Oscar Insurance Corporation Individual 2019 Public Comments - DFS Portal
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Oscar Insurance Corporation Individual 2019 Public Comments The proposed hike is $315.30 PER MONTH. Currently I pay $834.48 a month. With this new proposal, this fee will be close to my monthly RENT. The new amount I was notified is to be $1,149.78. I'm a self-employed person, living and working in . This really is not acceptable. Please make them stop. And insurance is what it's supposed to be: a safeguard for those times when I'm suddenly ill. This new proposed monthly cost will make me sick all the time!!!! I am infuriated by another rate change, and i have recently called to question a huge bill that using an in-network Dr was more expensive then self pay to that same Dr. I understand its the contract you and the provider made but had i known that i would have paid out of pocket to a completely separate who is way better and it would have been half the price, now i owe $2000 for 13 sessions of nothing, i had to pay to do the exercises there? i could have done them at home or in the gym since ! and now i am expected to pay more a month next year? Every year it goes up, I currently am dealing with a and Oscar only have 3 specialists in the entire area that specialize in ? and quite honestly one just misdiagnosed me who sent me to the and the other doesn't have the best reviews and wasn't the best when i saw her...I will def be getting new insurance since it has gone up so much every year...and the in-network discount isn't even 50% and is different for everything...my MRI will only cost me $350 from $1300 but a will cost me $168 from $350? It's unbelieveable and everyone I've spoken to has advised me to write to the state and complain and I am hoping this will be a part of that. This is my comment within the 30 day comment period. Thank you, I'm extremely upset upon receiving notice that my insurance premium is increasing 25% after an increase of 17% the year prior. I'm a healthy with zero medical history - never hurt, never sick. This is ridiculous. This is theft. Oscar's proposed rate hike of 24.4% is absurd and is not justified by the brief, simplistic reasons given in the notice letter (rising prices and projected use of more care). I'm self-employed and my -person firm is no longer eligible for small group coverage. The coverage is already expensive and inadequate. I used to get a routine, brief visit to the doctor for a $30 copay, and I'm now paying more like $200 for a nothing, 5-minute visit to my g.p. I have personally done everything in my power to keep my health care costs down, and this is my reward? What is going to bring this ridiculous cost spiral to an end? This coverage was $466/mo. in 2016; now they want $733; a 57% increase. Please show some backbone and protect NY consumers. Thank you. Oscar Insurance has notified my that the proposed 2019 monthly premium for my plan is $730.39, a 29% increase over the 2018 premium and a cumulative 65% increase since 2016. After a 9% increase in 2017 and a 17% increase in 2018, the proposed 29% increase is off the scale. Additionally, while the premiums for my plan have increased by 65% over three years, the deductibles and co-pays have increased markedly and much of the coverage has been reduced. I protest the proposed 65% increase and request that DFS limit the plan's premium increase to no more than 15%.
Oscar Insurance Corporation Individual 2019 Public Comments We are now paying 1,336.72 which is more than our mortgage payment! The proposed cost is 1,798.35. We are self- employed and can no longer afford this but do not qualify for healthy ny! Please do NOT allow this increase to go through. I'd appreciate an explanation as to why this proposed increase is allowed. The cost goes up every year. We are getting close to retirement but not close enough for medicare!! MU Y INSURANCE WENT UP LAST YEAR AS WELL WHICH WAS NOT CRAZY ABOUT 40.00 NOT IT IS GOING UP AN 32% INCREASE IS ABSURD I WILL BE WORKING JUST TO PAY HEALTH BILL $721 GOING UP TO 921.41 THAT IS CRAZY PLEASE STOP THEM IN THEIR TRACKS I'm in receipt of a proposed increase for my Platinum plan for 2019 from $834.48 per month to $1,149.78 per month, representing a 37.8 % increase. I supported the efforts to pass the Affordable Care Act. It appears that G.O.P. sabotage is having the desired effect, making the insurance unaffordable for many. The government will need to assist those who will no longer be able to afford health insurance. I believe that although the insurer attributes the increase to higher health care costs, I can't help but think that the elimination of the mandate to purchase insurance has contributed heavily to the increase. Younger, healthier individuals will opt out, leaving the insurance pool older and sicker. Respectfully, P.S.: I notice another reference on the mailing HIOS: 74289NY0010001-01 I was just informed by letter that my insurance company, Oscar, is submitting a proposal to increase monthly premiums from $566.03 to $730.39 - a 22.5% increase in premium price per month. Is this a joke??? I don't think any additional comments are needed. But needless to say, $730/month for mediocre health insurance seems absurd. That's over 12% of my annual salary. I suggest the state inform health insurance companies to make a serious proposal, rather than this joke of a proposal. If not, I would imagine tens of thousands of New Yorkers in a similar situation to mine will be uninsured in 2019 and beyond. Thank you. - I understand that costs are rising, but Oscar has raised their rates considerably every year, and for 2019, they're proposing a 29% increase. I already pay a lot for this insurance, and this increase is going to put it out of my reach. Consumers need help from the state of New York in resisting such large rate increases. I think this increase is disgusting! This insurance policy has been horrible from day 1. I am a perfectly healthy adult and I am paying over $500 a month for insurance and I get NO benefit. My deductible is INSANE and no healthy person could ever reach that. If this increase happens, I will certainly drop this insurance. Insurance needs to go down, not up. I am completely maxed out. And it's really just so sad because the older you get the more you do need insurance especially women of child bearing age, but I can't afford it anymore and I'm at the point I might just have to cancel it all together. Don't increase it please - we need a decrease.
