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[Rant]Lumenos Health insurance is a Freaking RIP-OFF

Discussion in 'BBS Hangout' started by mazyar, Apr 14, 2009.

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  1. mazyar

    mazyar Member

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    Stay away from this insurance plan.

    My insurance provider is Lumenos from Anthem Blue Cross. Basically it is an HRA account good for $1000.00. I have to deduct more than $50 every month from my paycheck for this insurance.

    That is more than $600 a year for $1000 coverage!

    So I went to a few doctor visits during the past year. I have $0 co-payments for doctor visits. But each doctor I visited has charged me atleast $250. Also non of the prescriptions are covered. So a $200 antibiotic prescription costs me $200 from my HRA account.

    So here's my frustration. I have paid $600 out of my paycheck already for a $1000 HRA acount. But now at the end of the year I am still responsible for about $700.

    You tell me what kind of insurance company this is.

    Bull Cr*p.
    :mad:
     
  2. kaleidosky

    kaleidosky Member

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    the company i almost joined last year had that plan. With them, there was an out of pocket max.

    Their first $500 was covered, as you described with the 1k. After that, you were responsible for the next 1k out of your own pocket. And after that, the insurance company covered the rest.

    So basically, it made sense if you planned on either spending a little or spending a lot. In addition, they rolled over that $500 if you didn't spend it, so the following year, you could have up to 1k before you had to put in $500 out of pocket.
     
  3. Master Baiter

    Master Baiter Member

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    All health insurance is a scam. Doctors should earn a decent wage but no entity should profit from my or your health.
     
  4. tinman

    tinman 999999999
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    my insurance company sucks too.
     
  5. kaleidosky

    kaleidosky Member

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    ok, then no entity should profit from anyone's death. government better take over funerals, embalming places, and everything associated with death.

    Come on...there is a profit to be made for providing services. If you think insurance in general is stupid and not a service, then that's a different story--but you'd have to apply it everywhere and say auto insurance, life insurance, etc. are all out.

    Of course, you're not required to purchase health insurance, but that wouldn't work out very well on your pockets. I get that people want the system changed, but saying no one should profit for providing services in any area is over the top, to me
     
  6. DonnyMost

    DonnyMost Member
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    All insurance is a complete rip.
     
  7. Yonkers

    Yonkers Member

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    Totally agree. Above statement is ridiculous.
     
  8. Medicine N Music

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    I think when people think about the average insurance plan, it's different from an HRA. When I hear HRA, I think about people that are basically paying for a bad plan because they know that they'll get sick during the year and use the money in the account. Anyway, read the terms of your insurance, because I don't see how a doctor's office can charge you $250 out of pocket when you're insurance card states $0 as co-payments. I would call them if I were you.
     
  9. Master Baiter

    Master Baiter Member

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    It has nothing to do with insurance in general. Having a car is a luxury and as part of the responsibility in owning a car, you must provide auto insurance. Life insurance is one portion of your total financial planning but it is not a necessity.

    Eveyone gets sick. Everyone should have the right to medical care. Insurance and pharmacuetical companies have ruined that all in the name of the mighty dollar. It is wrong, it is a scam, and it should be illegal. To many people have zero access to medical care and too many people that do have medical insurance never get the treatment that they deserve due to greed.

    We are the only industrialized country to have this bastardized system, we spend more money than any other country on medical care, but yet we rank in the top 30 in terms of the quality of our overall healthcare system.
     
  10. fmullegun

    fmullegun Contributing Member

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    Interesting. How much did you profit from healthcare last year?
     
  11. rhadamanthus

    rhadamanthus Member

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    I agree with MB. Puttng health care in the hands of accountants is/was a terrible idea.

    Link

    For comparison, admin costs for private for-profit insurance is ~30 cents/dollar. Medicare, interestingly, pays out 98-99% of it's revenue to claims.
     
  12. bobrek

    bobrek Politics belong in the D & D

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    There doesn't appear to be any shenanigans involved here. Aren't you putting $600 tax free into a Health Care Reimbursement account and your employer is contributing $1000? You then essentially have $1600 to spend on health care that you get reimbursed.
     
  13. astros148

    astros148 Member

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    lol my friend sells insurance there and says its the biggest scam but continues to sell and makes bank.


    lololololol
     
  14. bobrek

    bobrek Politics belong in the D & D

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    But it doesn't sound like this is an "insurance" plan. It is a reimbursement plan.
     
  15. mazyar

    mazyar Member

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    The initial coverage that I don't have to pay for at all is $1000. Then there is a "bridge" of $800 that I am completely responsible for. After that 1000 + 800, then any other charge is 90% covered by the insurance company.

    For example let's say at the beginning of the insurance year, I have a surgery that costs $4000. The insurance pays the first $1k. Then I pay the next $800 out of my own pocket. The rest of the $2200, I have to pay 10% of it.

    I just called them during my luch break and got that explanation. I guess it's not as bad as I first thought.

    Sorry for the misspellings...
     
  16. Yonkers

    Yonkers Member

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    I guess insurance are like trannies. You better check before you jump to conclusions. :D
     
  17. Fatty FatBastard

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    Uh, that is actually VERY good coverage. Essentially, it is an $800 deductible with free office visits and prescriptions up to $1,000. Then it's a 90/10 coverage.

    Most people would define A plan with a $1,000 deductible and 80/20 coverage with a $25 office visit copay good coverage.

    Of course, there are always the dunderheads who think it should ALL be free.

    Personally, I'm COMPLETELY in favor of Free Universal Health care. As long as everyone but the destitute have a $5,000 deductible. Office visits would be covered, also.

    I think that a plan like that would keep the idiots from taking advantage of "free" stuff, and still make sure we all are covered for serious things.
     
  18. kaleidosky

    kaleidosky Member

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    well done
     
  19. Master Baiter

    Master Baiter Member

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    I would be happy with something similar to that especially if prescriptions were covered as well.
     
  20. Fatty FatBastard

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    There would definitely need to be a prescription deductible. That would be the most abused area. Personally, I think the current system in place works fine. If you want the latest and greatest medication, you pay for it, otherwise you still get great meds. Just the ones that have been out for ten or more years. That way, scientists are still inclined to produce new medicines and cures. Without the profit carrot, new development would come to a screeching halt.

    Think of it this way. Either poorer folks get to receive all prescriptions made prior to 2000, (with new meds becoming available for free every year) or we allow it all to be free and see little future innovation beyond 2010.

    IMO, the Gov't can give free prescriptions to the meds whose patent has expired.
     

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