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Fwd: Digest Number 524

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HI: I don't understand how you can be excluded from the plan. In Rhode

Island, we are now in the middle of a " health care crisis " since two insurers

are pulling out, leaving only BC and United Health. This past Sunday's paper

covered many important issues re: preexisting conditions and it says that

" An insurer can't refuse you admission to a plan because of a preexisting

condition. But an insurer can deny you coverage for that condition, said

A. Conio, director of projects for the People's Medical Society, a

medical consumer advocacy group based in town, PA " . It went on to

further state that the insurer can't refuse you coverage for that condition

forever, either, in that " Federal law generally says that the insurer can

refuse to cover you for that condition only for up to 12 months after you

join. "

Gee, I hope this is so because I am in process of obtaining new coverage

since I belong to one of the insurers pulling out of my state (Tufts Health).

Anyway, the article listed sources of info:

Free copies of booklets and brochures on this subject are available from U.S.

Dept. of Labor's Pension & Welfare Benefits Administration at (800) 998-7542

from 8 a.m. to 8 p.m. business days. Ask for information about the Health

Insurance Portability and Accountability Act, known as HIPAA. Also web site

at http://www.dol.gov

Haven't ck'd these info sources out but I surely will now!

Babs

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Geoff: I see what you mean re: premium vs. coverage. This is awful. I just

don't know where this health care issue is going and I'm disgusted. I don't

even know if I have health care coverage effective tommorow. Tufts pulled

out of my state, my plan expires today. I applied to United Health and paid

Dec. group premium through small business benefits administrator (I own

business) but still haven't rec'd final verdict. Received two calls today

from underwriter interrogating me about the minocycline and the RA. Gut

feeling: they're going to require more premium... I know they can't deny me

coverage for preexisting condition (per my state law, if I'm in a plan for at

least 12 consecutive mos. and switch promptly to new plan, the new plan can't

deny for preexisting.) but I don't see protections on premiums charged. I

guess I'll find out.

I don't know what the answer is. Nationalized health care doesn't seem

appealing based on stories read about Canada...

Babs

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