The message of this part of the presentation is to pay attention to the terms and condition of care. For example, even those of us on Medicare could get screwed if we are in a rehab. Our chart says we are there for observation. We have not been officially admitted. Therefore, Medicare won't pay. We could find ourselves with a $40,000 bill for that rehab. So, know the terms of the contract. Ask questions about what's your classification. If the classification isn't covered by Medicare, fix the whatever. Sometimes a social worker or a family member can help with this clarification.
The good news about terms and condition is that insurance will no longer be excluded for those with a pre-existing condition.
With the new law, 80 percent of the premium has to go through direct care. If that isn't the case, then the consumer receives a rebate. If insurance companies want more than a 10 percent rate increase then that has to go through a state agency.
Those having a problem with insurance, the state consumer advocacy group will fight for you. Oster reassures the audience that the state will really go to the mat for the consumer issue.
Oster does a wrap with the message that individuals have to select a plan. That's a must. Those covered by the employers can expect changes in coverage. Likely there will be increases in rates.
The law is that you have to have coverage.