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Health Insurers Told to Ease Coverage Rules
Wall Street Journal ^ | December 12, 2013 | By Louise Radnofsky

Posted on 12/12/2013 7:24:03 PM PST by Oldeconomybuyer

The government on Thursday announced steps to stave off unpleasant surprises for Americans when the health-overhaul law fully kicks in Jan. 1, including measures to ensure continuous care for people with serious medical conditions.

The moves include a one-month extension of a federal insurance program for certain chronically ill people. The Obama administration also asked insurers to take a flexible approach about their rules when patients refill prescriptions or see their existing doctor in the early days of the new year in case new health plans haven't kicked in.

Officials even encouraged insurers to do something that normally would be anathema: offer coverage to consumers who sign up and pay a few days into the new year, but backdate the policies to Jan. 1. It wasn't clear how many carriers would take up the idea.

(Excerpt) Read more at online.wsj.com ...


TOPICS: Constitution/Conservatism; Crime/Corruption; Government; News/Current Events; Politics/Elections
KEYWORDS: failure; obamacare; rinocare; tyranny
Forward!!
1 posted on 12/12/2013 7:24:04 PM PST by Oldeconomybuyer
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To: Oldeconomybuyer

The only goal is to overwhelm the system. It’s all good.


2 posted on 12/12/2013 7:24:53 PM PST by E. Pluribus Unum (Who knew that one day professional wrestling would be less fake than professional journalism?)
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To: Oldeconomybuyer

MORE illegal tweaking, adjusting, amending, changing, and coercing.
The damnable pubbies need to stand up to this anti-Constitutional garbage.
Zero and 0bamunists are, AGAIN, making law outside of the Congress.

Sickening.

I can only imagine it will get worse if we let this abomination take root in America.


3 posted on 12/12/2013 7:27:53 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: Oldeconomybuyer

They can’t do this. IT’S THE LAW OF THE LAND. Insurance companies have to comply with ACA’s regulations.


4 posted on 12/12/2013 7:29:05 PM PST by Extremely Extreme Extremist (Governor Sarah Heath Palin for President of the United States in 2016)
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To: Extremely Extreme Extremist
They can’t do this. IT’S THE LAW OF THE LAND. Insurance companies have to comply with ACA’s regulations.

Insures would be insane to do this for many reasons, the main one being the one you stated. They can't break the law just because Obama tells them to and he sure wouldn't cover their backs when the lawbreaking came back to bite them.

5 posted on 12/12/2013 7:34:15 PM PST by Entropy Squared (The Rush to Chaos)
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To: Oldeconomybuyer

“...Officials even encouraged insurers to do something that normally would be anathema: offer coverage to consumers who sign up and pay a few days into the new year, but backdate the policies to Jan. 1....”
********************************************************************
I think I’ll go out this coming Saturday (12/14/13) to buy a megamillions lotto ticket and ask the lottery officials to backdate it so it’s effective for the drawing tomorrow on Friday the 13th.

Jackpot time baby! Hey, Obama’s setting the precedent.


6 posted on 12/12/2013 7:36:56 PM PST by House Atreides
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To: Oldeconomybuyer

Pelosi was right - They passed it and we are STILL finding out what is in it...especially since it gets re-written by everyone BUT Congress.


7 posted on 12/12/2013 7:38:44 PM PST by Army Air Corps (Four Fried Chickens and a Coke)
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To: Army Air Corps

To hell with the rule of law.


8 posted on 12/12/2013 7:39:38 PM PST by DonaldC (A nation cannot stand in the absence of religious principle.)
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To: DonaldC

It’s ALL going according to plan. Destroy the existing system, so that we just have to have commiecare.


9 posted on 12/12/2013 7:43:54 PM PST by CMailBag
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To: Entropy Squared
Insures would be insane to do this for many reasons

Another reason is Estoppel. Even if an insurer wanted to go beyond the contractual limit of a policy, it would be very dangerous to do so. Once a limitation is waived in one circumstance, the insurer might then be estopped -- barred -- from enforcing the same limitation in a later case. But given that Obama is intentionally wrecking the system so he can completely replace it, that makes perfect sense...

10 posted on 12/12/2013 7:44:22 PM PST by Always A Marine
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To: Oldeconomybuyer

Much of what the Regime wants to do is either not legal, or not possible. They are trying to shift the blame to the States and the insurers, who hopefully will follow their own interests and deny Obama’s “requests.”


11 posted on 12/12/2013 7:59:19 PM PST by PghBaldy (12/14 - 930am -rampage begins... 12/15 - 1030am - Obama's advance team scouts photo-op locations.)
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To: Oldeconomybuyer
...a flexible approach about their rules when patients refill prescriptions

Time for everyone to stock up on their Oxycontin's.

