It is curious to me that zip codes now have such a drastic affect on health insurance rates. The insurance companies could have always charged more based on zip code, but they didn't have to because they had other direct health related metrics to determine rates and coverage. Now that zip code is one of only three factors allowed for determining rates it becomes a huge influence. It doesn't cost any more to prescribe a med today than it did 3 years ago in East BippeeJippee, Colorado, but that is the excuse given for your insurance coverage being so much higher today than 3 years ago than if you lived in Denver. It seems to me it is a passive / aggressive strategy to get people to move to cities. Submit to the collective, resistance is futile.
I understand from news articles for our Socialist Republic of MD my coverage would be cheaper if I lived in Baltimore than out here in the supposed hinterlands of the state so far from civilization (a mere 10 minutes from I95
). I mean medical coverage is so hard to come by out here where we have two full service hospital within 7 miles, three express care centers even closer than that, AI DuPont childrens medical center about 1/2 hour away along with all the Wilmington hospitals, CHOP along with all Phila hospitals less than an hour away and Hopkins and all the Balt hospitals less than an hour away.
I agree with Sam that some more light should be put on the insurance companies and their supposed non profit status and the salary structure of the legion of VP's & Presidents, board members, etc, etc. I am sure they aren't going to have a little thing like the ACA impact their salaries and yearly bonuses. Admittedly, my background in trying to work with them and providers at a prior job has me very biased against them. I sat in meetings and watched as HCFA was the puppet whose actions were controlled by the insurance industry reps sitting in the same meeting. No decision was done in the interest of improving the healthcare system, it was driven to not only do no harm to the payer's bottom line, but also to keep the providers under their collective thumb.
With the 75% increase over the past couple years our real out of pocket would be $14k and potential out of pocket could be $20k before insurance paid anything. hmmm i thought,....maybe it is time to 'self insure' our household. It is no coincidence that I owe $100 on my Federal tax return this year rather than being owed 1/2 of my first quarter estimated tax payment.