Re: WAS: adenomyosis and US, Now: Most Feared Words ...
From: art fougner, md (evsono@pipeline.com)
Wed Feb 14 13:54:39 2007
I have to defer to Joe P on that one.
Art
At Wed, 14 Feb 2007, Dean Huffman . wrote:
>
>.
>
>How about the eight most feared words: "I'm from FEMA and I'm here to help."
>
>- - - -
>
>From: "art fougner, md" <evsono@pipeline.com>
>Subject: Re: adenomyosis and US
>Date: Feb 14, 2007 3:19 PM
>
>A few words of warning here ...
>
>The nine most terrifying words in the English language are, 'I'm from the
>government and I'm here to help.'
>
>Ronald Wilson Reagan
>
>Art
>
>At Wed, 14 Feb 2007, Meenan, Anna wrote:
>>
>>Yeah, it's the pits for people looking for individual coverage.
>>Eventually the government is going to have to step in to the
>>individual health insurance market in a big way.
>>
>>Anna Meenan, MD
>>
>>>But the point is - she should not be rated at all. Adenomyosis is
>>>technicallyh NOT an ultrasound diagnosis. Therefore it is a BOGUS
>>>reason for the insurance company to get more money - when the only
>>>medical care in the last 18 months has been birth control pills and 2
>>>visits to a dermatologist - for a funny mole and for facial hives
>>>(allergy to mango sking due to cross reaction with a case of poison
>>>ivy). NOt a "utilizer of services" - and the quoted reson for
>denial to
>>>consider any policy (not even a rated one) was the adenomyosis.
>>>
>>>Seh thought she was going to be in California for several years so was
>>>changin her NH insurance (also BCBS and not rated) to a California one.
>>>Now that she knows she is leaving she wants to cancel the application
>>>but to NOT have it on record that she was denied any insurance.
>>>
>>>She will keep her unrated NH insurance and see where her graduate school
>>>takes her and look again there.
>>>
>>>If the "portability" provision is only if you go from group to
>>>individual - then that is ludicrous. at least 35% of the people in NH
>>>have individual policies: there are a LOT of very small companies and
>>>self employed individuals who have to buy the individual policy because
>>>that is all that is available.
>>>
>>>Joanne
>>>
>>>At Wed, 14 Feb 2007, Anna Meenan, MD wrote:
>>>>
>>>>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
>>>>
>>>--
>>>Joanne Bulley, MD, FACOG
>>>Solo gyn
>>>Keene, NH USA
>
>--
>art fougner, md
>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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