Oscar Insurance Corporation Individual 2019 Public Comments If this increase (nearly 40%) is approved, I will no longer be able to afford to carry health insurance. I am already working 60 hours a week just to carry my current coverage. The new premium would exceed my mortgage payment. At years old, having worked my entire adult life, I will be faced with the choice of carrying health coverage or keeping a roof over my head. I urge DFS to deny these exorbitant increases that will make it impossible for hard working New York taxpayers to maintain health coverage anymore. I am a year old self employed and have always had individual coverage and have insured my son (now ) as well on my plan. For years I was with Oxford with rising premiums until the ACA came along and my premiums lowered for the first time EVER due to increased enrollment (or so they said in writing). Oxford discontinued individual plan coverage however and I moved to OSCAR in January of 2017. At OSCAR premiums started at $1251.04 per month for my son and I and were increased to $1418.62 as of January 2018. I have now received notice that my premium will increase to $1954.63 per month for my son and I beginning in January 2019. This must be some kind of a joke! The suggestion that a 40% premium increase is somehow warranted is patently dishonest in my opinion. I am trying to wrap my head around the idea that the first 23.5 THOUSAND dollars of my after tax income should go towards health insurance and that somehow this is believed to be manageable. Therefore, with this comment I would like to firmly state that I am deeply opposed to this premium increase for the OBVIOUS reasons. I'm beginning to understand that this country and our state government have completely abandoned the people who live here. In closing, it is incumbent upon you to deny this outrageous premium increase. Please help the people dependent on individual healthcare, particularly me and my son to survive this horrible financial attack. Thank you. Please do not approve this increase! My rate will go from $566 to $730! Currently the $566 has a deductible of $6500, how can i possibly afford this? I have insurance that I cannot use already. Please figure out a way that we can make insurance affordable. This is robbery. OPPOSED TO PROJECTED RATE INCREASE OF $566.03 TO $730.39 PER MONTH; THIS IS TOTALLY NOT REASONABLE PREMIUM - PLUS PLAN HAS $7,500 DEDUCTIBLE. I WILL PROBABLY BE FORCED TO CANCEL COVERAGE COMPLETELY. MY SITUATION IS THAT I AM A LONG-TIME DIVORCED SINGLE FEMALE -TAKING CARE OF TWO ELDERLY PARENTS AGE - LIVING W/THEM AND ONLY ABLE TO WORK FOR 3 FULL DAYS AS A FRONT/DESK - . PLEASE ACCEPT THIS - AS I AM SURE THAT MANY OSCAR MEMBERS WILL HAVE THE SAME FINANCIAL CONCERNS. THANK YOU Oscar is asking for a 38% increase into 2019. This is ludicrous. We cannot afford these costs. All of the insurance companies need to be regulated and costs greatly reduced. I DO NOT WANT THIS INCREASE, and I know MANY others do NOT as well.
Oscar Insurance Corporation Individual 2019 Public Comments I have the Oscar Simple Gold Plan which to this date have never used and they are looking to file for a $232.00 increase to my premium. Presently I pay $668.00 per month which I thought was too high. $899.00 per month just will force me to drop my coverage with them. I would appreciate it if you could recommend other more affordable health plans I can consider as this type of increase would not be affordable. Thank you for your consideration. Dear Sirs; I have Oscar Classic Silver- HIOS: 74289NY0050001-01 for my husband and myself. Please do not approve the rate increase for Oscar plans. There are no covered hospitals within 1.5 hours of my home on the they have a poor network out here and they should not be permitted to sell any plan . They simply are not worth the premium we already pay! Their entire system is digitally automated via computer- you can't speak to a human being if you need to and they deliberately make it impossible for you to check their network in advance of purchasing a health plan from them through the ACA. They also do not adequately explain their deductible policy! There is no coverage whatsoever until you meet your deductible so you pay ALL of your visits early in the year directly out of your pocket and you pay full price! For those of us with a cash flow issue- this is a disaster if you need healthcare, even routine healthcare, as a single office visit can cost upwards of $200. It cost me a day's pay out of pocket just to do see a doctor and fill a prescription for a . This plan is a nightmare and they do not deserve another $3600 a year! They stink. The plan rate increase is completely unrealistic. I am a middle class consumer and make /year, but I will be unable to afford even the Bronze tier plan. Yet I make too much to qualify for subsidies. This increase is totally unsustainable and will push so many people out of the market. Next year, my current monthly plan will cost me nearly as much as rent -- more than my monthly phone bill, utilities, and groceries combined. There is no way I could cut enough costs to even make this realistic. I hope you realize that increases like this will prevent people like me from going to the doctor. I have a family plan with my husband and three sons. I got a notice that our already high premium is likely to go from $2392.02 to $3295.52 or a 902.98 increase from this year. This is awful and just not sustainable! We need to get this rate lower or at least to stay at current rate which was already increased by over $200.00 from prior year. Please advise. Thank you. This is the second year that Oscar has requested a significant rate increase. Moreover, a rate increase of almost 30% is absolute unacceptable. If such rate increase is approved, I will certainly be considering other options, including opting out of having health insurance. I am a self-employed, healthy individual with no medical conditions and the value provided given the cost is just not worth it.
