Plans that cost more in premiums have the same caps on annual out-of-pocket expenses, but they cover more of the bills along the way. The platinum plan, which is the best, pays 90 percent of medical bills, for example.
OBAMA: "Premiums are going to be different in different parts of the country depending on how much coverage you buy, but 95 percent of uninsured Americans will see their premiums cost less than was expected." â¿¿ Largo, Md., speech.
THE FACTS: Less than who expected? Obama is referring to an administration analysis that finds premiums are coming in 16 percent lower than had been estimated by experts at the nonpartisan Congressional Budget Office. Independent analysts find similar results. But it's a stretch to suggest that numbers crunched by CBO's experts would reflect the expectations of regular consumers.The new insurance markets are for people who don't have access to coverage on the job. Many will have been uninsured, and they may be surprised when confronted with potentially significant out-of-pocket costs in addition to their monthly premiums. People in the other big group of customers now buy their own individual policies. Current individual coverage is notoriously skimpy, and "Obamacare" plans will provide broader medical benefits and more robust financial protections if you get sick. Although many consumers will qualify for tax credits to offset their premiums, they are likely to pay more than now because they're getting a better product. ___ REP. KEVIN McCARTHY, R-Calif.: "When we started this health care debate, the president led with a very big promise to the American people: If you like the health care that you have, that you currently have, you can keep it." â¿¿ At a Sept. 20 House Republican rally after passage of the bill that would finance the government on condition the health care law is starved of money.