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Claim Jumping
How to (mis)use Obamacare


       By Craig J. Casey
What is the jump and dump?


Happening in Massachusetts with
Romneycare now:

• Residents wait to get mandatory health
  care when they get sick.
• Get an expensive medical procedure
  or treatment.
• Cancel coverage, and go back to
  incurring annual penalties.
COBRAhealth.com/jump-dump-Obamacare
#1 Do the math

                          Reward: You save
                          $7,000 per person,
                          $15,000 per family per
Risk: An emergency
                          year.
procedure leads you
into BK, liens and
wage garnishments.
Mandated fines avg.
around $1,000.




            Risks of going uninsured
COBRAhealth.com/jump-dump-Obamacare
#2 Penalties are much lower than health insurance



• Violating the individual mandate costs
  $795, or annual 2.5% of income,
  compared to $7,000 in premiums.
• You make over $16,245 as a single
  person or $44,100 as a family. Your
  healthcare premiums would easily
  exceed the penalty (up to about
  $275,000 in income).

COBRAhealth.com/jump-dump-Obamacare
#3 Your state refused to set up an insurance exchange




• Congress never authorized subsidies
  for insurance bought via Federal Run
  Exchanges.
• You won’t get any subsidy for in CA,
  CO, CT, HI, MA, MD, NV, OR, RI, WA,
  WY, UT, or VT.



COBRAhealth.com/jump-dump-Obamacare
#4 Guaranteed Issue




• After January 1st 2014, the Affordable
  Care Act’s guaranteed issue
  requirements go into effect.
• Health insurance carriers can’t say no,
  regardless of how expensive your pre
  existing conditions will be.


COBRAhealth.com/jump-dump-Obamacare
#5 You don’t qualify for (or want) Medicaid




• After Jan 1, 2014, Middle income
  adults and families with income from
  133-400% of FPL may qualify for
  Medicaid, who previously had private
  insurance.
• Medicaid enrollees have a hard time
  finding doctors and specialists.

COBRAhealth.com/jump-dump-Obamacare
Commercial break:


• If you have assets or income, stay on
  your current plan or get covered until
  Jan 1. 2014. On our site:




COBRAhealth.com/SHOP
#6 You get limited choices for more money




• After Jan 1, 2014, Obamacare will only
  offer only 4 plan levels— Bronze pays
  60% of health expenses, Silver, 70%,
  Gold 80%, and Platinum 90%.




COBRAhealth.com/jump-dump-Obamacare
#7 Congress approves a public option



• Once premiums skyrocket, a Public
  Option with artificially low premiums
  would BK even more carriers.
• Fewer choices, less competition
  means health insurance prices go still
  higher.




COBRAhealth.com/jump-dump-Obamacare
#8 You get married




• Two people filing jointly would get
  fewer subsidies than if they were
  cohabiting or divorced.




COBRAhealth.com/jump-dump-Obamacare
#9 Your family is excluded from subsidies


• If an employer provides you with
  “affordable” employee-only coverage,
  the rest of the family may not be get
  subsidized coverage through the
  exchanges.




COBRAhealth.com/jump-dump-Obamacare
#10 Your employer ends coverage




• Your employer drops their company
  health plan or offers unaffordable
  coverage, so you are faced with joining
  a guaranteed issue exchange.




COBRAhealth.com/jump-dump-Obamacare
#11 You get a raise




 • You accepted a raise or promotions
   that pushed you over $43,320 as a
   single person or $88,200 as a family,
   the income limits for healthcare
   subsidies.



COBRAhealth.com/jump-dump-Obamacare
What you can do now:



• Shop health carriers for a high
  deductible plan with the HSA.
• Stay enrolled until 2014.
• Based upon your income levels, jump
  into the exchange if you need medical.
• WARNING: Without health insurance,
  medical emergencies could be
  financially ruinous.