Oscar Insurance Corporation Individual 2019 Public Comments Every year that we have had OCSAR insurance their premiums have increased and our out of pocket has also increased while deductibles have increased. This year they are proposing a 24.41% increase in premiums!!!! We have an individual out of pocket of $2000.00 per person before the deductible even kicks in. These rates are higher by far than our mortgage. We are paying every month and never reach our out of pocket. It is more affordable for us to not have insurance and pray for no catastrophic illness or accident. This is tantamount to a bait and switch. Lured in with semi- affordable rates followed by never ending decreases in benefits and increases in payments. It is cheaper for me to go to doctors and pay the uninsured rate. How is this legal? Dear DFS: I just received notice that Oscar hopes to increase my monthly premium from $566.03 to $730.39 in 2019, and provided your contact information to submit comments. My HIOS Plan ID number is 74289NY0640001-01. This increase is almost $200. It is disgusting and outrageous. I am deeply disappointed in Oscar, who I recently switched to in order to be able to see a doctor I liked. I am self-employed. Fortunately, I may be able to manage paying this, but I will no doubt shop around. That is not the point. Many people would NOT be able to. How is it acceptable for independent insurance to be more than one half of a person's rent? Not to mention that I am on a plan. Oscar Simple Silver, that doesn't even do everything the Gold Oscar plan does. Is the management team at Oscar receiving outrageous salaries and bonuses at the cost of the people who need insurance? Is rejecting people because of pre- existing conditions soon going to be an option again? Sincerely, I HAVE JUST RECEIVED A LETTER STATING MY POLICY PREMIUM IS GOING TO POTENTIALLY INCREASE BY $440 A MONTH FOR A TWO PERSON PLAN! THIS WOULD CHANGE MY MONTHLY PAYMENT FROM $1402.34 TO $1842.81 FOR TWO PEOPLE! THIS IS ABSOLUTELY APPAULING! HOW MUCH MORE CAN WE AFFORD TO PAY? THIS DOES NOT EVEN INCLUDE THE $650 A MONTH I PAY FOR MY CHILDRENS INSURANCE PLAN. THIS INCREASE WOULD PUT OUR FAMILY TOTAL INSURANCE EXPENSE AT NEARY $2,500.00 A MONTH, $30,000 A YEAR!!!!!!!!! NOT TO MENTION, MY HUSBAND AND I BARELY CLEAR OUR DEDUCTIBLE EVERY YEAR IN ODER TO UTULIZE THE INSURANCE! I HOPE THIS INCREASE IS NOT APPROVED, I SIMPLY CAN'T AFFORD IT! The Oscar premium increase request is astronomical. I have been with them for the past few years, and every year they raise the premiums at least $100. This year is almost $200! My premium for a Silver plan is likely going to increase from $566 to $730! What Oscar probably does not tell you is that along with their ridiculous annual increases, they also send out another letter detailing the hospitals and doctors that no longer accept them. What business in this country can consistently increase prices so dramatically, while reducing their services or availability of those services? Please DO NOT allow this to happen.
Oscar Insurance Corporation Individual 2019 Public Comments Dear Sir or Madam: I am a small business owner who buys health insurance as an individual because my company is too small for group benefits. I do not qualify for subsidies. I currently have Oscar in large part because my previous insurer (Blue Cross) hiked the rate for my plan over 20% last year. The proposed rate Oscar is seeking for next year is unconscionable. If approved, my health care premium would cost almost as much as my mortgage. I am not familiar with the criteria DFS uses to determine whether to approve or deny rate increase requests. However, I am writing to you in the hope that something can be done to stop this madness. The fact that Oscar is requesting a 25% increase for individual plans but only a 3% increase for small group plans seems pretty outrageous. Do actuarial standards actually justify this discrepancy? If so, I would appreciate an explanation why. I really appreciate your time and willingness to review this feedback. Sincerely, The proposed 37.8% monthly premium increase is outrageous, unacceptable, unfair and unjust. Please deny Oscar the proposed premium increase. Please consider the financial burden on the ordinary tax-paying NY state resident. Oscar is requesting a 25% increase for 2019, which would increase my current plan to $730.30 a month. I do not receive tax credits or any financial assistance. As a self-employed individual, my options are dwindling every year, and I cannot afford to spend over $700 every month on a plan that already has a $7350 deductible. I will most likely be without any health insurance next year. One way to eliminate the individual market is to make it so expensive that no one can afford it, and we all drop out and go without care. If that's the goal here, looks like mission accomplished. Oscar, or any other insurance company, should not be allowed to raise their monthly premiums to such egregious levels. OSCAR informed me that they are proposing to raise my premium by over $600 for next year. That is a 37% increase from my current premium which is already extremely expensive. My husband and I have a joint policy with Oscar which means if this raise is approved we will be paying $1,200 more, a month, for health insurance next year. 37% is a ridiculous amount to ask people to accept. They stated that the raise is to cover the cost of medical care and prescription drugs, I would like to see the data that supports their calculations. I believe this amount of rate change is egregious and criminal. If it is approved my husband and I will no longer use OSCAR as our insurer, I ask you to deny this horrific request and try to keep insurance moderately affordable for the people who have to buy it for themselves. Raising my premium 10% this year after a 20% raise last year is CRIMINAL!!!! Wages are stagnant! I am not making 10% more per hour than I was last year. I understand inflation and rising costs of healthcare but the system is broken. I am a working class individual earning approx /year and I get zero advanced premium tax credits. Rent and insurance premiums are destroying my ability to live a stress free life. I am trying to be responsible by having health insurance to avoid a catastrophic event but in reality I have only used my insurance to get a yearly physical which totals ONE doctor visit per year which I would assume is typical for a healthy under year old individual. Please don't raise the premiums again.
Oscar Insurance Corporation Individual 2019 Public Comments Where the do you people get off raising health insurance almost $200 a month! You have to be kidding me. How on earth do you expect people to afford this?? Every year you put it up and every year I have to find yet another health insurance. You , but you know that already. Hi, I have recently been notified by Oscar of their plan to increase monthly premiums on my plan from 566.03 a month to 730.39 a month, this is an extreme increase that will likely force me to go without health insurance for the year of 2019. I am currently in a unique situation that does not make applying through the NY Health Plan market place a reasonable option because my income fluctuates drastically throughout the year. The reason my income fluctuates drastically through the year is because my income comes from investments/trading stocks. If this kind of rate increase is absolutely required, then one way NY could make things slightly better for my situation is to allow an option in the Health Plan market place to defer subsidies as a lump credit until taxes are filed. This way if at the end of the year I do not qualify for the subsidy, it's because I made enough income, and if I do qualify, I am just reporting the final income for the year once rather than roughly every 10 days. However, I would greatly prefer if the rates just didn't increase so drastically. Thanks. Oscar has advise me that they are have submitted to NY State a proposed rate change for my 2019 health insurance premium of 34.5% from 2018: 2019 premium $899.17 up from 2018 premium $668.36. I earn above the maximum threshold to quality for financial assistance, and this change will make this insurance coverage unaffordable. Thank you for your consideration. My rate is set to rise by 30%. If it does, I will no longer be able to afford health insurance. What can the State of New York do to help ordinary citizens like me? In the course of three calendar years (2016-2018), my premium for the exact same Oscar plan (whose benefits have been reduced over the same period) has already gone up by 50%. Oscar's proposed rate increase represents another almost 30% bump on top of this. These huge jumps put a great deal of pressure on an individually insured person like myself and on my business, which is a that I own. I understand that the burden of rising health care costs must be shared by all, but an almost 100% increase in premiums in four calendar years is an extraordinary weight to place on an individual. Oscar is requesting an outrageous rate increase that they show as 25%, but according to a notice I received is even worse - over 30%. That is a greater than a 10-fold increase relative to the CPI. NYS should reject this increase, and keep it to a level that NY families can afford.
