Guest guest Posted February 20, 2010 Report Share Posted February 20, 2010 I'm too tired right now to search, however I remember hearing that according to new laws (perhaps enacted last year?), pre-existing conditions can not be counted against you when changing insurance. At the very least it's worth looking into whether that is true or not. I believe it's a federal law. Charlotte iamwhimsy@... http://whimsy.t35.com [ ] Need UHC insurance feedback ASAP We are losing our group health insurance in the very near future, and are seriously considering UHC/Golden Rule for a new policy because they have a Guaranteed Issue / HIPAA compliant plan that cannot turn you down due to pre-existing conditions. Well, my family has so many due to Lyme, we all 3 are uninsurable unless we get one of the high deductible, guaranteed acceptance policies (which are very expensive, but UHC's seems to be the cheapest). I am wondering if anyone (specifically with individual, guaranteed issue / HIPAA compliant UHC insurance would be most applicable) has had any problems getting their oral antibiotics filled over and over again on a long-term basis? How about any trouble with IV treatment coverage? We live in TN, but UHC has a nationwide provider network, so thought you guys would have some good feedback - whether you have had any UHC policy, individual or group. Any internal medical policies and/or limitation on the treatment of Lyme that anyone has become aware of? i.e. like a max of 28-30 days worth of abx, oral or IV, and then you're cut off " because you are cured " type situation...? Any feedback on your experiences, good or bad, would be MOST APPRECIATED! And/or any other suggestions for a good Guaranteed Issue/Acceptance insuranc company would also be great. If you prefer to email me privately about this, you can at sncsherrod@... Thank you! Christa Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 20, 2010 Report Share Posted February 20, 2010 I think that as long as you were covered by an insurance company and you changed insurance companies, the new company may ask for verification of the old coverage. Sent via BlackBerry from T-Mobile Re: [ ] Need UHC insurance feedback ASAP I'm too tired right now to search, however I remember hearing that according to new laws (perhaps enacted last year?), pre-existing conditions can not be counted against you when changing insurance. At the very least it's worth looking into whether that is true or not. I believe it's a federal law. Charlotte iamwhimsy@... http://whimsy.t35.com [ ] Need UHC insurance feedback ASAP We are losing our group health insurance in the very near future, and are seriously considering UHC/Golden Rule for a new policy because they have a Guaranteed Issue / HIPAA compliant plan that cannot turn you down due to pre-existing conditions. Well, my family has so many due to Lyme, we all 3 are uninsurable unless we get one of the high deductible, guaranteed acceptance policies (which are very expensive, but UHC's seems to be the cheapest). I am wondering if anyone (specifically with individual, guaranteed issue / HIPAA compliant UHC insurance would be most applicable) has had any problems getting their oral antibiotics filled over and over again on a long-term basis? How about any trouble with IV treatment coverage? We live in TN, but UHC has a nationwide provider network, so thought you guys would have some good feedback - whether you have had any UHC policy, individual or group. Any internal medical policies and/or limitation on the treatment of Lyme that anyone has become aware of? i.e. like a max of 28-30 days worth of abx, oral or IV, and then you're cut off " because you are cured " type situation...? Any feedback on your experiences, good or bad, would be MOST APPRECIATED! And/or any other suggestions for a good Guaranteed Issue/Acceptance insuranc company would also be great. If you prefer to email me privately about this, you can at sncsherrod@... Thank you! Christa Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 20, 2010 Report Share Posted February 20, 2010 Last year We tried to switch from group insurance to private. If I remember correctly, as long as you prove previous coverage, and that the gap does not exceed the specified time frame, you are eligible for coverage, BUT the insurance companys will make the premiums sky-high and practically unattainable for that reason. Dara > > I'm too tired right now to search, however I remember hearing that according to new laws (perhaps enacted last year?), pre-existing conditions can not be counted against you when changing insurance. > > At the very least it's worth looking into whether that is true or