Vandalshandle
Gold Member
Having spent over 50 years as a health insurance and HMO executive, and can assure everyone that it is actuarially impossible to cover pre-existing conditions unless everyone is forced to sign up, or the government subsidizes the insurance companies.
Or (what should have been done in the first place) is those who absolutely could not get insurance because of preexisting conditions be allowed to go on Medicare. I don't understand that of course because I've had preexisting conditions since 1985, and until Commie Care came along, I always had coverage.
I get it. You suggest that Medicare be bankrupted so that your employer can afford to continue paying for your health insurance. Who would have thought that a Republican would have thought of that? Oh, and BTW, even your employer's group health insurance required satisfactory evidence of good health from any eligible employee or dependent who did not enroll withing 30 days of becoming eligible. AS VP of Underwriting, it was my job to reject their application for insurance when they tried to save money by no enrolling when they were well, only to try to enroll later, when they were sick.
Expanding Mediare would have been a hell of a lot better than ruining the entire healthcare industry.
An insurance company will cover you provided you had coverage before you enrolled with them. If there was any time lapse, they will still cover you just not for anything related to the preexisting condition for one year. After that year is up, they will cover you for the preexisting conditions as well.
Gee, Ray, I learn something new every day. For over 50 years, I declined individuals who could not submit a satisfactory evidence of good health if they failed to submit an application during the 30 day open enrollment period following the date that they became eligible. This included, for example, spouses of employees who had their own insurance through their employer, but then lost their job, and not having elected to be covered by us at the time the employee was hired, had then become a "late enrollee', giving me the right to tell them that they will NEVER be eligible for insurance with our plan, because of their heart disease. This was moderated, somewhat, when HMO statutes went in to effect, which gave all eligibles a 30 day window of guaranteed issue per year, if they lived until that window was open. Who would have guessed that I was violating the law throughout that 50 year period at no less than 12 insurance companies in which I was in charge of medical underwriting?
All I can tell you is what my experiences have been and my dealings with healthcare insurance companies. I've been on this job for a long time, but prior to that, I went from job to job staying with a company anywhere from less than a year to five years. Have things changed? I don't know. They probably have. When I worked in the medical field, our office staff had to have meetings once a week just to keep up with the new changes in Medicare, Medicaid and private insurance. Those meetings were for billing purposes, but I can't imagine that covering people would be any different.
You can take what I said about underwriting declinations to the bank. In addition to the example I mentioned about the spouse, people routinely failed to enroll their newborn infants within 30 days of birth because the child was not sick and they did not want their insurance contributions raised from "Couple" to "family" rates. Then, months later, when the child was diagnosed as having an injury or illness, they were a late enrollee, and they had to fill out a health questionnaire, which I often declined. One couple sent me a photograph of their dead child's casket, which died due to a hole in it's heart 4 months later, claiming that the child would have been saved if they had had the insurance necessary for the doctor to do open heart surgery. I did not bother to reply that if they had signed up on a guaranteed issue basis within 30 days of birth, it would have been on a guaranteed issue basis, but they had been too cheap to pay the extra monthly premium. Insurance companies are NOT charitable organizations.