politics

How the hell does Sedera (the "health group") they were using even afford to pay anything out?

Correct my math if I'm wrong, but using their data, call it 35000 paying members. The family in question paid about 150 a month. Let's be generous and say 200 per month for each member. That equals 84 million a year of revenue. Taking no other expenses out for running Sedera, that allows each member to only receive 2400 a year in reimbursement. Most of these members are probably families. They also have to pay a deductible, just like regular insurance. So what the hell would Sedera even be able to afford to cover for their "members"?

Religious organizations really know how to grift, don't they.

So, it's a plan where everyone pays a small amount on a regular basis, and everyone's health costs get covered by the plan instead of out of pocket.

Man, I wonder if you could somehow scale that up to, say, a national scale? But like, better regulated. Maybe run by the government to ensure everyone has equal access and all conditions are covered.

I wonder what that would look like?

If only there was a way to safely and efficiently spread the financial risk of health care costs across the nation instead of relying on scammers.

OH WELL

Yeah, can't help but feel nothing for these faith based idiots.

I didn't particularly like US health insurance companies but this is a special type of unregulated conjob. Live by the grift get fucked by the grift.

From the people who value “every child” and want to regulate your ability to get an abortion….

Same people who pitch into these scam places, will blow up in your face when you mention Medicare for all

We basically gave Sedera our money and received nothing in return

Yeah, we know, all insurance companies do that already and Sedera is another insurance company but covered with the "god" name. Same bullshit. Fuck this country.

Organized religion is a scam.

" But to the couple’s shock, they said, Sedera told them they were ineligible, citing a policy near the end of the group’s member guidelines: Within the first year of membership, medical bills for childbirth “are not shareable.”

“We basically gave Sedera our money and received nothing in return,” Kaplan said. “The rug was pulled out from underneath us.”"

I mean ...... yeah, this is a shitty practice, and being completely unregulated (not that actual insurance companies are regulated to the point of choosing patient health and life over profit) needs to be exposed, so others don't fall into this, but if you're signing up for "health insurance" of any kind, and plan to get pregnant with your spouse/partner, you're gonna have to check whether or not you're covered, so I'm not buying they didn't know going in, and that this was a complete surprise, lol. They're claiming they didn't know because it makes a good story, and they want to get paid back (or compensated through sympathetic donations from those that read this story)

if it walks like a duck, talks like a duck... these are scams that must be regulated like the insurance provider they're pretending to be.

Yeah dude, because everyone knows, the more homogeneous the risk pool, the cheaper it is for everyone!

Wait.. that's not right...

@GiddyGap There’s a company with a big bird mascot and “only what you need” slogan that uses a similar scam. They use bridge policies originally designed to cover short term gaps in health coverage which do not conform to key ACA requirements (“only what you need”). This makes them cheap and easy to market to people who don’t realize how little coverage they have til their claims are denied. Trump relaxed the limitations on such policies and screwed millions. https://www.kff.org/affordable-care-act/issue-brief/understanding-short-term-limited-duration-health-insurance/

Imagine health insurance that doesn't negotiate prices down

The current and regulated healthcare system in the US doesn't work for a lot of folks. It's not crazy to want to start one with the same idea but less corporate profit taking.

Their doctor suggested it to them. Fine print says you’re not eligible for claims until after you’ve been paying in for a year.