Preface: I'm a two time Obama voter and supporter and was also in favor of the ACA. I always thought the ACA didn't go far enough, for example there should be a government option. But it was a heavily compromised bill so it could get through. Definitely an imperfect piece of legislation but a step in the right direction. In this country when it comes to universal healthcare it has to come in baby steps.
I've always either had insurance through work or no insurance at all. I got on Obamacare in the beginning of 2015 during open enrollment. That first year I got a partial tax credit for it. All was well. This medication I needed that was $1200 a month sans insurance was now $20, so I could finally get it. 2016 came and I had no tax credit. No problems still, I simply paid a little more. Not a little, like a 100 bucks but still, it worked. Earlier this year I missed a payment. I think March. I logged on the next month and saw the bill for two monthly premiums so I paid it in full. They happily took my 850 bucks from my bank account.
Went to the pharmacy but my meds were denied. Called the insurance company and they said the insurance policy was cancelled. I said they took my payment just fine a couple days ago. Nope it was cancelled. I said ok please reinstate it. We can't. You have to call the marketplace to do that. So I call the marketplace. Basically because I had a tax credit the year prior that made the plan ineligible for reinstatement for no other reason than it was a bureaucratic rule. WTF? If I didn't have a tax credit, in a completely different year mind you, I could have gotten reinstated.
I tried going directly to a couple of private NJ health insurance providers but their hands were tied. You can only enroll during open enrollment at the end and beginning of the year. Period. Since I never had to shop for private health insurance before I was not aware they also had short enrollment periods pre-ACA - perhaps someone can clarify that?
Both reps I spoke to said it was very unusual to outright cancel a health insurance policy with just one missed payment. They said it should be a few months. Obviously I shouldn't have missed a payment but I think the bureaucratic turn of events that it triggered were ridiculous.
Now I'm counting down the days to Nov 1 so I can enroll, and finally start getting the right med again on January 1st, 2017.
That's my ACA story.