Oscar Insurance Corporation Individual 2019 Public Comments I was just informed by Oscar Insurance that the company is applying to DFS to increase my rate by $28%. My monthly premium, which is already $701.17, would go to $921.41. I am a single parent who is already stretched paying the first premium. Why should I be paying almost $1,000 a month for medical care?? Oscar states that most of the fees go toward health care--I find this hard to believe. PLEASE DO NOT APPROVE THE PREMIUM INCREASE. People can no longer afford health care, and the working middle class is being squeezed into a corner. Thank you for your consideration. I am writing to request that you deny Oscar Insurance's request for a nearly 38% increase in health premiums. I understand the realities that health costs and am not adverse to the idea of a reasonable increase. But the increase Oscar is requesting is absurdly, unfairly and immorally high. There are no other household service providers - electric, cable, gas, etc. - who raise fees to this extent from one year to the next - not even close. The increase Oscar is requesting will amount to an additional $10,000 in costs next year which will result in significant financial hardships on my family, and I'm sure many others as well. Health care insurance companies cannot simply shift the liability of rising costs to consumers - not to this degree. I implore you to deny Oscar's request. Thank you. A raise in premiums for the requested amount would make this insurance prohibitively expensive. Please keep at the current rate or a smaller increase amount. thank you. Oscar's proposed premium rates are unbelievable! How can I be expected to add an additional $3,783 a year to an all ready very high premium! An increase of over $315 a month will be a big hardship. Oscar is asking for a 30+% increase in my Classic Gold exchange plan. Healthcare costs cannot have increased this much yet again. Every year the cost is going up massive amounts. I would like to see how badly their risk pool has deteriorated to justify this increase, but they will not provide data. It seems like it's just being greedy at this point. We have Oscar Simple Gold. The proposed rate hike amounts to almost 30% or 600$/month. This is hardly fair or justifiable. I'm infuriated that these companies can profiteer on our healthcare. I will have to switch providers AGAIN if this gets approved. DO NOT APPROVE THIS EXTORTION. The State of New York has an obligation to protect it's citizens, even if the Federal government cannot. I find the proposed 31% premium increase egregious. We will be returning to premium levels that existed pre-ACA. Something has got to be done regarding the rising costs of healthcare.
Oscar Insurance Corporation Individual 2019 Public Comments Hi I was just notified that Oscar Insurance seeks to raise my health insurance rates in 2019 by an unconscionable 38.8%. Yes, that's not a misprint. From $834 to $1149 monthly. This on the heels of last year's 7% increase for my policy. I believe inflation is only around 2% or even less for the last several years. So here's how a whopping increase affects a retired non-medicare-qualified person like me: I will either have to drop medical insurance altogether and hope I never get sick until I'm 65. Or I will take a much lower-level policy (lower premiums) but that won't help much because then my deductible and other expenses will rise accordingly. I urge that this outrageous proposed increase be modified to a more civil amount so that we customers can still afford medical insurance and have access to the medical professionals who are keeping us middle-aged people ticking! Thanks and feel free to contact me. Dear DFS: Thank you for the opportunity to voice my concerns regarding this proposed premium rate change. My premium is currently $701.17 and Oscar is requesting a change to $921.41. This is a roughly 31% increase!! How would this be affordable? This would not even be close to any reasonable cost of living increase! This is so wrong and unconscionable for many reasons. What would the increase be for next year and the year after before no one could afford health insurance at all? I hope DFS is looking at the profitability of this company as well, as most insurance companies are making millions and millions of dollars and the average person can't afford to have medical coverage! What could justify this type of a rate increase to the detriment of the insured? I am strongly opposed to this rate increase as their is no justification and it is just unaffordable. Thank you for your consideration! I have been extremely happy with the OSCAR insurance. The cost was already exorbitant $701.17 for the Oscar Classic Gold. I just received a letter stating rates would raise for me to 921.41. Raising the rates a BIT is normal. Raising them by more than $220 is absurd. It is difficult to pay the monthly premium as it is, but raising it to such an obscene rate is devastating financially. I can't fathom how this is justified. Please deny their attempt to raise insurance premiums by such a large degree. I am paying $470 per month for a plan with a $7,000 deductible. This cost leaves me with no money to pay for actual health care. So this system delivers no value for me -- it makes no sense at all. Now they want to jack it up to $518. If the leadership at Oscar can't break even charging this outlandish amount, they should take it out of their own salaries. And I will drop the coverage. I just received a notice that my insurer is proposing an increase of my monthly premium from $589.57 per month to $733.49 per month for 2019. I oppose this proposed premium increase as every year since I have enrolled in the New York health insurance market place, premiums have continuously increased year-over-year, yet I receive no additional services or benefits as a result. As a small business owner this constant squeeze from the insurance companies makes it hard for me to continue my line of work. I ask the DFS to deny this request for premium increases.