not. I believe it's a federal law. > > > Charlotte > > iamwhimsy@... > http://whimsy.t35.com > [ ] Need UHC insurance feedback ASAP > > > > We are losing our group health insurance in the very near future, and are seriously considering UHC/Golden Rule for a new policy because they have a Guaranteed Issue / HIPAA compliant plan that cannot turn you down due to pre-existing conditions. Well, my family has so many due to Lyme, we all 3 are uninsurable unless we get one of the high deductible, guaranteed acceptance policies (which are very expensive, but UHC's seems to be the cheapest). > > I am wondering if anyone (specifically with individual, guaranteed issue / HIPAA compliant UHC insurance would be most applicable) has had any problems getting their oral antibiotics filled over and over again on a long-term basis? How about any trouble with IV treatment coverage? > > We live in TN, but UHC has a nationwide provider network, so thought you guys would have some good feedback - whether you have had any UHC policy, individual or group. > > Any internal medical policies and/or limitation on the treatment of Lyme that anyone has become aware of? i.e. like a max of 28-30 days worth of abx, oral or IV, and then you're cut off " because you are cured " type situation...? > > Any feedback on your experiences, good or bad, would be MOST APPRECIATED! And/or any other suggestions for a good Guaranteed Issue/Acceptance insuranc company would also be great. > If you prefer to email me privately about this, you can at sncsherrod@... > > Thank you! > Christa > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 20, 2010 Report Share Posted February 20, 2010 Hi Christa, We had United Healthcare and they only covered two months of IV antibitoitcs.That was two years ago. My son was on seven months, so I had to pay the five out-of-pocket. I appealed the decision, wrote tons of letters, made phonecalls. The basis was that long-term antibiotics was not a proven treatment for Lyme. On the other hand, we did get coverage for our oral antibiotics. Found a few loopholes . Again, this was two years ago. So things could have changed. And I live in NH; don't know what difference that makes. It's like another job weeding out the insurance and health care issues. And I know how daunting that is with sick kids. Best of luck, From: [mailto: ] On Behalf Of darabeth2003 Sent: Saturday, February 20, 2010 8:36 AM Subject: Re: [ ] Need UHC insurance feedback ASAP Last year We tried to switch from group insurance to private. If I remember correctly, as long as you prove previous coverage, and that the gap does not exceed the specified time frame, you are eligible for coverage, BUT the insurance companys will make the premiums sky-high and practically unattainable for that reason. Dara > > I'm too tired right now to search, however I remember hearing that according to new laws (perhaps enacted last year?), pre-existing conditions can not be counted against you when changing insurance. > > At the very least it's worth looking into whether that is true or not. I believe it's a federal law. > > > Charlotte > > iamwhimsy@... > http://whimsy.t35.com > [ ] Need UHC insurance feedback ASAP > > > > We are losing our group health insurance in the very near future, and are seriously considering UHC/Golden Rule for a new policy because they have a Guaranteed Issue / HIPAA compliant plan that cannot turn you down due to pre-existing conditions. Well, my family has so many due to Lyme, we all 3 are uninsurable unless we get one of the high deductible, guaranteed acceptance policies (which are very expensive, but UHC's seems to be the cheapest). > > I am wondering if anyone (specifically with individual, guaranteed issue / HIPAA compliant UHC insurance would be most applicable) has had any problems getting their oral antibiotics filled over and over again on a long-term basis? How about any trouble with IV treatment coverage? > > We live in TN, but UHC has a nationwide provider network, so thought you guys would have some good feedback - whether you have had any UHC policy, individual or group. > > Any internal medical policies and/or limitation on the treatment of Lyme that anyone has become aware of? i.e. like a max of 28-30 days worth of abx, oral or IV, and then you're cut off " because you are cured " type situation...? > > Any feedback on your experiences, good or bad, would be MOST APPRECIATED! And/or any other suggestions for a good Guaranteed Issue/Acceptance insuranc company would also be great. > If you prefer to email me privately about this, you can at sncsherrod@... > > Thank you! > Christa > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.