{"id":49964,"date":"2024-12-27T01:23:00","date_gmt":"2024-12-27T05:23:00","guid":{"rendered":"https:\/\/www.univistainsurance.com\/?p=49964"},"modified":"2024-12-24T13:24:33","modified_gmt":"2024-12-24T17:24:33","slug":"limite-maximo-de-bolsillo-obamacare","status":"publish","type":"post","link":"https:\/\/www.univistainsurance.com\/es\/blog\/limite-maximo-de-bolsillo-obamacare\/","title":{"rendered":"Obamacare: Evite deudas m\u00e9dicas impagables"},"content":{"rendered":"\n<p>Hace poco, un titular llam\u00f3 mi atenci\u00f3n:&nbsp;<strong>\u201cLe cobran $41,212 por sacarle el ap\u00e9ndice\u201d<\/strong>. Era la historia de un joven de 28 a\u00f1os, sin seguro m\u00e9dico, que sufri\u00f3 una apendicitis. Tras ser operado de urgencia, recibi\u00f3 una factura de m\u00e1s de&nbsp;<strong>$41,000<\/strong>, una cantidad que podr\u00eda llevar a cualquiera al borde de la ruina financiera.<\/p>\n\n\n\n<p>Lo sorprendente es que situaciones como esta son&nbsp;<strong>totalmente prevenibles<\/strong>&nbsp;con un seguro m\u00e9dico bajo el&nbsp;<strong>Obamacare, al existir un m\u00e1ximo de bolsillo.<\/strong><\/p>\n\n\n\n<p><strong>El m\u00e1ximo de bolsillo: su protecci\u00f3n contra deudas m\u00e9dicas<\/strong><\/p>\n\n\n\n<p>Una de las reglas m\u00e1s importantes del Obamacare es la implementaci\u00f3n del&nbsp;<strong>l\u00edmite m\u00e1ximo de pagos de bolsillo<\/strong>&nbsp;(out-of-pocket maximum). Este l\u00edmite establece que, en un a\u00f1o, una familia asegurada no pagar\u00e1 m\u00e1s all\u00e1 de cierto monto por deducibles, copagos y coseguros.<\/p>\n\n\n\n<p><strong>Ejemplo pr\u00e1ctico:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>El l\u00edmite m\u00e1ximo de bolsillo para una familia general es de\u00a0<strong>$18,400<\/strong>. Esto significa que, incluso si los cuatro miembros de una familia son operados de apendicitis en el mismo a\u00f1o, lo m\u00e1ximo que pagar\u00e1n entre todos es\u00a0<strong>$18,400<\/strong>. El resto ser\u00e1 cubierto por el seguro.<\/li>\n<\/ul>\n\n\n\n<p>Pero si la familia tiene ingresos modestos pagar\u00eda un m\u00e1ximo de bolsillo menor, unos $6,100 por los cuatro al ser estos l\u00edmites ajustados a los ingresos.&nbsp;<\/p>\n\n\n\n<p><strong>L\u00edmites ajustados por ingresos:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Familias con ingresos por debajo del\u00a0<strong>150% del FPL (Federal Poverty Level):<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>M\u00e1ximo de bolsillo familiar:<\/strong>\u00a0$6,100.<\/li>\n\n\n\n<li><strong>M\u00e1ximo de bolsillo individual:<\/strong>\u00a0$3,050.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Por ejemplo, una familia de cuatro miembros que gane\u00a0<strong>$50,000 al a\u00f1o<\/strong>\u00a0pagar\u00e1 como m\u00e1ximo $6,100, incluso si enfrentan m\u00faltiples cirug\u00edas o tratamientos m\u00e9dicos costosos.<\/li>\n<\/ul>\n\n\n\n<p><strong>\u00bfPor qu\u00e9 es importante el l\u00edmite m\u00e1ximo de bolsillo?<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Protecci\u00f3n financiera:<\/strong><\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Evita que las familias enfrenten deudas m\u00e9dicas insostenibles.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Equidad ajustada a ingresos:<\/strong><\/li>\n<\/ol>\n\n\n\n<ol class=\"wp-block-list\">\n<li> Las familias con menores recursos tienen l\u00edmites de pagos m\u00e1s bajos, asegurando accesibilidad a servicios m\u00e9dicos.<\/li>\n\n\n\n<li><strong>Cobertura integral:<\/strong><\/li>\n<\/ol>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Incluye deducibles, copagos y coseguros en el c\u00e1lculo del l\u00edmite, garantizando tranquilidad ante emergencias.<\/li>\n<\/ol>\n\n\n\n<p><strong>No deje pasar la oportunidad<\/strong><\/p>\n\n\n\n<p><strong>Obamacare<\/strong>&nbsp;ofrece una soluci\u00f3n clara para evitar deudas m\u00e9dicas catastr\u00f3ficas. Con un l\u00edmite m\u00e1ximo de bolsillo ajustado a sus ingresos, usted y su familia pueden estar protegidos, incluso ante emergencias graves.<\/p>\n\n\n\n<p><strong>\u00a1No espere m\u00e1s!<\/strong>&nbsp;Inscr\u00edbase antes del&nbsp;<strong>15 de enero<\/strong>&nbsp;y asegure su tranquilidad financiera. Llame a&nbsp;<strong>51³Ô¹ÏºÚÁÏÍø<\/strong>&nbsp;para obtener asesoramiento personalizado y encontrar el mejor plan de seguro para usted y su familia.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hace poco, un titular llam\u00f3 mi atenci\u00f3n:&nbsp;\u201cLe cobran $41,212 por sacarle el ap\u00e9ndice\u201d. Era la historia de un joven de 28 a\u00f1os, sin seguro m\u00e9dico, que sufri\u00f3 una apendicitis. Tras ser operado de urgencia, recibi\u00f3 una factura de m\u00e1s de&nbsp;$41,000, una cantidad que podr\u00eda llevar a cualquiera al borde de la ruina financiera. Lo sorprendente [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":49966,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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