Pre-existing condition. Let's see, my wife has 3 or 4 of those. We've always managed to pay our bills, even with this problem.
Pre-existing condition.
Hmmm, that means that the payee will be required to outlay more than they bring in. Whether its Blue Cross or Government Motors, it's a bad plan.
Option A- have client pay more, to cover their costs & a reasonable profit, which will allow the carrier to cover some people who would not otherwise be covered.
Option B-Let the government handle everything, including the denials, with no alternative.
also read Section (b)...the private insurer has 5 years to rxactly match federal terms or the coverage is cancelled.
Pre-existing condition.
Hmmm, that means that the payee will be required to outlay more than they bring in. Whether its Blue Cross or Government Motors, it's a bad plan.
Option A- have client pay more, to cover their costs & a reasonable profit, which will allow the carrier to cover some people who would not otherwise be covered.
Option B-Let the government handle everything, including the denials, with no alternative.
HB3200 said:SEC. 102. PROTECTING THE CHOICE TO KEEP CURRENT COVERAGE.
(a) GRANDFATHERED HEALTH INSURANCE COVERAGE DEFINED.
Subject to the succeeding provisions of this section, for purposes of establishing acceptable coverage under this division, the term ‘‘grandfathered health insurance coverage’’ means individual health insurance coverage that is offered and in force and effect before the first day of Y1 if the following conditions are met:
(1) LIMITATION ON NEW ENROLLMENT.—
(A) IN GENERAL.—Except as provided in this paragraph, the individual health insurance issuer offering such coverage does not enroll any individual in such coverage if the first effective date of coverage is on or after the first
day of Y1.
(2) LIMITATION ON CHANGES IN TERMS OR
CONDITIONS.—Subject to paragraph (3) and except as required by law,
the issuer does not change any of its terms or conditions, including benefits and cost-sharing, from those in effect as of the day before the first day of Y1.
VerDate Nov 24 2008 23:22 Jul 14, 2009 Jkt 079200 PO 00000 Frm 00016 Fmt 6652 Sfmt 6201 E:\BILLS\H3200.IH H320
also read Section (b)...the private insurer has 5 years to rxactly match federal terms or the coverage is cancelled.