Oscar Insurance Corporation Individual 2019 Public Comments MY INSURANCE PREMIUM IS MORE THAN MY MORTGAGE FOR MY HOUSE, WHIHC IS . MY CURRENT PREMIUM FOR MY FAMILY IS $1,998.34 AND WILL GO UP TO $2,626.00 NEXT YEAR...I AM A SMALL BUSINESS OWNER. HAVE A SON AT ...AFFORDABLE HEALTH CARE...DON'T THINK SO. NOT TO MENTION WE HAVE A DEDUCTIBLE OF $600 FOR EACH FAMILY MEMBER...MY SISTER-IN-LAW HAS OSCAR AND HAS A $6,000 DEDUCTIBLE.. IS GOING TO MEET THIS...HOW CAN SHE PURCHASE A HOUSE... ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. Hi guys. I?m sorry but why would you think it was OK to increase my premium each month by over $200? Why would you think that a normal person could afford that? It?s almost a week salary I?m supposed to pay for my premium for my health insurance. And then I?m supposed have money left over to do what? Oh yeah I know pay my health bills from the doctors that I go visit!! I don?t understand why you think increasing it by so much is OK, it is not. What an absolutely ridiculous price increase?!?! If this rate passes I will not be able to have Oscar as my health insurance plan anymore. Please do not put this hike threw. Thank you . -----Original Message----- From: Insurance Inquiry Sent: Sunday, June 17, 2018 3:57 PM To: Subject: NYS Department of Financial Services Consumer Assistance Unit Inquiry Dear : Your inquiry submitted to the NYS Department of Financial Services Consumer Assistance Unit has been received and will be reviewed promptly. The information you entered is as follows: You are a(n): CONSUMER Type of Insurance question/comment: HEALTH Your Questions and/or Comments have been recorded as follows: * * * * * * * * * * * * * * * * * * * * * * * * * Hello. I just got the proposed increase notice from Oscar Health Insurance. Please do not approve this astronomical increase. As a self-employed single mother in New York, I'm in an awful situation: extremely high property taxes, high self-employment taxes, and health insurance premiums. This would be the straw that breaks the camel's back. If this increase happens, I will have to risk it and go without insurance. I don't have any extra money to continue handing over to Oscar, especially considering they've already significantly cut down their network and so many things are not covered. Health costs are so out of control. Please do what you can to keep people in NY... I don't want to have to leave my state because I can't afford it here. * * * * * * * * * * * * * * * * * * * * * * * * * Sincerely, New York State Department of Financial Services Consumer Assistance Unit. email at: email@example.com
Oscar Insurance Corporation Individual 2019 Public Comments -----Original Message----- From: Insurance Inquiry Sent: Tuesday, June 12, 2018 7:58 PM To: Subject: NYS Department of Financial Services Consumer Assistance Unit Inquiry Dear : Your inquiry submitted to the NYS Department of Financial Services Consumer Assistance Unit has been received and will be reviewed promptly. The information you entered is as follows: Type of Insurance question/comment: HEALTH Your Questions and/or Comments have been recorded as follows: * * * * * * * * * * * * * * * * * * * * * * * * * I have health insurance with Oscar and just received a notice in the mail that they are going to raise the premium $300.00 more a month. I hope DFS does not approve of this triple amount of increase. * * * * * * * * * * * * * * * * * * * * * * * * * Sincerely, New York State Department of Financial Services Consumer Assistance Unit. email at: firstname.lastname@example.org This premium increase is egregious. An increase of over 24% in one year is unwarranted and indefensible. I am a single parent without child support for over 5 years (-- --) and I work per diem so that I can be home at night for homework with my 2 children. My family health plan's premiums went up by $400 monthy this year; now I'm told it's going up another $536 to $1,954.63 monthly 2019. I changed my daughter's physicians specifically for this plan two years ago, so now I am stuck, and these changes are not gradual or reasonable. Absolutely UNACCEPTABLE! I pay 566.03/month with over $7000 deductible for a Simple Silver Plan - I don't use any of it except 1 yearly visit for a checkup and . Unless there is a life threatening emergency, I will not go to a doctor or hospital because of the cost. NOW, they say the monthly premium is going up to $730.39!!!!!!!!!!!!!!!!!!!!!! That's a 30% INCREASE !!!!!!!!!!!!! How is that even conceivable?? This is not health insurance, it is robbery. My state government is supposed to protect its citizens from such horrifying treatment. What are my options? What are they? Go without? Because essentially, that's what you've done to me. There is no way that this kind of rate increase can be approved. None. Don't do it.
Oscar Insurance Corporation Individual 2019 Public Comments To whom it may concern, I have just opened a letter regarding Oscars proposed premiums. I sighed with frustrated resignation at first, as I was pretty shocked and perturbed when they did this last year, however I think Oscar is a great service provider and I have been happy. Then I turned over the letter to see what my adjusted premium would be and my jaw dropped. That is quite simply despicable. I am a and small business owner. I am a single female and don’t have a dollar to my name that I haven’t worked for. I have no corporate backing, no security and no benefits. If you think normal New Yorkers can afford this kind of price hike, you are out of your mind. This would be taking my already high premium of $566.03 and hiking it to $730.39. This is inexcusable. That is an increase of $164, almost a 30% increase. UNHEARD OF. I am a calm, gracious, smart and very empathetic woman. I work hard, and I understand that living in comes with it’s premiums, but let me be very clear, this is a disgusting abuse of greed and power and adds to the already growing list of what makes New York State unlivable. I will not stand for it, and I hope you are bombarded with those that feel the same. It is too bad that yet another promising service has succumbed to the shady cesspool of the American Medical Industry, and greed is undeniably the driving factor. I am angry, and incredibly disappointed. This ball is now in your court, as the overseers and regulators of all such matters, and now you and solely you can over-rule this proposal from Oscar and stand up for the real people living and working hard and trying to build something in your state! Please, I beg of you to do just that. Sincerely, , HIOS: 74289NY0640001-00 I find the proposed rate increase for Oscar to be extraordinary given that the coverage or discount they provide has descreased. I just receved a bill from my reimbursement went down $100 from $300 to 200.86. That's just one part of 6 items. Also, an increase to $730.39 for a single person is outrageous. ($566.03 now). Please don't allow this. Sincerely, Oscar is proposing to raise my premium from an already high $566.03 per month to $730.39 per month. That amounts to a nearly 30% increase from year to year, which quite frankly is rediculous. How are people supposed to plan for such an exorbitant monthly cost increase for adequate care? It's simply outrageous. The letter I received states that the change is due to prices for drugs and health care services are on the rise, and members are projected to use more care. What they fail to mention is that in November of 2016 they opened a healthcare facility with free yoga and other wellness classes. Could it be that the reason premiums are skyrocketing is to pay for such a free facility? This isn't the first time that my premiums have gone up. Last year, I groaned as I stomached a price increase from $483.44 to the current rate of $566.03, which ammounts to a 17% increase from year to year. I figured that while that seemed high, it was still somewhat manageable, and as an Oscar member for around 4 years, it was the first time I'd experienced such an outrageous change in the cost of care. But now I'm starting to wonder if that change was just the beginning of a more alarming pattern. Should this new rate change be allowed, my premiums will have increased by nearly 50% over just TWO years. I can't help but wonder... when will it stop? When will I be able to effectively plan for my physical health from year to year without worrying about the strain on my financial one? Please do not approve this egregious premium increase. I have always liked Oscar as a healthcare company, but should this be allowed to proceed I'm not sure I'll be able to continue using their services. It's unreasonable that any sort of company dedicated to healthcare and wellness be allowed to proceed with such a substantial cost increases.
