Greg's Corner

Healthcare coverage that leaves you feeling sick

The Affordable Care Act, aka Obamacare, was designed to bring affordable healthcare coverage to US citizens who previously couldn’t afford it. Even with Obamacare there are still a vast number of Americans who can’t afford health coverage. Many of those desperate for some kind of coverage may respond to one of the many ads for discount healthcare coverage that they may have found online, on TV, or even on a roadside sign that promises great benefits at a cut-rate price. As is the norm in many of these cases, the promises of great coverage for your family go largely unfulfilled.

A lot of these healthcare plans aren’t insurance but they’re what’s called discount programs. In some cases these programs make a deal with a local or national PPO network and will allow you to see doctors at the same discounted rate that fully insured people get however the plan doesn’t actually pay any money on your behalf to your doctor. You only get a discount and still have to pay the majority of your bill to the doctor’s office. Many healthcare professionals may be in-network with the PPO plan named on the discount card but a great number of them won’t even accept any patients using only a discount plan. That’s not even mentioning that these discount plans don’t fulfill the Individual Mandate requirements of Obamacare that say those that don’t have sufficient health coverage will be fined by the government.

Here’s a tip on how not to be fooled by these programs if you’re looking for real healthcare coverage. There’s one word you need to keep an eye out for and that word is ‘insurance’. If the ad does not use the word insurance then it isn’t healthcare coverage that you need. Back in the days when fax machines were more prevalent than the internet these plans would spam fax machines with these same promises but in very small print at the bottom, sometimes blurred out by poor quality faxes, would be a disclaimer that said ‘This is not insurance.’

While these ads may use words that sound like they may be insurance, unless they use the actual word they’re not.