12 posted on 12/12/2013 8:01:18 PM PST by Cementjungle
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To: Oldeconomybuyer

The democrats passed a law forcing insurance companies to do what they demanded. Now they’re telling them to break the law.


13 posted on 12/12/2013 8:03:34 PM PST by VerySadAmerican (".....Barrack, and the horse Mohammed rode in on.")
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To: Oldeconomybuyer

This is another CYA attempt by Obama to blame the evil, greedy insurers when they don’t go along with all these changes to the law.

They must really expect it to hit the fan on Jan. 1 when people who think they’ve signed up really haven’t. They also want to jack up the numbers of insured to make it look more successful.


14 posted on 12/12/2013 8:06:11 PM PST by randita
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To: Army Air Corps

I have never understood where the Democrats in Congress are during this fiasco. Many of them are “lifers”, and they are going to have to live with the consequences of this era long after Obama is out of office. They have acquiesced their third of governmental power, IMO.

I can’t get over the backdating thing. So, the government is “requesting” private companies to deliberately lose money. Exactly how is this different than the bus driver in Venezuela telling merchants to lower their prices to something “reasonable”*...or else.

*Reasonable, in this case, being lower than their buying costs!


15 posted on 12/12/2013 8:09:53 PM PST by The Antiyuppie ("When small men cast long shadows, then it is very late in the day.")
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To: Always A Marine

Another reason is Estoppel.

I was wondering about this also...so, how many days do you get? Three? Ten? 180? A “reasonable” number?

Courts will decide. And just WAIT until someone yells “discrimination” (of ANY kind, real or imagined).

This will get real ugly, real fast, and has ramifications beyond health insurance.


16 posted on 12/12/2013 8:15:04 PM PST by The Antiyuppie ("When small men cast long shadows, then it is very late in the day.")
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To: The Antiyuppie
I can’t get over the backdating thing. So, the government is “requesting” private companies to deliberately lose money.

Also, the gooberment is pretty much asking the companies to commit fraud.
17 posted on 12/12/2013 8:15:21 PM PST by Army Air Corps (Four Fried Chickens and a Coke)
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To: Army Air Corps

“Also, the gooberment is pretty much asking the companies to commit fraud.”

Well, it would be plain and simple fraud, to the determent of their stockholders, many of whom have those stocks in the 401(k) plans...people who are saving money for future health care needs! This is just nuts...


18 posted on 12/12/2013 8:23:16 PM PST by The Antiyuppie ("When small men cast long shadows, then it is very late in the day.")
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To: Oldeconomybuyer

Ok.who is going to pay for that?


19 posted on 12/12/2013 8:32:00 PM PST by lepton ("It is useless to attempt to reason a man out of a thing he was never reasoned into"--Jonathan Swift)
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To: Oldeconomybuyer

So who will pay the insurers if and when the policies do not pan out after those first few days?
Will the insurers allow the Rx’s to go thru even if there is not proof of coverage?


20 posted on 12/12/2013 9:02:18 PM PST by rawhide
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To: Oldeconomybuyer

Play nice or else what? Another punishment audit? We’ll take our chances, says the Insurance Companies. Our websites work fine, unlike that Canadian Monstrosity you paid $700. Million for!
.


21 posted on 12/12/2013 9:15:21 PM PST by lee martell
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To: Oldeconomybuyer

Obama doesn’t have a clue!


22 posted on 12/12/2013 9:30:59 PM PST by fortheDeclaration (Pr 14:34 Righteousness exalteth a nation:but sin is a reproach to any people)
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To: Oldeconomybuyer

Tomorrow is Friday. What wonderful news awaits.


23 posted on 12/12/2013 10:12:26 PM PST by Mike Darancette (Do The Math)
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To: Oldeconomybuyer

I demand coverage from a policy I had 15 years ago.


24 posted on 12/12/2013 11:06:04 PM PST by headstamp 2 (What would Scooby do?)
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To: Oldeconomybuyer
 photo butt2_zpsf3b01755.jpg
25 posted on 12/12/2013 11:06:18 PM PST by FreedomGuru (Time for torches and pitchforks.)
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To: Oldeconomybuyer

Quote of the Day

“Nelson Mandela is a leader who Barack Obama should try to emulate. He could start by spending 27 years in prison.”

— Don Imus


26 posted on 12/12/2013 11:56:40 PM PST by Windflier (To anger a conservative, tell him a lie. To anger a liberal, tell him the truth.)
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To: Entropy Squared

Under this theory, not only could people apply for insurance at hospital admission to get coverage, but they could apply for insurance AFTER care and then demand that the insurer cover it.
Insurers need to fight back with all of the legal talent they have and nail this to the wall.


27 posted on 12/13/2013 7:49:41 AM PST by tbw2
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