Re: adenomyosis and US

From: Anna Meenan, MD (annam@uic.edu)
Wed Feb 14 08:29:32 2007


My understanding of the portability provision of HIPAA is that it only applies to people transitioning from group to individual coverage, and does not apply when transitioning from one individual policy to another. California has a high risk pool, so she should be able to get insurance, though the rates will be higher. The rates are capped in the California pool though, so they won't be astronomical.

--
Anna Meenan, MD

At Tue, 13 Feb 2007, Joanne Bulley, MD wrote: > >I have a patient who had another gyn say she had adenomyosis by >ultrasound findings. She does not have any pain with intercourse. >Menses controlled by OCPs. Moved to California. Has never been had any >time without insurance. > >She applied for California BC BS (has a NH Athem BC policy) - and they >denied to even write a policy because of the diagnosis of adenomyosis! >(so much for the access to and portability of insurance!) > >Have I lost touch with US diagnoses - I have always been of the opinion >that adneomysis can not be diagnosed by US - and although MRI can - it >is not a foolproof diagnosis there either. > >Any comments? > >-- >Joanne Bulley, MD, FACOG >Solo gyn >Keene, NH USA >





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