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Health and Human Services to allow insurers to raise rates

Thursday, October 14, 2010
Looks like the Feds will have to allow major insurance companies to raise rates for kids with pre-existing conditions. That's because the insurance companies had simply dropped their child-only insurance policies in response to the new health care law's mandate to accept all children at any time, no matter what their health condition. Raising rates will allow insurance companies to recoup at least some of the money they spend on sick children, so they can continue to offer insurance to all children.

In addition, Health and Human Services is also pushing for "open enrollment periods."  This is also at the request of the insurance industry, which correctly pointed out the absurdity of  "insuring" kids who are already in the hospital.  Click here for the latest changes to Obamacare, as reported in the New York Times.

United Healthcare, Assurant Dropping Child Only Coverage

Friday, July 16, 2010

While politicians, pundits and just plain regular folks continue to debate  whether the new healthcare law will be good or bad for America, two large health insurance companies - United Healthcare and Assurant Health - have already rendered a verdict on at least one portion of the new law:  the part which guarantees coverage to children with pre-existing health conditions, scheduled to be implemented in September 2010.

Their decision? To exit the business of offering "child-only" health insurance altogether. Instead, the two health insurance giants will only insure children if their parents are current customers or Mom and Dad are buying health insurance as well.

While many will be quick to attribute the move to greedy health insurance companies abdicating their responsibility to protect America's kids, it's a matter of simple economics. Although there is still much that is murky about the way the new law will be implemented, I can imagine some absurd scenarios. For example, under the new system, i.e. guaranteed coverage for pre-existing conditions, a social worker at St. Louis Children's Hospital can simply start handing out insurance applications to the parents of patients. The parents of a child with cancer, for example, whose bills might run tens of thousands of dollars a month, would be able to start paying premiums for,say,  $125-200/mo. -- with the insurance company responsible for paying the difference.

Obviously I feel for the child with cancer, but that's not insurance anymore -- that's a social welfare program which has been shifted to the insurance companies.

Exasperating the situation is the recently-signed Missouri law which mandates that health insurance companies pay as much as $40,000 a year per child for autism treatments.

While the intent of the legislation was to bring down healthcare costs, I fear many people will see their health insurance premiums actually rise in the months ahead as these companies scramble to cover their losses insuring kids with pre-existing conditions. Other companies may follow the example of United and Assurant and simply stop offering coverage for children.

I know there is a problem with health insurance in this country but forcing the insurance companies to bear the burden by themselves is not the answer. This is just a taste of what 2014 will bring.

On January 1, 2014, the new healthcare law mandates coverage by health insurance companies of any person with any pre-existing condition, if they are not already covered by Medicaid or Medicare.



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