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Health Plans Urged to Extend Enrollment (and offer retroactive coverage)
New York Times ^ | December 12, 2013 | ROBERT PEAR

Posted on 12/12/2013 6:41:52 PM PST by reaganaut1

WASHINGTON — With many Americans still foiled in their efforts to buy insurance under the new health care law, the Obama administration moved Thursday to give them more time to sign up and pay premiums, and it extended a program for people with cancer, heart disease and other serious illnesses.

The administration strongly encouraged insurance companies to let new subscribers go outside their networks of doctors and hospitals and refill prescriptions for drugs not on their lists of approved medications.

Kathleen Sebelius, the secretary of health and human services, said these steps would ensure that consumers have “a smooth transition without any gaps in coverage” or disruption of treatment.

The steps are intended to reduce problems widely expected to occur next month. Hundreds of thousands of people may gain coverage, some for the first time. But insurers say they have no record of many potential customers who believe they have enrolled, so some patients may be disappointed when they seek care at doctors’ offices, clinics and drugstores.

Such disappointment could create huge political problems for the White House, just as President Obama is trying to highlight benefits of the new health care law.

The White House originally required people to sign up by Dec. 15 for coverage beginning in January, when major provisions of the new law take effect. On Nov. 22, the administration gave consumers eight more days, until Dec. 23.

Ms. Sebelius went further on Thursday, urging insurers to provide “retroactive coverage for people who sign up after Jan. 1.”

Republicans in Congress expressed surprise. They said the administration was essentially telling companies like Humana and WellPoint to insure people before payment and change the very nature of their networks and coverage on a case-by-case basis.

(Excerpt) Read more at nytimes.com ...


TOPICS: Business/Economy; Front Page News; News/Current Events
KEYWORDS: obamacare; obamacarenrollment; retroactivecoverage; rinocare; sebelius; socialism
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To: VerySadAmerican

“They’re now talking about forcing doctors to accept medicare and medicaid patients.”

Those doctors would be welcomed with open arms and a red carpet in almost any other country, including countries with actual free markets. So, what after that? An exit tax? Internal passports?


21 posted on 12/12/2013 8:19:01 PM PST by The Antiyuppie ("When small men cast long shadows, then it is very late in the day.")
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To: JPG

Provide coverage or Anthony will put you in the corn field ...


22 posted on 12/12/2013 8:25:58 PM PST by Lmo56 (If ya wanna run with the big dawgs - ya gotta learn to piss in the tall grass ...)
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To: reaganaut1

In case anybody thought we don’t have government run healthcare yet.


23 posted on 12/12/2013 10:16:29 PM PST by headstamp 2 (What would Scooby do?)
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To: reaganaut1

It’s really not that uncommon for insurers to do this as long as the application date fell within a no lapse of coverage period and you pay the premiums retroactively. The application date vs. the date all members on a policy are covered can take six weeks these days. You need certificates of birth and marriage license, certificates of credible coverage from previous insurer, and any COBRA letters qualifying you for an out of open enrollment period entry to the plan.


24 posted on 12/12/2013 10:22:01 PM PST by blackdog (There is no such thing as healing, only a balance between destructive and constructive forces.)
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To: what's up
And if they don't, they may not be able to continue on the exchange in 2015.

So all the customers of the uncooperative carriers dropped from the federal exchanges can't keep that insurance either? I somehow have the feeling that exchanges will be begging insurers to play in 2015.

25 posted on 12/12/2013 10:29:47 PM PST by Mike Darancette (Do The Math)
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To: reaganaut1
The administration strongly encouraged insurance companies to let new subscribers go outside their networks of doctors and hospitals and refill prescriptions for drugs not on their lists of approved medications.

So doctors are to treat people they aren't contracted to be paid for? Maybe the doctor should extract payment from the patient who could be reimbursed by Insurance/Obamacare. Yep that would work. Same goes for non-formulary drugs.

These DC people don't understand how it works.

26 posted on 12/12/2013 10:38:44 PM PST by Mike Darancette (Do The Math)
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To: reaganaut1

Chinese fire drill.


