Remember all of the promises you were told when politicians were attempting to pass the Affordable Care Act?  Can you recall all of the great benefits we'd see with the passage of the landmark piece of legislation?  I certainly remember many of the lofty goals and utopian outcomes our leaders told us would come to pass if we simply trusted government to take the reins of one our biggest national industries.

While we must allow the law to really make its impact felt before we can make a final judgment on the merits of its ability to improve healthcare quality and increase accessibility, we can weigh in on the major area that all of us feel monthly, which is our health insurance premiums. 

As we've noted several times in the last month, Open Enrollment begins this weekend and we'll be able to get our first view of the pricing of 2015 health insurance plans.  Fortunately, I've been able to get an advanced look at what we'll call "solid estimates" and the results are frankly.....exactly the same as before or worse!  In the past years before Obamacare we would typically expect annual rate increases of 6% to 10% each year.  Sometimes those rates would only climb 4%, and bad years would see 12% hikes.  We've all been told that the Affordable Care Act would "bend the cost curve" and make healthcare more affordable since services would be spread across a larger pool of insured people as the losses providers felt from serving the uninsured went away.  Unfortunately, we're too early to see any real impact or we were simply lied to.

Over the last few years I've written several articles about clients and friends with pre-existing conditions and their limited health insurance coverage options. In Texas, clients with significant health issues have only two options. First, if they own a small business and have at least one other employee, they could obtain a small company insurance plan or "group" plan. Many clients have gone this route, and we'll talk more about strategies for them next week when we post an article about evaluating cheaper options in the new year.