Talk of insurance mandate growing - page 10

Talk of insurance mandate growing Source:... Read More

  1. by   Multicollinearity
    Let's discuss the impact of state insurance regulators and consumers' rights. The following chart (first column) shows which states have laws in place to require insurers to accept applicants with pre-existing conditions:

    There may be waiting periods for pre-existing conditions to be covered after obtaining your policy, like six months or a year, but in these five states, eventually the insurer must cover your health problems if you are responsible and pay your premiums. These five states DO give consumers the CHOICES and options to obtain the plan of their choice if they can afford it, and switch to another plan if dissatisfied.

    Can anyone guess if these five states are red or blue states? Regulations and legislation have real and tangible effects on the daily lives of citizens.
  2. by   Multicollinearity
    Quote from Jolie
    Can you explain what you mean by guaranteed acceptance under HIPAA coverage?
    The following should not be considered legal, financial, or insurance advice as I am not licensed in all states, and I am not establishing any kind of client-agent fiduciary relationship with any reader of this board. Check with your state insurance department for advice specific to your situation and state of residence. That said:

    HIPAA stands for the Health Insurance Portability and Accountability Act (of 1996). HIPAA has just as much to do with individual health insurance eligibility as it does with patients' privacy. Since HIPAA is federal legislation, it is the same across all states. Read page 2 of this HIPAA-coverage brochure to see eligibility for such plans:

    Where the eligibility text refers to Arizona, your state of residence could be substituted due to the federal nature of the law. You've got to be coming off of an employer group health insurance plan, have exhausted all COBRA options, and be within 63 days of ending this coverage, plus more as listed on page 2. It's a narrow and short time-frame to envoke your rights under HIPAA. If you manage to obtain such coverage and later lose that coverage for some reason, for example, your insurer raises the rates to $3000 per month (I've seen that), you move to an area out of the insurance company's service area, or your insurer cancels all their individual plans, your HIPAA rights to guaranteed issue coverage do not continue. It's a one-shot deal during that initial 63 days under certain circumstances.

    Keep in mind that HIPAA regulates specific instances where insurers must insure - NOT what the premiums will be under such plans. The premiums for HIPAA coverage are influenced, if at all, by any specific state legislation addressing HIPAA rates. Some states limit premiums for HIPAA compliant plans and some do not. Please take a look at the HIPAA premium rates in my red state. They are on page 5. Gotta love it: $1792 a month for a child under two years old.
  3. by   blue note
    Quote from ♪♫ in my ♥
    And why the blind faith in private industry? Surely we've seen enough since the S&L crisis, the implosions of companies like Enron and WorldCom, Wall Street swindlers from the likes of Ivan Boesky and Michael Milkin to guys like Bernie Madoff (made off with da money, that is), and present financial melt-down to recognize that private industry is not worthy of public trust.

    Me, I'll take my chances with a single-payer system administered by a public entity over the offerings of the private insurers any day.
    :yeahthat: Some people will just continue to cling to extreme free market fundamentalism and refuse to learn nothing even after we have all seen the evidence that results from rampant deregulation in the examples above. As if private industry would simply police themselves and everything will be sunshine and roses.
  4. by   Agrippa
    Yea, its like giving a teenage boy booze and the keys to your car and trusting that he'll be able to "regulate" himself.

    Hmm....i feel like I've seen that pithy saying somewhere...
  5. by   blue note
    Quote from tntrn
    Government regulation is not going to eliminate people who are bent on screwing other people.
    No one is claiming that government regulation will completely eliminate wrongdoing, but it will sure as hell make it more difficult!

    Sheesh, some of those same people get elected and some are tapped for very high-up administration jobs, even AFTER they are exposed as tax cheats and liars.
    You mean liars in the Bush Administration who lied to the American people and dragged our country into a war under false pretenses, right? The same people who committed war crimes and torture, right? You know what's more outrageous than someone who didn't pay their taxes (and had to answer for it in front of a Senate committee)? Lawyers like John Yoo and Jay Bybee who crafted secret memos (not so secret now) to provide Bush with the legal blueprint for a tyrannical police state, and they did so with no oversight, and did not have to appear before any Senate committee. Those are the things that scare us liberals but I guess we simply have different priorities. Like the U.S. Constitution.