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Polls Discuss Pre-Existing Condition: Exempt or Covered? at the General Forum; [quote] Originally Posted by Stinger And you can take out COBRA and I have changed jobs and the pre-existing condition ...

Poll: Should Health Insurance be able to exempt policy coverage for pre-existing conditions
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Should Health Insurance be able to exempt policy coverage for pre-existing conditions

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  #21 (permalink)  
Old 04-05-2010, 02:21 PM
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Default Re: Pre-Existing Condition: Exempt or Covered?

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Quote:
Originally Posted by Stinger View Post
And you can take out COBRA and I have changed jobs and the pre-existing condition is waved if you go from one policy to another in that change. I switched to my wife's insurance last summer when I lost a job and there was no restriction on a pre-existing conditions because I had had insurance in the last x number of days.
18 Months is how long COBRA lasts, and you pay the full premium, and usually a 2% admin fee to the employer/COBRA administrator during that time.

Quote:
How much higher?
That I cannot answer, I haven't worked out the numbers. Each case by case, I would have to guess.

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The best thing would be to get insurance out from under the employer. They pay you cash tax free and you are able to shop for you insurance yourself.
That's not going to happen with a small employer. There (prior to the monstrosity of a bill passing) are many small employers who have a plan to offer, and that is all. The administration for some on the plan some taking cash would be an additional expense some small business could not afford. Some plans require minimum covered lives to even exist.

Quote:
Why are insurance companies suppose to eat it, pay the penalty and lose money?
If I use aproximately $500 a month in coverage for an existing condition, then my premium should cover that and then some. Group coverage absorbs some of that, depending on how they are rated (age/gender/type).

If a person has a certificate of creditable coverage, the PE condition is a moot subject. It's those that have no coverage to begin with that need the No exclusion of PE.

You have a condition.
You work.
You lose your job.
Chose between eating and paying your COBRA premium.
Lose ONE day of coverage.
You no longer have a certificate of creditable coverage.
You're ****ed.
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  #22 (permalink)  
Old 04-05-2010, 02:37 PM
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Default Re: Pre-Existing Condition: Exempt or Covered?

Quote:
Originally Posted by Stinger View Post
It's in your policy and if the disease had not manifested itself at the time the policy was taken out, and if the policy provides for coverage against the disease then they pay for it. AND usually even in cases of heart disease or other conditions after a year on the policy then the question goes away completely.
No the "question" does not go away. They continue to refuse whomever for whatever. It didn't used to be that way, but it is now.
Quote:
Originally Posted by Stinger View Post
You just need a better insurance company, and thankfully we have a free market system where you can do so if you choose.

If insurance companies did a fraction of what they are accused of none of them would be in business. Why would anyone pay the money if all they do is turn down claims and refuse to pay for things the policies say they must pay for? They'd be sued out of existence. They are still subject to pleasing their customers. Don't you understand that.

And why on earth you think a government run insurance company is going to be better is beyond me.
I already told you I was even hung up on while trying to get a better policy-and that was before anybody knew I would have to have the surgery. The company husband worked for had changed to a crappier plan that didn't even cover medicine till after the deductible.
Quote:
Originally Posted by Stinger View Post
And you can take out COBRA and I have changed jobs and the pre-existing condition is waved if you go from one policy to another in that change. I switched to my wife's insurance last summer when I lost a job and there was no restriction on a pre-existing conditions because I had had insurance in the last x number of days.



How much higher?

The best thing would be to get insurance out from under the employer. They pay you cash tax free and you are able to shop for you insurance yourself.

Why are insurance companies suppose to eat it, pay the penalty and lose money?
Who the hell can afford COBRA? I sure can't. Right now as I type I am avoiding using three of my fingers on the right hand because I have been out of medicine for three days and my hands are going numb. I have an appointment at a reduced price clinic where Nurse Practitioners volunteer. That's tomorrow. Every time I'm out of an inexpensive medication (that I cannot write the prescription for myself-have to have blood test twice a year) it throws me back in my over all health. I am set to go back to work but have to go through this crap first and hope I can function.
I paid for a lot of crap when I was working that benefited people I never knew. Now that I need it I feel I m being thrown under the bus. Young people are especially cruel not wanting to pay into SS. What say we just wait till their generation is due to receive it then we call a halt to it.
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  #23 (permalink)  
Old 04-05-2010, 02:58 PM
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Default Re: Pre-Existing Condition: Exempt or Covered?

[quote=GottaGo;134623]
Quote:

18 Months is how long COBRA lasts, and you pay the full premium, and usually a 2% admin fee to the employer/COBRA administrator during that time.
Yeah, a year and a half to get your affairs in order. You pay the group premium. In my case my former employer paid it for 3 months and then I went on my wife's policy (get married it makes life a lot easier). When I found a new job her policy was better so I stayed on it and my employer reimburses us the cost of that.


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That I cannot answer, I haven't worked out the numbers. Each case by case, I would have to guess.
It'll be high.


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That's not going to happen with a small employer.
I bet a small employer would love. Give them a tax break for doing so, make it tax free to the employee. Allow insurance across state lines and enhanced MSA's.


Quote:
You have a condition.
You work.
You lose your job.
Chose between eating and paying your COBRA premium.
Lose ONE day of coverage.
You no longer have a certificate of creditable coverage.
You're ****ed.
You work and you fund your emergency fund so if something does happen you can pay for it. My wife and I keep a nice tidy sum put away for just such instances. We didn't have to touch it this time and in fact ended up with more money in it than before I lost my job and got a new one.
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  #24 (permalink)  
Old 04-05-2010, 03:02 PM
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Default Re: Pre-Existing Condition: Exempt or Covered?

