Monday, March 22, 2010

Benefits now

Much has been said by opponents of the health care reform that it will not take effect until 2014. While it is true that the full implementation of all aspects will not be complete until then, there are many benefits that will begin this year. Among them, as posted by Rep. John Larson, Chair of the House Democratic Caucus:

  • Prohibit pre-existing condition exclusions for children in all new plans;

  • Provide immediate access to insurance for uninsured Americans who are uninsured because of a pre-existing condition through a temporary high-risk pool;

  • Prohibit dropping people from coverage when they get sick in all individual plans;

  • Lower seniors' prescription drug prices by beginning to close the donut hole;

  • Offer tax credits to small businesses to purchase coverage;

  • Eliminate lifetime limits and restrictive annual limits on benefits in all plans;

  • Require plans to cover an enrollee's dependent children until age 26;

  • Require new plans to cover preventive services and immunizations without cost-sharing;

  • Ensure consumers have access to an effective internal and external appeals process to appeal new insurance plan decisions;

  • Require premium rebates to enrollees from insurers with high administrative expenditures and require public disclosure of the percent of premiums applied to overhead costs.

By enacting these provisions right away, and others over time, we will be able to lower costs for everyone and give all Americans and small businesses more control over their health care choices.

Ralph

1 comment:

  1. Ralph,

    Here's a more accurate explanation of what actually happens with healthcare. Reuters has done a year by year analysis of what kicks in when.

    http://www.reuters.com/article/idUSN1914020220100319

    And some stuff isn't exactly what it seems. For example, the 'require rebates from insurers with high administrative expenditures' sounds good - but the bill actually sets the allowable administrative expense around 1/3 higher than is standard in the insurance industry now, so effectively, it allows the insurance companies to raise the amount of money they use for administrative costs.
    richard

    ReplyDelete