Showing posts with label deductibles. Show all posts
Showing posts with label deductibles. Show all posts

Monday, February 5, 2018

Shame on You, Gov. Abbott, Lt. Gov. Patrick, and Texas Legislature

             Every day—and I do mean every day—since January 1, I have felt a heaviness in the pit of my stomach.  Every day, I know I am going to hear another story about what has befallen my fellow retired Texas public school employees courtesy of Gov. Abbott, Lt. Gov. Patrick, and the Texas Legislature. 
            As many of you may have heard, during the 2017 Legislative Session, these elected officials decided to turn our healthcare world upside down, despite the fact that we retired under the promise of affordable healthcare, a promise made to us years ago when we began teaching and again when we completed all of the paperwork for retirement.  Instead, Gov. Abbott, Lt. Gov. Patrick, and the Texas Legislature voted to appropriate DOUBLE the amount of money for retirees in the state’s other retirement system, ERS, that they did for our retirement system, TRS, despite the fact that they have HALF the number of participants. ERS handles pensions and healthcare for all other state employees.  It is no coincidence that retired legislators are members of ERS when they retire at age 50 with a mere 12 years in office or at age 60 with a mere eight years.  Meanwhile, TRS, also controlled by the Texas Legislature, handles pensions and healthcare for me and all of my fellow retired public school employees—teachers, custodians, bus drivers, administrators, cafeteria workers, counselors, librarians, maintenance workers, secretaries, diagnosticians, and classroom aides (and anyone else who worked in our public school system). 
            Gov. Abbott, Lt. Gov. Patrick, and the Texas Legislature also increased our deductible from $400 to $1500.  Now, not one penny of the medical costs or prescriptions (except a list of standard, generic drugs) for TRS retirees under 65 is paid until we pay the ENTIRE $1500 out of pocket.  Think no co-pay.  For retired public school employees who include their spouse on their insurance, their deductible is $3000.  For them, the plan does not pay a single penny until they reach the entire $3000, not $1500 for each of them.
            Meanwhile, in ERS Land, all other state employees (and retired legislators) not only have 100 percent of their premium paid for by the state, but they also have no deductible.  No, as in zero.  That means while we are paying 100 percent of our healthcare costs and prescription costs out of pocket until we reach $1500 (then, we have an 80/20 split), they have no deductible to meet.  No, as in zero.
            One of the stories I heard last week was about Chuck and Leslie.  Leslie retired from Northside ISD in San Antonio in 2014.  January 1, their premium increased from $140 to $689.  This $689 is 23.5 percent of Nancy’s gross monthly annuity.  This incredible financial burden has resulted in the couple considering dropping their health insurance.  “But we don’t want to burden other taxpayers with OUR hospital bills if we ever do get sick,” Chuck told me.  This is the choice they are facing after Leslie spent years working in our public schools.
            I also read the story of Donna, who lives in Hewitt (near Waco).  She taught in Texas public schools for 27 years, about half of those in special education and seven as a diagnostician.  She has a master’s degree.  Her monthly prescription drug costs went from $100 to $1200.  Although she has found some discount cards she is now using, the hit it has taken is painful and frightening. 
            One of my close friends in the Rio Grande Valley is a retired teacher and a single mom who receives no child support for her son, who is a freshman in college.  She told me last week she has decided she is not going to the doctor any more, despite the fact that she battles high blood pressure.  “The deductible is just too high,” she told me.
            I’m sick.  I’m sad.  I’m angry.  I’m still in disbelief.  How did this happen?  Why did this happen?  I honestly believe someone is going to die because of the decisions made by Gov. Abbott, Lt. Gov. Patrick, and several members of the Texas Legislature.
            I think what sickens and frightens me most is that the endless stories I have heard are all from teachers and administrators.  If so many of them are suffering with these changes, what are those who earned far less than us while working—which means far less than us in retirement—doing?
            SHAME ON YOU, Gov. Abbott, Lt. Gov. Patrick, and every Texas legislator who voted to cripple all of us who devoted our careers and our lives to the children of this state.  I hope all of us, our former students, and all who love us will JOIN THE MOVEMENT to BLOCK VOTE!