27 posted on 12/12/2013 10:45:40 PM PST by Brad from Tennessee (A politician can't give you anything he hasn't first stolen from you.)
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To: reaganaut1

I’m thinking that if insurance companies do these things, they will be breaking more than one State insurance law.

But I reserve the right to be wrong.


28 posted on 12/13/2013 3:26:38 AM PST by savedbygrace (But God!)
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To: MV=PY

Only if called out and acted upon....Neither of which is being done by the media, GOP/RNC nor States.


29 posted on 12/13/2013 6:53:46 AM PST by i_robot73 (Give me one example and I will show where gov't is the root of the problem(s).)
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To: dontreadthis

http://www.cnn.com/2013/10/16/health/krokodil-zombie-drug/


30 posted on 12/13/2013 7:44:41 AM PST by Brown Deer (Pray for 0bama. Psalm 109:8)
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To: Brown Deer
"Geller said he hopes the drug "doesn't show its ugly face" in Georgia"
31 posted on 12/13/2013 8:05:59 AM PST by dontreadthis
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To: All

Surely they know that those providers OUTSIDE the network have not negotiated the prices and will charge the insurance companies a small fortune.

Thus, the insurance companies won’t do it. The providers KNOW the insurance companies won’t do it. Next up? Single payer!


32 posted on 12/13/2013 10:10:22 AM PST by VerySadAmerican (".....Barrack, and the horse Mohammed rode in on.")
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To: reaganaut1

More insanity


33 posted on 12/13/2013 10:26:10 AM PST by GeronL (Extra Large Cheesy Over-Stuffed Hobbit)
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To: reaganaut1
Not that it makes any difference anymore, but:

The White House originally required people to sign up by Dec. 15 for coverage beginning in January, when major provisions of the new law take effect. On Nov. 22, the administration gave consumers eight more days, until Dec. 23.

That's breaking the law.

Ms. Sebelius went further on Thursday, urging insurers to provide “retroactive coverage for people who sign up after Jan. 1.”

That's also breaking the law.

34 posted on 12/13/2013 3:44:56 PM PST by upchuck (I can't stand people that don't know the difference between 'than' and 'then.' Their so stupid...)
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To: reaganaut1

this is what happens when you put IT projects into production without proper testing.

i’m sorry for the people losing their insurance but...

with a system this complicated, and large parts of it not yet built, the fun is only starting !


35 posted on 12/13/2013 4:09:25 PM PST by Reverend Wright ( FORWARD !)
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To: Reverend Wright

The IT problems are the least of this.


36 posted on 12/13/2013 4:24:40 PM PST by steve86 (Some things aren't really true but you wouldn't be half surprised if they were.)
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To: reaganaut1

chaos and confusion is what Odumbo wants. So the little people come to him and starts single payer. Odumbo becomes the saviour and the insurance companies and republicans are the bad people whom are causing all the hardship. Odumbo starts the class envy aspect whereby neighbor turns on neighbor brother turns on brother and so forth


37 posted on 12/14/2013 6:51:19 AM PST by hondact200 (Candor dat viribos alas (sincerity gives wings to strength) and Nil desperandum (never despair))
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To: reaganaut1; All

The most disgusting part of any of these articles is when it says “the white house decided”. He makes up the laws as he wishes. And the republicans all say “Please, don’t tell people what the NSA knows about me!”


38 posted on 12/14/2013 6:40:41 PM PST by VerySadAmerican (".....Barrack, and the horse Mohammed rode in on.")
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To: VerySadAmerican

Extortion normally results in a prison sentence, but america will make an exception in this case and just accept it as “law”


39 posted on 12/15/2013 3:13:55 PM PST by KTM rider
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To: dontreadthis

I wish this picture was real, and that 0dumb0shit had a horrible case of STD from his faggot lovers. Maybe if people had to view this infected monstrosity, maybe then the people & the partison hack media would finally turn against the RAT bastard commie muzlin pig 0dumb0!


40 posted on 12/15/2013 11:18:39 PM PST by rcrngroup
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