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Job loss/ questions about ACA/Obamacare coverage !
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Job loss/ questions about ACA/Obamacare coverage !

› Forums › General Melanoma Community › Job loss/ questions about ACA/Obamacare coverage !

  • Post
    • March 14, 2017 at 10:04 pm
    MichelleRHG
    Participant
      My hubby may lose his job. We have had excellent insurance that allowed me to go to MD Anderson as “in network”, covers my ipi and testing here at home,etc. HAS ANYONE HERE RECEIEVED TX FROM ACA? HOW HAS IT BEEN?
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    • Replies
        • March 14, 2017 at 10:45 pm
        jennunicorn
        Participant

          I have individual insurance with ACA in California. I have Blue Shield. Has been great for seeing my specialist and getting treated where I want to. I have noticed that some places do not take the individual plans, I've been lucky that every specialist I have wanted to see takes it no problem. If you do need to sign up with ACA, make sure to talk with someone at MD and ask what plans they accept so you sign up for one that is in network for them.

          • March 14, 2017 at 11:08 pm
          maperny
          Participant

            Hi,

            No Texas individual plans cover MDA in-network any more.  If your husband does lose his job then I hope COBRA is an option for you for 18 months at least.

            We are facing this situation at end of June when COBRA runs out.  I left my job to care for my husband 18 months ago.  

            Haven't figured out what to do yet.  

            Good luck!

            Maria

             

             

            • March 14, 2017 at 11:09 pm
            maperny
            Participant

              If you are not living in Texas then this may not be an issue for you.

              • March 14, 2017 at 11:47 pm
              Anonymous
              Inactive

                Hi, Michelle. I was told by the good folks at MDAnderson that they do not accept ANY individual Marketplace plans. We paid cash for the consult, scans, re-staging, etc. That was in Sep 2016. It's a shame, really, because it was an overall good experience with them. Good luck. 

                  • March 15, 2017 at 2:05 am
                  maperny
                  Participant

                    You are right, it is a terrible shame.  I believe it is the insurance companies who have decided that MD Anderson is too expensive and are not including MDA in their networks for individual plans.  Not MDA not accepting but more the insurance companies not including MDA so then they can't accept their plans.

                    • March 15, 2017 at 2:18 am
                    jennunicorn
                    Participant

                      You are correct, the insurance companies themselves have excluded certain hospitals. Recentely I had to find a new obgyn because mine partnered with Stanford and I then found out that Blue Shield took all of Stanford and its doctors off its individual network when the ACA went into effect. Very frustrating, thankfully I don't go there for my mel specialists and where I do go is a-ok with Blue Shield, phew!

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