Chris Ardis retired in May of 2013 following a 29-year teaching career. She now helps companies with business communications and social media and works as a sales coordinator for Tony Roma's and Macaroni Grill.
Chris can be reached at
 cardis1022@aol.com.  Her columns will also be appearing regularly in the Rio Grande Guardian.  And watch for upcoming LIVE Facebook conversations on "All Things Education" on the Guardian's FB page.  (Photo by Sarina Manahan)



JOIN OUR MOVEMENT



Go to texansforpubliceducation.com 
On the home page, scroll down to "Our Ratings" to read the rationale behind the ratings for each incumbent and his/her opponent(s).
(I) Incumbents
Blue-Opponents
UNFRIENDLY
FRIENDLY
NEUTRAL

TEXAS GOVERNOR



TEXAS LT. GOVERNOR



TEXAS HOUSE
Sheet 1:  DISTRICTS  3,18, 56, 57, 103, 104, 105, 116,123, 131, 145
Dallas, Grand Prairie, Houston, Lufkin, Magnolia, San Antonio, Shepherd,  Waco 

Sheet 2:  DISTRICTS  24, 25, 40, 58, 73, 76, 83, 112, 113, 128, 138 
Angleton, Cleburne, Deerpark, Edinburg, El Paso, Fredericksburg, Friendswood, Houston, 
Lubbock, Richardson, Sunnyvale   


Sheet 3:  DISTRICTS 8, 11,  54, 82, 95, 98, 117, 147 
Corsicana, Fort Worth, Houston,  Killeen, Midland, Nacodoches, San Antonio, Southlake


Sheet 4:  DISTRICTS  7, 17, 22, 46, 72, 111, 134, 135, 136, 142 
Austin, Beaumont, Cedar Park, Dallas, Houston, Lockhart, Longview, West University Place   


Sheet 5:  DISTRICTS 2, 23, 69, 84, 99, 106, 109, 120, 148  
Canton,  DeSoto, Fort Worth, Frisco, Galveston,  Houston, Lubbock, San Antonio,
Wichita Falls


Sheet 6:  DISTRICTS 4, 5, 31,34, 41, 52, 75, 97, 119, 143
Clint, Fort Worth, Houston, Mission, Mt. Pleasant, Rio Grande City,  Robstown, 
Round Rock, San Antonio, Terrell   


Sheet 7:  DISTRICTS  12, 32, 33, 45, 48, 49, 50, 100, 127, 139
Austin, College Station, Corpus Christi, Dallas, Dripping Spring, Houston, Rockwall  


Sheet 8:  DISTRICTS 15, 44, 61, 71, 80,  81, 88,  91, 102
Abilene, Batesville, Canadian, Dallas, Fort Worth, Odessa, Seguin, The Woodlands, Weatherford  


Sheet 9:  DISTRICTS 16, 26, 35, 38, 39, 43, 60, 67, 89, 108, 122  
Brownsville, Conroe, Dallas, Granbury, Kingsville, Mission, Parker, Plano, San Antonio, 
Sugar Land, Weslaco   


Sheet 10:  DISTRICTS 30, 36, 37, 53,74,77, 78, 107, 124, 130, 133 
Brownsville, Cypress, Dallas, Eagle Pass, El Paso,  Houston, Junction, Palmview,   
San Antonio,Victoria


Sheet 11:  DISTRICTS 9, 14, 21, 62, 63, 79, 87, 129, 144 
Amarillo, Beaumont, College Station, El Paso, Flower Mound, Houston, Marshall, Sherman  


Sheet 12:  DISTRICTS 6,  27, 42, 51, 70, 90, 110, 115, 125, 126   
Austin, Dallas, Fort Worth, Houston, Irving, Laredo, McKinney, Missouri City,  
San Antonio, Tyler


Sheet 13:  DISTRICTS  13, 55, 59, 65, 66, 68, 85, 86, 132
Amarillo,  Caldwell, Carrolton, Gatesville, Katy, Muenster, Plano, Temple, Wharton


Sheet 14:  DISTRICTS 29, 64, 92, 94, 121, 141, 146, 150
Arlington, Bedford, Denton, Houston, Pearland, San Antonio, Spring


Sheet 15:  DISTRICTS 1, 10,19, 20, 47, 101, 114, 118, 140, 149
Austin, Dallas, Grand Prairie, Hillister, Houston, Marble Falls, New Boston, San Antonio,  Waxahachie


Sheet 16:  DISTRICTS 137, 96, 28
Arlington, Houston, Richmond


TEXAS SENATE

Sheet 1:  DISTRICTS 7, 22, 24, 10, 25, 4, 30, 6, 2, 9, 20
Houston, Granbury, Lakeway, Colleyville, New Braunfels, Conroe, Wichita Falls, Houston, Edgewood, North Richland Hills, McAllen


Sheet 2:  DISTRICTS 16, 17, 1, 18, 27, 26, 13, 12, 3, 28, 29, 5
Dallas, Houston, Mineola, Brenham, Brownsville, San Antonio, 
Flower Mound, Jacksonville, Lubbock, El Paso, Georgetown


Sheet 3:  DISTRICTS 31, 11, 8, 19, 14, 23, 15, 21
Amarillo, Friendswood, Plano, San Antonio, Austin, Dallas, Houston, Laredo







Tuesday, October 24, 2017

Texas Legislators—How Could You?

