December 13, 2013
HHS "urging issuers to give consumers additional time to pay their first month’s premium and still have coverage beginning January 1, 2014."
On Thursday, Lauren Aronson, Director of the Office of Legislation for the Centers for Medicare and Medicaid Services, announced a set of policies designed to pressure insurance companies to take measures to fill the gaps left by Obamacare.
More specifically, the Department of Health and Human Services will now pressure health insurers to retroactively accept payment for coverage that was supposed to begin on January 1, even if no payments have been made and no coverage has been formally granted. Furthermore, HHS wants insurers to pay out-of-network providers as though they were in-network “to ensure continuity of care for acute episodes,” and to pay for refill prescriptions under previous plans.”
In other words, if you applied for Obamacare, have not been enrolled, have not paid a dime, and get sick on January 1, the Obama administration now wants insurance companies to pay for your care before you ever pay a dime. Furthermore, they want you to get care for which you will not be approved under your insurance plan.
Rory Cooper, communications director for House Majority Leader Eric Cantor, stated, “It’s clear the administration knows Obamacare’s problems are only going to get worse, and patients will be the ones who suffer. What’s not clear is whether they understand the confusion and chaos they continue to cause.”
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