out-of-Pocket

Other benefits:

Asthma - Asthma program available
Heart disease - Heart disease program available
Depression - Depression program available
Diabetes - Diabetes program available
High blood pressure & high cholesterol - High blood pressure & cholesterol program available
Low back pain - Low back pain program available
Pain management - Pain management program available
Pregnancy - Pregnancy program available
Weight loss programs - Weight management program not available
Acupuncture - Not Covered
Chiropractic care - No Charge After Deductible In-Network; Not Covered Out-of-Network; 12 Visit(s) per year
Infertility treatment - Not Covered
Mental/behavioral health outpatient services - No Charge After Deductible In-Network; Not Covered Out-of-Network
Mental/behavioral health inpatient services - No Charge After Deductible In-Network; Not Covered Out-of-Network
Habillitative services - No Charge After Deductible In-Network; Not Covered Out-of-Network; 60 Visit(s) per Year ; Limits and Exclusions Apply
Bariatric services - No Charge After Deductible In-Network; Not Covered Out-of-Network; Limits and Exclusions Apply
Outpatient rehabilitative services - No Charge After Deductible In-Network; Not Covered Out-of-Network; 60 Visit(s) per Year ; Limits and Exclusions Apply
Skilled Nursing Facility care - No Charge After Deductible In-Network; Not Covered Out-of-Network; 100 Days per year

I am very satisfied with the coverage. It is comprehensive, and very affordable. I feel like a big weight has been lifted from my shoulders, and I can look forward to the future without dreading every little ache and pain.

If you have dismissed Obamacare as unworkable or some kind of bait and switch, I encourage you to have another look, and try the website again. It worked flawlessly for me today, in the middle of the afternoon.

Did you feel like you hit the lottery when you finally got through?

Before you succeeded, was there a particular spot in the process you kept getting stuck?
Congrats, here’s to hoping Obamacare doesn’t go down the toilet in the next election cycle.

Yes, I was very surprised. At first, I wasn’t sure if it was working, then I realized I was definitely getting further than I ever had before.

I was able to submit my application, but unable to view plans or actually enroll in one. All of a sudden, when I clicked on the ENROLL button, it worked!

From your lips to Og’s ear. I wonder if people who get enrolled will be able to keep their coverage if anti-Obamacare forces prevail? I’m not really too worried about the midterm elections, and 2016 is just too far off to predict.

That’s great coverage. The mental health coverage seems excellent!

That’s delightful. I am starting a business and there is no way I could afford a $600 / month health insurance premium. But I make just a little bit too much money to qualify for any subsidy. Nevertheless, the government is going to take my tax dollars and subsidize a plan for you which is much more expensive and comprehensive than I can afford to buy for myself.

So, uh, congratulations.

The strength of Obamacare is guaranteeing minimum benefits for all plans offered on the exchanges:

Considering what you hear on Fox News and other sources, that made from a satisfyingly ironic username/topic combo.

Congrats on having health coverage again. May I suggest getting some tests and things out of the way now, in case this all does go down the flusher during the next election?

Oh yeah. I’ve been saving up my “Doc, what do you think this is…” questions.

The subsidies are not paid for out of income taxes, and the program as a whole is projected to reduce the deficit. So I’m not sure why you view it as taking your tax dollars.

I think I feel the same way.

My 30 year old daughter will be paying $270 a month to get a plan with $6000 deductible. She also makes a little too much for any subsidy or credit.

So as nice as it is for some people, you have to remember that others just got screwed.

Your daughter got a cancellation letter, did she? What was she paying before?

When was the last time you had an individual health insurance policy? How old are you? For someone my age (59), $600 is low, even without the subsidy, and has been for at least five years. If you are relatively young, your policy will be much less than $600.

Assuming she has no dependents, that means she’s making at least $45,960 a year, which means she’s doing better than the overwhelming majority of the rest of the country.

It also means that her monthly net income is in the neighborhood of $3000.

You’ll forgive me if I don’t exactly weep for her.

OP: Have you had a chance to evaluate the size of the provider network?

You’re not a victim. If you can’t afford insurance premiums because you’re starting a business, your business model is not up to par.

She was getting her insurance through a professional organization who decided to get out of the healthcare business totally.

About $240 with $1000 deductible.

Yes. The doctor I selected before I enrolled is in the network, as well as the local hospital.

Sounds like the organization will save itself a lot of money. Will she benefit from that savings?

I don’t think you know how “starting a business” works. They very rarely churn out money right out of the gate. Overwhelmingly, there’s a 2-3 year period where you’re not actively making a profit it all. I know because I also went through this.

Does this sentiment hold regarding people’s life model for those that need subsidies to acquire insurance?