Well I ventured into the Colorado insurance marketplace for ACA insurance.......mixed feelings.
The Ugly and the Bad;
1- Experienced technical glitches quite a few times. Got booted out/off and had to start over many times.
2- The information on the available plans is pretty darned limited compared to what I am used to getting from our insurance broker. The general public trying to navigate this system and make decisions can't be a good thing. I know a LOT about health insurance plans, how they work, etc. because I have been selecting plans for myself and my company for many years. This marketplace has to be an absolute nightmare for people that aren't well versed in deciphering these plans.
3- Started down the path to determine if I would be eligible for any financial assistance or reduced premiums (note-was pretty sure I wouldn't be but was curious because I will also be helping some of my employees sign up). That path (determining eligibility for assistance) was an absolute nightmare. Once I got started it would not let me bail out or cancel the process. They required WAY more information than I wanted to provide. So I determined fairly early on I wasn't going to complete that line of questioning on the application. I couldn't stop it or avoid it. I had to actually call in to their help line and have them delete the app I had started so that I could start over without determining financial assistance. Of course, being a government entity, the financial determination had to first consider Medicaid and CHiP (a Colorado assistance plan) eligibility which made it very involved and cumbersome. Would've been nice if it had offered the option to skip determining Medicaid eligibility and gone right into determining premium reduction eligibility.
4- Since our prior company plan was on a December 1st renewal date, I needed to secure coverage beginning December 1, 2014. It has always been my experience that when signing up health insurance the plans are 1 year (12 months) to renewal. So, I enrolled only to find out that the plan I signed up for would only be good for 1 month. Yep, gotta do it all over again in December for the 2015 year. It is not a fun or quick process so finding that out after I signed up was discouraging. Nowhere along the way did the system inform me that I was selecting a plan for only 1 month. So, after verifying that with another call to the help line, it sunk in that I was basically getting screwed for a month; new deductible that would only be good for only 1 month. If I actually have to use the plan in December, it will likely be all out of pocket anyway. So, I called a third time to see if that was in fact the case. They could not reach a consensus on an answer so I am waiting for a call back.
The Good;
1- I had 66 plans to choose from that ranged in price, for our family of 4, from about $720/mo to around $2700/mo. Some of the best plans were not at the upper end of the price range but rather down around the $1100 to $1300 range. I did find a couple plans that had lower premiums and much better coverage than the Anthem BCBS PPO plan I have just given up. The new plan will be a Kaiser Permanente HMO rather than a PPO. HMO's are a little more restrictive than PPO's as far as they afford zero coverage out of network. The only downside I really see is that our primary care physicians will no longer be in network so, we will have to select new doctors. That doesn't break my heart because our long time doc just retired about a year ago anyway and we are not impressed or attached with his replacement.
The Best Thing;
1- I no longer have to select the plans my company will offer to our employees or comply with an endless stream of ever changing rules, notifications, and legal requirements. It was a draining, seemingly constant, slog that sucked ass bad. All we had to do was give everybody a raise which more than covered the company's share of the insurance premium and now they can all make their own health care decisions. The employees don't like it but I love it.
Sorry if this is boring to ya'll. I just thought it would be good to post a real life experience with the ACA changes.