Oscar Insurance Corporation Individual 2019 Public Comments As a single person who needs health care insurance for preventative and wellness care, I am very disappointed in how much and how quickly insurance premiums are being raised. Within the three years that I have been with OSCAR, their premiums have nearly tripled. Years ago, I was paying 386.00 and I thought that was an expensive premium. Now in 2019, you are asking me to pay 899.17 per month?! That is insane that a single person must pay that much plus co-pays and other expenses. If the rate is approved, I may be forced to either not have insurance and hope for the best or find another full time job just to pay for a health insurance premium, which I think is absolutely ridiculous that I would have to do that. Insurance companies, NYS, and the health care system is making it very difficult for me and I'm sure others to afford proper care. I was notified that my premium may go up from $701 to $922 monthly. This is extraordinary and I don't know how any individual could afford this premium or increase. This is 30%! I am very disappointed to hear that premium rates are going up again. I can barely afford health insurance now. Please do anything you can to keep premiums low. I am a young, healthy, well educated woman living in with a good job and a strong salary and yet, I am unable to afford health insurance in New York state. How can this be? I work for a small business, and while my employer would like to provide health insurance to me and his other employees, the costs of implementing such a program would drive us into financial jeopardy. Therefore, I must pay for my own coverage. After finding programs that demanded $1000 + per month, I found a program via Oscar that I can afford. But now my rates will increase by more than 30%. How can this be? I called Oscar for an explanation, and it learned that it is not the corporation that is at fault but the legislation being passed in relation to health care in New York state. How can a simple visit to a doctor be unaffordable? It is truly sad to me that politicians cannot look at those they are supposed to represent and fight for their well being. If I can hardly afford insurance, what do those less fortunate than me do? Should they suffer and die because politicians and health providers are focused on their own needs? I am extremely disappointed in this, and it only works to further demoralize a generation of young people like me who simply want a chance to access the health care that will allow us to pursue life, liberty and the pursuit of happiness. good morning, i have just received a letter from Oscar of an increase. i am paying $701 a month now. now its going to $ 921. they have got to be kidding. i am on a fixed income. i am by myself. looked online....Oscar made 7million profit? I have $1000 deductible. how can dfs justify these increases. they are crushing to the retired people. please do not give them the ok for this increase. thank you.
Oscar Insurance Corporation Individual 2019 Public Comments Hello. I recently received a notice from Oscar, my health insurance provider, informing me of raising premium rates for the coming 2019 coverage year. I am first of all in shock at the amount that my premium will be going up...OVER 30%!!! And secondly, I am disgusted that any company, no matter who they are, thinks that an increase of THAT amount is acceptable. Health insurance is the second most costly expense in my life, falling shortly behind my living and rent expenses, and now it almost jumps into first place. How does this make any sense? I truly demand an answer to this question. I am a healthy and active man , and utilize my health insurance for preventative maintenance and yearly check ups...and even many of those amenities are not covered by the insurance I have with Oscar. And now they will be raising my premium OVER 30% (from $590 a month to $735 a month!) with even fewer coverage elements, with most likely a higher deductible! Again, I ask you, how is this possible, how is this legal, how is this moral??? I assure you I will be finding another way to get health insurance for next year if this premium rate goes forward. I will make sure to insist anyone who has Oscar to look for another provider. I will utilize social media and other sources to spotlight this blatant abuse of power and greed. I hope to hear from someone about this serious concern, and I hope that I am able to maintain my health insurance next year. Regards, and thank you for your time. A concerned consumer - Under the proposed rate changes my husband and I would be charged over $20,000 for insurance next year, before deductibles, max out of pocket etc. We are and this figure does not include them. This is absolutely untenable for our family and we would certainly need to make changes. Oscar is seeking to raise my insurance premiums by precisely 34.53 percent for 2019, from 668.36 to $899.17. The company says this is because of increasing drug prices and overall health care costs. I understand that under our broken healthcare system, prices rise every year. They DO NOT rise 34.5 percent year-to-year. I do not know how I will be able to afford insurance if this increase goes through. I am begging you to allow Oscar only a reasonable rate increase. Thank you. Hello there, I'm am extremely disappointed to hear that Oscar Insurance Corporation has filed a request to change premium rates for 2019. For my particular plan, that means $150 more dollars per month than what I pay already. I am a , and to pay $730.39 per month for a Simple Silver Plan (my 2019 proposed rate) would be out of my budget. When I first signed up with Oscar in 2016, it was $480 per month! I ask that you please consider modifying the proposed rate to make it more affordable. Thank you.