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Originally Posted by saltwn View Post
No the "question" does not go away. They continue to refuse whomever for whatever. It didn't used to be that way, but it is now.
Get better insurance and why do you think government will have a lower rejection percentage?

Quote:
I already told you I was even hung up on while trying to get a better policy-and that was before anybody knew I would have to have the surgery. The company husband worked for had changed to a crappier plan that didn't even cover medicine till after the deductible.
Which has normal until insurance companies on their own started paying for most medicines.

Quote:
Who the hell can afford COBRA?
People who are responsible and save and have their emergency fund in place.

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I paid for a lot of crap when I was working that benefited people I never knew. Now that I need it I feel I m being thrown under the bus.
A good reason not to have socialized medicine.

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Young people are especially cruel not wanting to pay into SS.
I don't blame them, a good reason not to have socialized retirement.
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  #25 (permalink)  
Old 04-05-2010, 03:16 PM
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Default Re: Pre-Existing Condition: Exempt or Covered?

Quote:
Quote:
Originally Posted by Stinger View Post

Yeah, a year and a half to get your affairs in order. You pay the group premium. In my case my former employer paid it for 3 months and then I went on my wife's policy (get married it makes life a lot easier). When I found a new job her policy was better so I stayed on it and my employer reimburses us the cost of that.
Then you were lucky, because not everybody's employer will pay that. I would have to guess your employer is a large corporation, becasue small ones can't afford to do that.

Quote:
It'll be high.
I expect that.




Quote:
I bet a small employer would love. Give them a tax break for doing so, make it tax free to the employee. Allow insurance across state lines and enhanced MSA's.
No, a small employer WON'T love it. Tax breaks don't cover operational costs for things like that. Try running a small business with about 20 employees, let me know what your time is worth. I agree with MSA's and across state lines.



Quote:
You work and you fund your emergency fund so if something does happen you can pay for it. My wife and I keep a nice tidy sum put away for just such instances. We didn't have to touch it this time and in fact ended up with more money in it than before I lost my job and got a new one.
I fortunately have my emergency fund. But not everybody can, or does. Not everybody is able to get a job with the same benefits as previous employment.

What about the kid flipping burgers at age 18, gets some condition, continues working his way up the employment ladder... no coverage for the PE would knock his feet right out from under him.

I'm not saying coverage for free. Everything has it's price.
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  #26 (permalink)  
Old 04-05-2010, 03:24 PM
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Default Re: Pre-Existing Condition: Exempt or Covered?

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Then you were lucky, because not everybody's employer will pay that. I would have to guess your employer is a large corporation, becasue small ones can't afford to do that.
Luck had nothing to do with it and no they are a small company.

Quote:
No, a small employer WON'T love it. Tax breaks don't cover operational costs for things like that. Try running a small business with about 20 employees, let me know what your time is worth. I agree with MSA's and across state lines.
They won't have any, they cut the employee a check every month, and the employee buys their health coverage. And I have run a business with 12 employees.

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Originally Posted by GottaGo View Post
I fortunately have my emergency fund. But not everybody can, or does.
Priorities...............that is the only reason my wife and I have one.

Quote:
What about the kid flipping burgers at age 18, gets some condition, continues working his way up the employment ladder... no coverage for the PE would knock his feet right out from under him.
McDonald's pays health insurance.

I still see no reason to require insurance companies, which are bottom line just you and me who invest our money in them, to pay for preexisting conditions.


Just charging more for the premium, they didn't pay before why would they now especially at that high a cost?

Hey EVERYONE would love to buy things for nothing which is what the bottom line is here. No one wants to pay for their health care because they would rather spend it on other things. They want to pay $100 a month to get $1000 of health care and force someone else to sacrifice the difference.
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  #27 (permalink)  
Old 04-05-2010, 03:38 PM
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Default Re: Pre-Existing Condition: Exempt or Covered?

Quote:
Originally Posted by Stinger View Post
...


Which has normal until insurance companies on their own started paying for most medicines.



...
You have to have the insurance for the doctor visit and blood tests twice a year.
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  #28 (permalink)  
Old 04-05-2010, 04:32 PM
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Default Re: Pre-Existing Condition: Exempt or Covered?

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Originally Posted by saltwn View Post
You have to have the insurance for the doctor visit and blood tests twice a year.
You can pay for it out of your pocket. Where has this belief that you can ONLY go to the doctor if you have insurance come from?
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  #29 (permalink)  
Old 04-05-2010, 05:04 PM
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Default Re: Pre-Existing Condition: Exempt or Covered?

Quote:
Originally Posted by Stinger View Post
You can pay for it out of your pocket. Where has this belief that you can ONLY go to the doctor if you have insurance come from?
I've always felt that insurance should be for MAJOR issues and not some simple surgery or prescription...

Maybe something like a $2000/year deductible...
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  #30 (permalink)  
Old 04-05-2010, 05:26 PM
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Default Re: Pre-Existing Condition: Exempt or Covered?

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Originally Posted by cnredd View Post
I've always felt that insurance should be for MAJOR issues and not some simple surgery or prescription...

Maybe something like a $2000/year deductible...
I agree, a policy to cover major medical but pay out of pocket for routine care. Make people shop for doctors and pay for service again, that'll get cost down.
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