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Old 12-01-2007, 10:11 AM   #21
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Ziggy you're still going to have adverse selection even if they had some gestapo-like way to force all breathing inhabitants of MA to sign up for health insurance.

You'll have it because the healthy folks who find the fees to be onerous enough will simply leave the commonwealth.
I would imagine a few would. But I doubt THAT many people would leave just to avoid this mandate. It's possible, though, and it bears watching.
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Old 12-01-2007, 11:13 AM   #22
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I'm still not clear on the no-rejection-allowed laws.

Let's say in New Jersey, a healthy 50-year-old retired person calls the insurance company and gets policy A and it costs $3,600 per year.

Now another 50-year-old who has been diagnosed with a terminal disease, and is expected to live another 3 years, the last two of those in the ICU, calls the insurance company and says he wants policy A.

What happens at that point?
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Old 12-01-2007, 06:21 PM   #23
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Personally I think that the program is wonderful - alot of uninsured people now have insurance and are not a drain on the system - i.e. my premiums paying for them when they enter an emergency room.
That statement seems like kind of an oxymoron --- "they are not a drain on the system---"my premiums" pay for them"?
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Old 12-01-2007, 06:38 PM   #24
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But are there any other States that have passed a law requiring all to be covered by health insurance?
Not Oregon, yet.
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Old 12-02-2007, 12:30 AM   #25
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Arnold (California Governor) is trying to get a health insurance program put in place similar to Mass. but Republicans don't like it because business would be required to pay into the system if they do not offer insurance. Democrats are opposed to it because it would require everyone to have insurance. Insurance companies would be required to write policies on everyone including those with preexisting conditions. It does not look like it will pass. Plus Arnold's plan would use existing system of insurance companies. This just adds a bunch of profit to their bottom line. There are no cost controls in the system and without cost controls look out. In California an insurance company is required under certain conditions to write or rewrite a policy on people with preexisting conditions but there are no cost controls. So insurance companies put a price on your policy that is so high you can not afford it. We are currently on the Federal COBRA plan and are switching to what is called CAL-COBRA. This allows another 18 months of insurance coverage under the group rate your former employer gets. There is a catch we now must pay an additional 10% to the insurance company for admin expenses. You would think that the 20 to 30% overhead insurance companies currently get would be enough but they will now get $100 a month just to have their computer send us a bill.
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Old 12-02-2007, 04:25 PM   #26
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Originally Posted by TromboneAl View Post
I'm still not clear on the no-rejection-allowed laws.

Let's say in New Jersey, a healthy 50-year-old retired person calls the insurance company and gets policy A and it costs $3,600 per year.

Now another 50-year-old who has been diagnosed with a terminal disease, and is expected to live another 3 years, the last two of those in the ICU, calls the insurance company and says he wants policy A.

What happens at that point?
My understanding of the system is that only age and sex may be used in the underwriting and rate setting process, not health status.

So in your example both 50 year olds would receive the same quote for the same policy.

MA used to operate a scheme like this for auto insurance, perhaps they still do. Your driving record was irrelevant, only your age, sex, and rating territory were used to set rates. Over time many insurance companies stopped doing business in the commonwealth. I suspect that the same thing will happen eventually with health insurance.
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Old 12-03-2007, 07:00 PM   #27
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In my post above I was wrong. The insurance companies does not even bill me for the premium. I pay them the extra 10% or 100 for one letter sent the first of the year that states how much I must pay each month. I have to pay that amount by the first of each month without a bill. I am allowed to be late once before they cancel my insurance in a twelve month time period. Which they would like me to be so they can dump the old man.
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Old 12-03-2007, 09:28 PM   #28
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Originally Posted by TromboneAl View Post
I'm still not clear on the no-rejection-allowed laws.

Let's say in New Jersey, a healthy 50-year-old retired person calls the insurance company and gets policy A and it costs $3,600 per year.

Now another 50-year-old who has been diagnosed with a terminal disease, and is expected to live another 3 years, the last two of those in the ICU, calls the insurance company and says he wants policy A.

What happens at that point?
Most states have pre-existing condition waiting periods of six months to a year, unless you had prior health insurance that may be credited against that waiting period. If there weren't such waiting periods, why would anyone bother with insurance? You need to have exclusions or require everyone to have insurance.
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