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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
Why not cut to the chase and require the insurers to provide free coverage? The insurers collaborated with the Rats and are getting their just desserts, but bankrupting them would bring us closer to single-payer.
1 posted on 12/12/2013 6:41:52 PM PST by reaganaut1
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To: reaganaut1
Although it's been said many times many ways, "clusterf__k" IS Obamacare.
2 posted on 12/12/2013 6:44:36 PM PST by hinckley buzzard
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To: reaganaut1

3 posted on 12/12/2013 6:45:51 PM PST by JPG (Yes We Can morphs into Make It Hurt.)
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To: JPG

perfect!


4 posted on 12/12/2013 6:46:28 PM PST by dontreadthis
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To: reaganaut1
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.

Fundamental change. It's what the people voted for.

5 posted on 12/12/2013 6:46:56 PM PST by ClearCase_guy
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To: reaganaut1

Obama broke it but he wants everybody else to fix it.


6 posted on 12/12/2013 6:47:59 PM PST by AU72
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To: reaganaut1
Is there any law at all or is it just whatever Obama and his agents say it is on any given day? When is he just going to deem everyone is covered by Obamacare and all doctors and hospitals must treat everyone ... or else?
7 posted on 12/12/2013 6:50:38 PM PST by Truth29
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To: reaganaut1
The administration encouraged insurers on Thursday to accept late payments and partial payments

Did I hear the IRS is going to play by the same rules at tax paying time?

8 posted on 12/12/2013 6:54:28 PM PST by gusopol3
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To: reaganaut1
"but I've got a pre-existing condition"
9 posted on 12/12/2013 6:56:28 PM PST by dontreadthis
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To: AU72

Obama should be under this law under president Cheney!!! But, Cheney is not evil like Zer0 and would not demand a late term abortion.


10 posted on 12/12/2013 7:04:24 PM PST by MtnClimber (A utopia without freedom is just a fancy name for prison. - Dean Kalahar)
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To: reaganaut1
"While these steps are voluntary, federal officials said they could consider an insurer’s response in deciding whether to allow the company to participate in the federal exchange in 2015. " Yep. Do not displease Dear Leader..
11 posted on 12/12/2013 7:06:14 PM PST by prairiebreeze (Don't be afraid to see what you see. -- Ronald Reagan)
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To: reaganaut1
While these steps are voluntary, federal officials said they could consider an insurer’s response in deciding whether to allow the company to participate in the federal exchange in 2015.

In other words, a threat. Not getting paid? Doesn't matter. Extend coverage anyway and if you don't you're excluded from the xchange in 2015. Talk about dictatorial Govt...

The administration had predicted that up to 400,000 people would enroll in the high-risk pool. In fact, about 135,000 did so, but the cost of their claims has far exceeded White House estimates, exhausting most of the $5 billion provided by Congress.

So they got a quarter of projected participants, but money has ALREADY run out?

12 posted on 12/12/2013 7:09:17 PM PST by what's up
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To: reaganaut1
require the insurers to provide free coverage?

Looks like that's exactly what they're being asked to do. They are being urged to allow people into the program who pay either nothing or partial payment.

And if they don't, they may not be able to continue on the exchange in 2015.

13 posted on 12/12/2013 7:11:08 PM PST by what's up
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To: reaganaut1; Kartographer

Heard Krauthammer with Greta talking about Sebelius changing the law/rules today and he said something like “she can’t just change that law”. Well, she did and Hussein has changed it over and over and what the hell difference does ANY law make? If you don’t like “x” law, then do whatever you want. I’ve had it with the whole bunch of nation killers.


14 posted on 12/12/2013 7:11:47 PM PST by Marcella ((Prepping can save your life today. I am a Christian, not a Muslim.))
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To: reaganaut1

With every passing day we get yet another taste of this crap sandwich that is 0bama(doesn’t)care.
Keep your doctor? Nah.
Keep your plan? Nah.
Sixty year old man? You need maternity care.
Keep your efficacious medication plan? Nah.
Only have a few more ‘productive’ years per the actuary charts? We’ll have to cut your care options.

I am both amazed and greatly saddened that the American people can’t see this for the hoax that it is. Every FReeper knows this is merely part of Zero’s plan for nationalized health care. But, even with all these stories about lost coverage, sky high premiums, deductibles and copays, there is no march on the DC. There is no outcry from the people.

Perhaps the sheeple are really just lemmings and mindless of the pending precipice that spells the doom of this grand experiment.

Perhaps we are due to write the dirge.


15 posted on 12/12/2013 7:17:04 PM PST by PubliusMM (RKBA; a matter of fact, not opinion. 01-20-2016; I pray we make it that long.)
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To: dontreadthis; Kartographer

Your “picture” of Hussein with a deteriorating face is proof of what I have thought - HE IS AN INSECT. That is why a fly landed on his lip, a mouse ran across in front of him, bees and mice were in the White House. HE IS ONE OF THEM. All along we had no proof of where he came from, no proof of where he went to college or university, his social security card is really some dead guy’s up north somewhere, and on and on - he is an insect and that’s why we know nothing positive about him.


16 posted on 12/12/2013 7:18:56 PM PST by Marcella ((Prepping can save your life today. I am a Christian, not a Muslim.))
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To: what's up

They’re now talking about forcing doctors to accept medicare and medicaid patients. The AMA supported obamacare. I know that’s only 22% of the doctors but the other 78% weren’t very vocal in their opposition. So they’re all regretting it now.


17 posted on 12/12/2013 7:20:27 PM PST by VerySadAmerican (".....Barrack, and the horse Mohammed rode in on.")
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To: VerySadAmerican
other 78% weren’t very vocal in their opposition

There's a group in CA who represent 38,000 doctors. They are becoming more and more outspoken in their opposition to O care. 70% of doctors in CA are NOT participating in the exchange.

CA will be interesting to watch. They tout the website in CA as exceptionally successful (probably because they got Silicon Valley's input in designing it). But ACA itself is not popular and if crumbles in CA it will crumble in the rest of the nation.

18 posted on 12/12/2013 7:24:44 PM PST by what's up
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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. "

Unbelievable! They pass laws changing the rules on these companies, give them a short time to comply, and then put public pressure on them to act in a way that is not in their own self interest.

This is clearly statism. It's unconstitutional in many ways.

19 posted on 12/12/2013 7:26:18 PM PST by MV=PY (The Magic Question: Who's paying for it?)
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To: reaganaut1
This reminds me of the '08 crash which happened because Gov't was pushing banks to issue loans to people who couldn't afford to pay them back.

Now the Gov't is pushing insurance companies to do the same thing.

20 posted on 12/12/2013 7:34:29 PM PST by what's up
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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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