healthcare.gov Questions & Answers

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Here’s what consumers have asked with answers from healthcare.gov staff and previous consumers.

6 questions answered
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Question:

How can you get an annual physical that is said to be covered and get a $ 250.00 bill?

Answer:

Because the healthcare system in this country is completely broken.

By Sandrine M.
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Question:

Team, me & my wife were holding medical insurance from horizon blue cross of blue sheild, for year 2015, through market place. for 2016, we have enrolled new plans from same horison bcbs, through healthcare.gov before dec 15 2015, to get coverage from jan 1 2016. later i got to know, unfortunately my wife's new plan or any other information has not been updated & not activated in the horizon bcbs database, however my husband's new 2016 plan is updated & activated. we are following for this issue, since dec 23 2015 & still no update. healthcare.gov created an escalation case and they said it can take up to 30 days to fix this issue. my wife is pregnant now. i need to visit doctor asap. please advice, if healthcare.gov will fix the issue for sure? or does anyone faced the similar situation and got fixed? thanks,

Answer:

I tried to change plans for the last five months going via MarketPlace. It is marketplace agent who completely misleads me in December. I succeeded in MP agent to petition on my behalf. Just received letters from Florida blue and marketplace catering that my petition was denied yet that my insurance membership was cancelled per my request. I never asked the marketplace agent and supervisor (yes. She was a supervisor as well, the one who petitioned on my behalf) it is extremely frustrating and worse in the case who needs urgent medical care. I share this so to advise anyone in the same situation to be absolutely cautious and to be completely methodical as far as MP. And even doing so, it still seems to me that the HMP does whatever it feels like doing and we, the consumers, are completely powerless. I am leaving the marketplace. But want to share my experience on as many forums and sites as I can. Good luck to you and your wife and congratulations.

By Sandrine M.
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Question:

Why did website qualify me for discounts/credits(based on income) then 3 months later tell me i am making too much $ and i am not eligible?

Answer:

Same happened to me. So agent at marketplace switched me from PPO to HMO without telling me and completely mislead me last December promising me that this new plan was the one I needed. As it happens, it is the worst plan from Florida Blue. These so called "agents" at the marketplace have no idea what is going on, many can care less, they know that we, the consumers, are powerless to do anything. They apparently are not allowed to give their employee ID number and names do not suffice to place a formal complaint against any of them. Health Marketplace went from being a dream come true to the worst nightmare. I hope you finally solved your issue

By Sandrine M.
Question:

The premiums are unaffordable at $1000+ a month and our doctors dont accept any of the plans. is anyone else experiencing this?

Answer:

Oh YES. And I have tried to dispute the claims my insurance is rejecting. The MP agent whom I got in December in order to renew my plan completely mislead me and the plan I have on is the worst plan Florida Blue is offering. According to Florida blue agents, they have no control over what the Marketplace decides and claim that the Marketplace refuses to communicate with them. I suspect that Florida Blue is also taking advantage of the situation. I pay twice as much as before and my copays are 3 times what they used to be. And my network is quite restraint now. Many of the specialists I used to see are no longer in my network. I am kind of relieved to see how many people are unhappy with HMO. I started to wonder if it was me who in fact was wrong and who misunderstood or…

By Sandrine M.
Question:

Answer:

BECAUSE THEY ARE UNEDUCATED IGNORANT PEOPLE THE FEDERAL GOVERNMENT HIRED. TRUMP NEEDS TO FIRE ALL THEM AND SHUT THIS DOWN. THEY HAVE YET AGAIN SCREWED UP MY PLAN AND MY DAUGHTERS 15 CALLS LATER AND I RENEWED IN NOVEMBER... THEY DELETED ME AND PUT MY DAUGHTER... JERKS THEN GAVE HER A MESSED UP PLAN

By SARA A.
Question:

Fix my 1095a form that you sent to the irs which is incorrect, this company is incompetent

Answer:

I got one too and they refuse to fix it. Total scam.

By Dale S.

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