Unknown Insurer 2019 Public Comments -----Original Message----- From: Insurance Inquiry Sent: Friday, June 08, 2018 9:42 AM To: Subject: NYS Department of Financial Services Consumer Assistance Unit Inquiry : Your inquiry submitted to the NYS Department of Financial Services Consumer Assistance Unit has been received and will be reviewed promptly. The information you entered is as follows: Your Name: Email: Your Company/Organization: Daytime Telephone#: You are a(n): CONSUMER Type of Insurance question/comment: HEALTH Your Questions and/or Comments have been recorded as follows: * * * * * * * * * * * * * * * * * * * * * * * * * Why do health insurance costs go up every year without fail? And why do you use obfuscating language in your increase notice. "Modify"! "Change"! oh please! This is a shameful racket and anyone- anyone who plays a part in it should be ashamed of themselves. Wake up and be human! * * * * * * * * * * * * * * * * * * * * * * * * * Sincerely, New York State Department of Financial Services Consumer Assistance Unit. email at: email@example.com
Oscar Insurance Corporation Individual 2019 Public Comments I have a Silver Plan with a $7,350 Deductible. The monthly premium is going to be increased from $966.73 to $1,252.83, 30%, last year the premium was $826.48, the prior year $757.55, an overall increase of 65%!! In addition the amount they pay the Doctor, Lab and Radiology is very low compared to what is billed for. I find it hard to believe they are at the 85% claim expense. I am an so I am familiar with health insurance. Good day. Today I received a Notice of Proposed Premium Rate Change - Oscar Classic Platinum - HIOS notice. In the notice they outlined that they are requesting a monthly increase of $315.30 (annually $3,783.60) on my current premium of $834.48 (annually $10,013.76) - with the new proposed rate to be $1,149.78 (annually 13,797.36). This increase amounts to a 37.7% increase over my current premium and I cannot afford it - I can barely afford the current premium. I am a self employed person and have to purchase my insurance on the ACA marketplace (for as long as it is available based upon the stupidity happening in the capital) so I have no other options but Oscar Healthcare on Long Island, NY. If this amount is put into place I may need to go without insurance next year - which with my will most likely kill me over 2019 year timeframe. So I need the Department to understand that this is truly a life and death situation in which I cannot continue to afford healthcare if this rate increase is put into place. Thank you for your attention to these comments and hopefully the increase will be more around 10-15% increase which i had budgeted for (but not an increase double that). Please reach out via email with any questions Thank you, I am a self-employed individual with a wife and daughter. I have had to change plans last year due to rate increases. The proposed increase for next year will force me and my family to look for a new plan as the total cost for the year would go from about $24,000.00 to $31,500.00. As it it, we consider $24,000/year a maximum. I expect that a new plan will come with a much increased deductible and our access to healthcare will be greatly reduced. This situation is truly untenable as our income remains about steady while our taxes and charges increase. PLEASE OPPOSE THIS PREMIUM RATE INCREASE. Thank you. We received notice that our plan is going to increase by almost 50% next year (from $2,378 to $3,276 a month!) This is obviously not a sustainable level of increase for the average New York family. Please disallow this obscene premium increase. It is a classic case of corporate gouging, especially since I just read that Oscar Insurance is expanding its business to other states in the coming year. Our current, already almost unstainable rate for a family of four is $2378.28/month. The proposed increase is almost $1000! To $3276.88. That’s almost a 50% increase in one year.
Oscar Insurance Corporation Individual 2019 Public Comments June 25, 2018 To: NYS Dept of Financial Services Health Bureau – Premium Rate Adjustments One Commerce Plaza Albany, NY 12257 From: Insurer: Oscar Plan: Oscar Simple Gold Coverage: Individual Plan ID #: I am writing in response to the notice I received from Oscar insurance titled: “Notice of Proposed Premium Rate Change Oscar Simple Gold – HIOS: 74289NY0650001-01” The notice states that Oscar has requested a premium increase from the DFS of 34.5%!! Can this actually be approved? I don’t think the average persons’ income is going up half of that, mine certainly is not. My health insurance is vital since I have . I will not be able to afford this increase. As a resident, I am dealing with continuous exorbitant property and school tax increases which are also impossible to keep up with, based on my income. I would appreciate some input as to how your department recommends residents keep up with these increases. Do I sell my house? Where will I go? What if costs continue to rise at this rate? It is easy to see why people are feeling hopeless and resort to unimaginable solutions in dealing with or not dealing with the cost of living here in NY. This letter is not just a complaint, it is a plead for you to consider people like me when you grant decisions of rate increases to these large insurance companies. Thank you for your time and I anxiously await a reply. ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. These proposals are outrageous. I currently have a major medical plan with a huge deductible that allows for lost-cost doctors visits within network. It also pays for prescriptions, however, one has to be certified and I have a co-pay of $50. I currently pay $533, and for what reason does OSCAR think it should increase the cost by 40%? Currently, I believe given the generics I have and the doctor visits I never have, OSCAR pays maybe $2000 for my care, and that is a rounded up estimate. It is probably more like $1,250. I have the plan for major medical in case of a catastrophe, nothing more. Notably, OSCAR does not provide a non-Rx plan. I thought payment of RX would be nice when I only needed major medical, but at $783? That?s insane! I have I think the second lowest cost plan. If they want to pay that much they should offer a non-prescription plan. Oscar’s suggested new premium rate is outrageous and absolutely unfounded. Their network is not big enough and I often have a hard time finding quality medical care in network. I am already paying an exorbitant amount of money every month and I still have a deductible. They have not improved their network or services to justify this increase. I am currently paying 701.17 dollars a month with plenty of documented complaints and now they are requesting a huge increase to 921.41 dollars a month. This is a totally unacceptable price jump. Thank you for your time.
