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Edited on Tue Jul-21-09 08:21 AM by YewNork
7) The Government will decide what benefits will be provided, what procedures will be allowed, and what will be covered Answer: No, the government will decide what, at a minimum, must be covered by a basic health insurance policy. But, insurers will still be able to offer policies that offer more than the minimum. This is no different than when a state decides what an automobile insurance must cover, at a minimum. Private insurers can sell auto insurance that offers more than the mimimum, but they can't sell a policy that sells less than the minimum.
8) Everyone is going to be forced to buy their insurance through a new government agency, the health exchange. Answer: No, they won't. A private insurer will be able to privately sell their insurance directly to customers, with any combination of benefits at whatever premiums the customers are willing to pay, as long as those policies cover at least the minimum set of benefits. They can provide more and be customized any other way. But they have to at least provide the minimum coverage.
9) But what of all the talk of a health insurance exchange? Answer: There will be an exchange where private insurers can sell health insurance. There will be several different types of policies sold through the exchange Basic, Enhanced, Premium, and Premium-Plus. Each category has an exactly defined level of coverage and benefit. So, for example the Basic policy offered by Aetna, will the the same as the Basic policy offered by Humana, and the premium policy sold by United Healthcare is the same as the premium one sold by Travelers. It will allow you to compare based on price.
But if you don't want to buy a one of the health exchange policies, a private insurer can still sell you a customized policy, as long as it covers, at least, the minimum.
10) But the president says if I like my current coverage I can keep it, that's not true. Answer: To be truthful, your current policy will change. Your insurer won't be allowed, anymore, to drop you if you make too many claims, and they won't be able to refuse to cover pre-existing conditions. Plus, if it doesn't provide at least the minimum amount of benefits required it will have to start covering at least the minimum. Group health insurance policies won't have to implement these changes for five years. But anyone enrolled onto a group plan AFTER the new law takes effect will have to be enrolled in a plan that meets these new standards now.
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