COBRAhealth.com/jump-dump-Obamacare
About Me:




COBRAhealth.com/jump-dump-Obamacare
Connect:




COBRAhealth.com/jump-dump-Obamacare

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Claim Jumping - How to ripoff Obamacare

  • 1. Claim Jumping How to (mis)use Obamacare By Craig J. Casey
  • 2. What is the jump and dump? Happening in Massachusetts with Romneycare now: • Residents wait to get mandatory health care when they get sick. • Get an expensive medical procedure or treatment. • Cancel coverage, and go back to incurring annual penalties. COBRAhealth.com/jump-dump-Obamacare
  • 3. #1 Do the math Reward: You save $7,000 per person, $15,000 per family per Risk: An emergency year. procedure leads you into BK, liens and wage garnishments. Mandated fines avg. around $1,000. Risks of going uninsured COBRAhealth.com/jump-dump-Obamacare
  • 4. #2 Penalties are much lower than health insurance • Violating the individual mandate costs $795, or annual 2.5% of income, compared to $7,000 in premiums. • You make over $16,245 as a single person or $44,100 as a family. Your healthcare premiums would easily exceed the penalty (up to about $275,000 in income). COBRAhealth.com/jump-dump-Obamacare
  • 5. #3 Your state refused to set up an insurance exchange • Congress never authorized subsidies for insurance bought via Federal Run Exchanges. • You won’t get any subsidy for in CA, CO, CT, HI, MA, MD, NV, OR, RI, WA, WY, UT, or VT. COBRAhealth.com/jump-dump-Obamacare
  • 6. #4 Guaranteed Issue • After January 1st 2014, the Affordable Care Act’s guaranteed issue requirements go into effect. • Health insurance carriers can’t say no, regardless of how expensive your pre existing conditions will be. COBRAhealth.com/jump-dump-Obamacare
  • 7. #5 You don’t qualify for (or want) Medicaid • After Jan 1, 2014, Middle income adults and families with income from 133-400% of FPL may qualify for Medicaid, who previously had private insurance. • Medicaid enrollees have a hard time finding doctors and specialists. COBRAhealth.com/jump-dump-Obamacare
  • 8. Commercial break: • If you have assets or income, stay on your current plan or get covered until Jan 1. 2014. On our site: COBRAhealth.com/SHOP
  • 9. #6 You get limited choices for more money • After Jan 1, 2014, Obamacare will only offer only 4 plan levels— Bronze pays 60% of health expenses, Silver, 70%, Gold 80%, and Platinum 90%. COBRAhealth.com/jump-dump-Obamacare
  • 10. #7 Congress approves a public option • Once premiums skyrocket, a Public Option with artificially low premiums would BK even more carriers. • Fewer choices, less competition means health insurance prices go still higher. COBRAhealth.com/jump-dump-Obamacare
  • 11. #8 You get married • Two people filing jointly would get fewer subsidies than if they were cohabiting or divorced. COBRAhealth.com/jump-dump-Obamacare
  • 12. #9 Your family is excluded from subsidies • If an employer provides you with “affordable” employee-only coverage, the rest of the family may not be get subsidized coverage through the exchanges. COBRAhealth.com/jump-dump-Obamacare
  • 13. #10 Your employer ends coverage • Your employer drops their company health plan or offers unaffordable coverage, so you are faced with joining a guaranteed issue exchange. COBRAhealth.com/jump-dump-Obamacare
  • 14. #11 You get a raise • You accepted a raise or promotions that pushed you over $43,320 as a single person or $88,200 as a family, the income limits for healthcare subsidies. COBRAhealth.com/jump-dump-Obamacare
  • 15. What you can do now: • Shop health carriers for a high deductible plan with the HSA. • Stay enrolled until 2014. • Based upon your income levels, jump into the exchange if you need medical. • WARNING: Without health insurance, medical emergencies could be financially ruinous. COBRAhealth.com/jump-dump-Obamacare