Skip to main content

Okay, so I'm done, finished, finis with my application, choosing my coverage and hitting that scary complete button.  I live in PA so no state exchanges for us. is the only option, so that's the experience I will share.

Some quick background. My husband and I are middle aged (if your life expectancy is somewhere in the 120's.)  My husband is self employed as a Realtor and our income varies greatly year to year.  This has been an exceptionally good year.

We have had to buy our own private insurance since 1999.  We had to give up health insurance in 2010 or 2011 (don't remember) because they raised our ungodly rates of $25,000 a year to the completely crazy, insane, unsustainable rates of $48,000.  This was their way of legally dumping us. We paid the extortion of $25,000 and did without a lot so we could have it!

Thanks to the pre-existing condition emergency plan we have had coverage the past year or so at a cost of about $600.00 a month.  For this we have extremely high deductibles, no prescription coverage, but since I needed 2 operations last year, we would have been bankrupt without it.  Thank you ObamaCare preview plan.

So on to the good, the bad and the ugly.

The ugly----yes the website sucks badly, but whatever, lots of things we have to do in this life suck.  

I signed in on day one and needless to say, it was a total bust.  I tried off and on for the next week, but didn't waste much time, just waited patiently. I often got error 404 or 504 or something.

Thanks to somebody here, I read to clear your cache, use IE only, etc.  So yesterday I cleared my calendar, got my husband's old computer with XP and sat with a coffee expecting to take the entire day. Half an hour later, boom.....application in and all I need to do was choose coverage.  I spent the rest of the day going over plans, doing math, playing the "if this then that" game, and narrowing it down to two choices.  I slept on it.

The bad----the specifics of maneuvering through. I knew this year we made way way to much for a subsidy, so I was able to skip that part, which might have  been a pain if I would have had to enter all financials.  

The website runs like it is working on dialup.  Hit the button, wait, wait, wait....w a i t.  Okay I survived dialup before, so I knew I could handle it.  

Umm also lots and lots and lots of extra button hitting.  Yes or no question, hit enter, wait. What the hell am I suppose to do?  Oh hit the green button that says set. wait...wait... something is up, wait...wait...oh, here's the page. And so on.  

Again I say...whatever.  It's just not that awful of an ordeal. Not worse than bad.

I not only lived through the dialup era, but I lived through the DMV and disco of the 70's, Reagan of the 80's and "blowjobgate" of the 90's.   I knew I'd survive.

Then of course you have to put up with reading through health insurance coverage. And come to peace with your God for giving these devil handmaidens money.   AND deciding what the hell they mean in their double-triple hell talk.  

Okay, the insurance companies are the bad and the ugly and the horror and the...never mind.  Just know I worked for two different health insurance companies and I have met the devil and survived the hell fire.  Wait...I digress...


I am sure many of you will be horrified about the price I got. PLEASE remember what we were paying.  To us this is affordable, at least in comparison.  We also will pay full price.

I decided the best plan for my husband and myself was to get one of the most expensive plans.  

We have a low deductible ($2,000 total with $7,000 max) and very low co-pays on everything.  I also got a dental plan that covers check up every 6 months for free, we pay 10%--25% on everything else.  We haven't had dental or eye coverage since 1995.

When figuring which plan we looked at the worst case where we would pay all maximums for the year the more expensive would be the cheaper by $5,000.  Also, as another KOSack pointed out, if you're self employed look for the tax benefits.  That also helped me decide on the more expensive plan.  Your choice will of course be dependent on your personal needs.

Oh and every plan pretty much covers all the basics you actually need in health care.  Including pediatric dental and eyecare and adult eyecare exams (even if only every 2 years, I know many people who have not seen an eye doctor in 10 years from the price.)

The differences seems to be deductibles, maximums and co pays.  

Oh and my price for both heath and dental is $829.72 a month.

If anyone has questions and/or comments I am babysitting 2 of the grandbabies, and have to clean the house and cook dinner for a party tonight, so I am no ta hit and run, just might not have a bunch of time to respond.

Your Email has been sent.
You must add at least one tag to this diary before publishing it.

Add keywords that describe this diary. Separate multiple keywords with commas.
Tagging tips - Search For Tags - Browse For Tags


More Tagging tips:

A tag is a way to search for this diary. If someone is searching for "Barack Obama," is this a diary they'd be trying to find?

Use a person's full name, without any title. Senator Obama may become President Obama, and Michelle Obama might run for office.

If your diary covers an election or elected official, use election tags, which are generally the state abbreviation followed by the office. CA-01 is the first district House seat. CA-Sen covers both senate races. NY-GOV covers the New York governor's race.

Tags do not compound: that is, "education reform" is a completely different tag from "education". A tag like "reform" alone is probably not meaningful.

Consider if one or more of these tags fits your diary: Civil Rights, Community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, Media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don't fit in any of these tags. Don't worry if yours doesn't.

You can add a private note to this diary when hotlisting it:
Are you sure you want to remove this diary from your hotlist?
Are you sure you want to remove your recommendation? You can only recommend a diary once, so you will not be able to re-recommend it afterwards.
Rescue this diary, and add a note:
Are you sure you want to remove this diary from Rescue?
Choose where to republish this diary. The diary will be added to the queue for that group. Publish it from the queue to make it appear.

You must be a member of a group to use this feature.

Add a quick update to your diary without changing the diary itself:
Are you sure you want to remove this diary?
(The diary will be removed from the site and returned to your drafts for further editing.)
(The diary will be removed.)
Are you sure you want to save these changes to the published diary?

Comment Preferences

Subscribe or Donate to support Daily Kos.

Click here for the mobile view of the site