As I walked out of the Hynes Event Center in Mercedes Monday, October 23, I felt sick.  Literally.  I also felt angry….and sad…and worried.  How could Texas legislators do this to public school employees who spent years teaching our state’s children, caring for their physical and emotional needs, feeding them, keeping the facilities clean, answering the phone and greeting parents and community members, and doing everything else school district employees do?
            I had just left a Texas Teacher Retirement System session about the changes to our healthcare plans, compliments of the 85th Texas Legislature.  For those of us who are under 65, our plan is called a “High Deductible Health Plan.”  Healthcare.gov describes an HDHP like this:  “A plan with a higher deductible than a traditional insurance plan. The monthly premium is usually lower, but you pay more health care costs yourself before the insurance company starts to pay its share (your deductible).”  Perfect description.
            I already knew the 85th Texas Legislature raised our deductible from $400 to $1500.  I also knew I would no longer have a co-pay.  What does that mean?  It means that now when I go to the doctor or pharmacy (That’s right!  I no longer have a pharmacy co-pay, either.), instead of paying approximately $25, I will pay the full bill until I reach my $1500 deductible.  No problem.  As a wealthy retiree, $1500 is chump change.  Oh, wait!  I am a retired teacher.  Fifteen hundred dollars is a lot of money.
            Once I reach my $1500 deductible, Aetna will pay 80 percent of my medical bills and prescription drugs, if I use an in-network doctor.  When I have paid $5650 out of pocket to in-network facilities, physicians, and pharmacies, Aetna will pay 100 percent of my in-network medical costs.
            The more the presenter talked, the sicker I felt.  I couldn’t imagine how retired public school employees whose spouse is covered under their TRS healthcare must have been feeling.  For them, grim couldn’t even begin to describe their situation.  The deductible for public school retirees with two or more family members on their healthcare plan is $3000.  You would think that means $1500 for the retiree and $1500 for the spouse, but that’s not the case.  Thanks to our Texas legislators, those retirees must pay 100 percent of their medical and prescription costs until they have spent $3000 out of pocket.  So even if the retiree has already paid $1500 for medical and pharmaceutical bills, he/she has to keep paying until $3000 has been spent.  However, when it comes to the family’s maximum-out-of-pocket, that is figured on an individual basis rather than by family.  Go figure.
            Texas Legislators, how well do you know the statistics?  According to the Texas Retired Teachers Association, TRS has more than 375,000 retirees whose average monthly pension is $2035.  But what’s even worse…much worse…is that 30 percent of TRS retirees, roughly 105,000, receive $1000 or less per month.  How in the world do they expect these dedicated public school retirees to afford the healthcare they have subjected us to? 
            But why should they worry?  After all, remember--they kept all other state employees, whose healthcare is covered by the Employees Retirement System of Texas rather than by TRS, at a $0 deductible.  And don’t forget—that includes retired legislators who have served at least eight years.  So I served the children of this state for 29 years, and I have a $1500 deductible with no co-pay, and they can serve eight years and pay a $0 deductible?
            Texas Legislators, how could you?

(Note:  Last week, Eloise Montemayor, community relations/public sector associate with United Way of South Texas shared information with me about FamilyWize, a United Way partner that reduces the cost of prescription medicine through agreements with pharmacies nationwide.  FamilyWize is for individuals with and without insurance, there is no cost to use FamilyWize, and there are no income qualifications.  Go to familywize.org and print out a card or download the app.  For any prescription medication you need to purchase, visit their site and find the local pharmacy that will give you the best deal.  When you go to pick up your prescription, show them your card.  At this point, every penny counts.)


Chris Ardis retired in May of 2013 following a 29-year teaching career. She now helps companies with business communications and social media and works as a sales coordinator for Tony Roma's and Macaroni Grill. Chris can be reached at cardis1022@aol.com. (Photo by Sarina Manahan)