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We all have pre-existing conditions

by: ClarissaW

Sun Apr 25, 2010 at 10:54:53 AM MST


( - promoted by Fong)

I have written in the past in this space of my dismay that a number of states and the District of Columbia allowed health insurance companies to rescind existing policies to women in abusive relationships as evidence of pre-existing conditions. Now, WellPoint Insurance is in the news for breaking contracts with women who are identified as having breast cancer.  H.R. 3590, the new health care reform bill, has a provision to protect patients and a fine of $100 a day if such a violation occurs---but there is no adjudication or enforcement mechanism in the act.  HHS has been assigned the task of developing guidelines in this area.  On April 22, Secretary Sibelius wrote to WellPoint deploring this activity.  I view this as a pretty weak response and $100-a-day fine as a pathetic punishment.
ClarissaW :: We all have pre-existing conditions
Nor is WellPoint the only company doing this.  The fundamental reason?  It is expensive to treat/ it cuts into insurance profits.  Consider that all illness costs money to treat and draw out this practice to its logical conclusion.  There is a high likelihood that somewhere in the data banks of medical information, (Medical Information Bureau, Inc. (MIB) Ingenix, Inc.,(MedPoint) Milliman, Inc. (IntelliScript), there is something an individual has "lied" about in their health history.  They score you on alcoholism and other addictions, medications, family history, criminal record, foreign travel, genetic information, illnesses, sexual orientation, etc.   It is pretty hard not to have a risk factor for something.  We've all seen the TV jingles about credit reports.com, but have you ever seen one for Annual Medical Reports.com?  The Federal Trade Commission states that you can apply to these data banks to check for accuracy. You cannot check your record on line and must petition them individually.  Did you know that all of your medical information might be sold to these data banks to be available to health insurance companies to determine your rates and your coverage?  I know I have signed permission for my health information to be shared, but I thought it was to improve my medical care.  I have even been puzzled why some medical groups go to such lengths to reassure you they are not sharing their information.  Don't waste time telling me I am naïve, I freely admit it.
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You're so right
And speaking of WellPoint, guess who actually wrote the health care "reform" legislation that was recently passed with much fanfare. Hint: It wasn't anyone who had any interest in implementing genuine health care reform.

Secretary Sibelius says she's concerned about the big insurance companies "looking for loopholes" in the Baucus bill, but they don't have to look for them. They already know where all the loopholes are, because they are the people who wrote the loopholes into the bill.  


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"Honestly, I think we should just trust our president in every decision that he makes and we should just support that." --- Britney Spears, September 2003


Health insurance
Thank you, Peter, for your comment.  You might be interested in the WH response and the letter Sec. Sibelius wrote to WellPoint. http://www.whitehouse.gov/blog...

WellPoint and others stop recissions on breast cancer

The L.A. Times reports today that WellPoint will stop rescissions and also halt a rate hide.

"Stung by criticism and facing tougher federal regulation, two of the nation's largest health insurers say they will stop the practice of dropping sick policyholders.

The moves Tuesday by WellPoint Inc., the parent of Anthem Blue Cross of California, and Blue Shield of California follow action by Congress and the Obama administration to crack down on the practice known as rescission."

I guess the letters from HHS, WH and Congress had an effect.  Good clue to all of us to keep on our toes and speak out.


THe MIB
Clarissa has pointed out a very important source of the information that insurers use for recissions.  The Medical Information Bureau (MIB) is a shadowy organization that has been providing insurers with a variety of information about consumers for years.  The Federal Government has tried numerous times to force them to reveal their codes, but they still will not.  However, you can request that they give you the information they have on you -- just go to this website --http://www.mib.com/html/request_your_record.html  

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