Oscar Insurance Corporation Individual 2019 Public Comments To Those in Charge of My Health Care, I suppose I should consider myself one of the lucky ones: I qualify for financial assistance. If I did not have APTC, I could not afford my monthly insurance premiums. I certainly could not afford the proposed premium which increases my current rate by almost $150 per month! I switched to Oscar for 2018 because my previous insurer kept dropping my plans and I would have to sign up for a new one (Empire Blue Cross Blue Shield). For the past four years, I have had to switch health care plans. I don't understand how this gouging can continue. I watch the news and I get so angry. I'm one of the lucky ones right now, but if I have a good year financially then I'm afraid I will lose assistance to pay my insurance premiums. I will have to choose which bills to pay if I intend to keep my health care. That should not be a choice that Americans have to make. Please stop these rate increases. Please protect those of us with . There has got to be a better way. My husband and I are both freelanceres and so forced to buy independent insurance for our family. Our situation has been very difficult for years, but is becoming worse now. We did not think that was possible. We were notified that our policy will be going up by close to 50% next year. Our options have closed down because of the affordable care act (which I supported! I am grateful for the support it has given to those less fortunate than us.) but now we find that things are falling apart. We pay 2,378 per month for 3 of us...that will go to 3,276 PER MONTH next year. Yes I can turn to a plan with a very high deductible, but then I can not use my plan, basically all medical expenses will be out of pocket for the three of us. These are the choices we are being forced to make and this is untenable. Anyone who pays attention to health insurance policy could see this coming. we are looking for a life line. My husband and I are waiting to be eligible for Medicare. My son may end up on Medicaid when he ages off our plan because he is also part of the freelance economy....we have been abandoned by our government and are looking for help. I work for an who provides me and my family with health insurance. We are not a small business, or an LLC. Our current monthly premium is $2,378.28, which covers me, my wife and our 25 year old son. Oscar is looking to raise the monthly premium to $3,276.88, or an increase of $898.60 per month. That is an increase of over 33%. I am not expecting a raise of any kind in the next year, and certainly not an increase of 33%. This is blatantly unfair, and will affect our quality of living. This feels like price gouging customers who have few options for private insurance.
Oscar Insurance Corporation Individual 2019 Public Comments To Whom It May Concern: Please know that I have received from Oscar Insurance Corporation, my health insurance provider, a Notice of Proposed Premium Rate Change, dated June 7, 2018. Of course, I oppose this premium rate increase, not just the amount they have requested, but any increase. I urge you at the Department of Financial Services not to approve this premium rate increase, nor any increase. Further, I wish to complain that in the Notice of Proposed Premium Rate Change, Oscar Insurance Corporation has displayed bad faith to its customers. Allow me to point out four examples. 1. The simple headline, Notice of Proposed Premium Rate Change implies that my rate may actually go down. I cannot possibly imagine any supplier reducing costs to its customers as I have never seen it. Prices only ever go up. 2. The Notice also states, “We never base premiums on your age, gender, or health.” I believe the company ignores the fact that the law prevents this sort of discrimination. This sly statement is unnecessary and rather deceitful. 3. The Notice does not state a clear percentage increase. Oscar did provide a proposed dollar amount (from $834.48 to $1,149.78) but left it to me to do the math. Oscar wants to raise my premium by a preposterous 38%. That’s thirty- eight per cent. I see no evidence that medical costs have increased by 38% in 2018. Further, the lack of an expressed percentage implies to me that Oscar is not raising rates by the same percentage to all customers, but by different percentages for different plans. I believe this would contradict the statement, “We never base premiums on your age, gender, or health.” 4. In the Notice, Oscar states, “We expect to pay at least $0.85 of every $1 we collect in premiums towards our members’ medical care...” without acknowledging the 80/20 law. Insurers are required to spend eighty cents out of every dollar paid by customers for medical care. Again, Oscar hopes the gleam from that nickel will outshine a rather dishonest declaration. Allow me to close by repeating that I urge you at the Department of Financial Services not to approve this premium rate increase, nor any increase, by Oscar Insurance Corporation. Respectfully submitted, Dear Sirs, I am writing in respect to a premium rate change proposed by Oscar for its Oscar Simple Silver service, an individual plan (HIOS number: 74289NY0640001-01). I request that you, the New York State Department of Financial Services, reject Oscar’s request to increase premiums. The premiums for this plan are already exorbitant at $566 per month, particularly in light of the limited scope of its coverage (the company recently and quite suddenly discontinued coverage with a great number of providers, thereby imposing a break in care upon their customers). The proposed increase to over $730 per month is unjustified and simply extortionate. The reasons cited by Oscar in its letter to customers are as follow: “Prices for drugs and health care services are on the rise, and members are projected to use more care.” Not only are these unacceptably vague, but they clearly fail to justify the proposed rate hike. Prices for drugs and care rise continually. That is the nature of the economy. Oscar should have accounted for this self-evident fact before setting their premiums. As to their “projection,” this seems to be pure speculation. Tellingly, the letter drafted by Oscar notes that they are working with “smartest investors […] to deliver on [their] mission…” Investors, of course, are driven solely by a return on their investment. They are not motivated by a desire to provide quality service at a fair price. The proposed rate hike reflects a single reality: the reckless greed of this company.
Oscar Insurance Corporation Individual 2019 Public Comments Oscar is proposing to raise my premium from $589.57 to $733.49 for the Classic Silver plan, with a $2000 deductible and $6750 out-of-pocket max. I think this is an excessive increase and request that you reject it in favor of a more reasonable one. I'm a single, healthy, non-smoker and this is getting to the point where it is not remotely affordable or reasonable. Moreover, a 24%/year increase is a doubling every 3 years because of compounding! That's outrageous! Please reject their proposal. The request for another excessive premium increase of near 30% on top of double digit increases for years is a complete violation of the public trust. Health Insurance premiums are quickly becoming un-affordable for all but the extremely poor and the extremely wealthy. This kind of increase is completely unsustainable and I strongly advise this increase not be allowed. The request for another excessive premium increase of near 30% on top of double digit increases for years is a complete violation of the public trust. Health Insurance premiums are quickly becoming un-affordable for all but the extremely poor and the extremely wealthy. This kind of increase is completely unsustainable and I strongly advise this increase not be allowed. To Whom It May Concern, The proposed premium increase is outrageous. My husband and I are already paying an enormous amount for our health insurance and this 30% increase means we lose $50,000 a year just to pay for our family to be insured. This is unconscionable. We will not continue with Oscar if this goes through. We urge you to reconsider so that families like ours do not suffer the consequences. Thank you. My simple secure plan already has a high deductible and covers very little. An increase in my monthly premium should come with increased coverage or lower deductible. I am currently enrolled in the Oscar Simple Silver plan. Oscar recently sent me a notice dated June 7 of proposed premium rate change, from $566.03 to $730.39. I feel that a 30% increase is excessive, especially when I visit my in- network primary care physician 2x/year, use only a small number of generic medications, and rarely see a specialist. I would like DFS to look into this matter.
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