You probably didn’t even know I was away.
I spent the last week in Colorado with my family for my sister’s 20th anniversary reunion. She has been breast cancer free now for about 2 years. Since she is disabled due to a bad radiologist who destroyed 40% of her lung capacity by giving her treatments after she developed radiation pneumonitis she lost her job as an marketing executive for a multinational drug company. She recently lost her insurance when her COBRA extension with Aetna ran out. Colorado has a public health insurance program however which she can receive since she meets the rather stringent requirements for eligibility:
1. You have applied to an Insurer for a Health Benefit Plan and:
• You have been rejected or refused because of your health or a medical condition. The denial letter must be dated within six months of your application to CoverColorado; or
• Your application has been accepted, but at a premium rate exceeding the rate available through the CoverColorado plan (compared to the $1,000 deductible plan). A copy of the premium billing statement must be attached to your application and cannot be more than 60 days from the original effective date of this application; or
• Your application has been accepted with a reduction or exclusion of coverage for a pre-existing medical or health condition for a period exceeding six (6) months. A copy of the notice from the insurance carrier must be attached to your application. The exclusion letter cannot be more than 60 days prior to the date of this application.
2. Your insurance was terminated by an insurance company for other than non-payment of premium. Bankruptcy of your employer, employer’s discontinuance of coverage or insurance carrier bankruptcy are examples of involuntary termination. A copy of the termination letter from the health insurer needs to accompany your application. The termination letter must be dated within 60 days of this application. (The loss of your job is not considered involuntary termination.)
3. You have been diagnosed with one or more of the medical conditions listed here. A letter from your physician with the physician’s name, address, specialty, or a signed prescription form with your name and exact diagnosis should accompany your application.
My brother-in-law has no health insurance now because he was insured through my sister’s plan with Aetna. He runs a business (Bio-Clean of Colorado) that cleans crime scenes and environmentally contaminated buildings and houses. Does a lot of work cleaning up buildings which housed former meth labs or places where former meth addicts lived. He has a number of pre-existing conditions which probably make him uninsurable, or insurable only at a very high cost.
Mostly I avoided talking about politics with my family as they are primarily Republicans or conservative leaning, but someone at some point did mention Obama was destroying America, and another time that ACORN was busing people to Town Hall rallies, which I guess is somehow very sinister. Surprisingly no one talked about the unions which are doing the same thing to counter the Republican generated disruptions at Town Hall events. I guess ACORN is now more of a bogeyman to Republicans than the unions are, which is quite the accomplishment, since I grew up being told the unions were destroying America. Sorry union members. Barack Obama and ACORN have stolen your position at the worst people in America. Then again, the “illegal aliens” probably have surpassed you as well.
Welcome back, Steven!
I think ‘ACORN’ is racist-speak for ‘black people.’
Welcome back. If you’re wondering what happened to the ‘health care’ debate, recommend reading James Fallows this morning:
I noticed and asked about you in comments last week. but no one answered. I was going to write booman directly today, I was waiting for NN to be over.
So glad to have you back.
WA state has a similar program, and its conditions for admission were, when I got in a few years ago, even more stringent than CO’s. I imagine they’re more stringent still now. I was terminated (without being told) from private insurance, and by the time I could meet the conditions (I had to actually apply to another insurance company and get rejected first, even though, having already had two transplants, cancer, and a stroke, I was completely uninsurable) it cost us $26,000 out of pocket. We have almost no money for retirement as a result — not that I’d ever live that long, if the insurance companies had their way.
At least we don’t have that socialist public option, though. Gives new meaning to the old phrase “better dead than red.”
How long has it been since she completed her COBRA? Part of the HIPPA law states that if you complete COBRA the insurer of last resort in the state, usually BC/BS, has to accept you at community rates & disregard previous health issues & age. But there’s a limited time to make the switch. It took me two months to convince Michigan BC/BS that this was the law, but at age 59 it made about $1000 difference in the monthly premium.
I don’t know.
I did email your comment to her and hopefully she still has time to check it out. Thanks for the information.
I did some research on the net & in Colorado the insurer of last resort is the high risk pool. It still might be worth investigating. It’s a shame that the HIPAA information seems to be such a well kept secret – BC/BS either didn’t know or didn’t want to admit that I was eligible, but I’m good at nagging when about $12,000 a year is at stake.. (lol)