Tuesday, November 20, 2012

HHS releases draft rules on key elements of Obamacare, including pre-existing conditions

http://www.dailykos.com/story/2012/11/20/1163479/-HHS-releases-draft-rules-on-key-elements-of-Obamacare-including-pre-existing-nbsp-conditions


Yes, President Obama won reelection and the Affordable Care Act is the law of the land. On Tuesday, the Department of Health and Human Services released proposed regulations on some of the key elements ofhealth insurance reform in the law, including how insurers can vary premiums based on age, tobacco use, family size and geography, proposed rules for essential health benefits, and rules governing employer-based wellness programs. These are the draft rules, with comment period open for the next month.
For the majority of the uninsured, the key rules are themarket reforms, the rules that prevent insurers from denying coverage because of pre-existing conditions, and that set the limits on how insurers can vary premiums, limiting the variation to age (within a 3:1 ratio for adults), tobacco use (within a 1.5:1 ratio and subject to wellness programs in group insurance), family size and geography. That means that insurers can no longer charge exorbitant premiums as individuals age, or for smokers. Nor can they charge higher premiums because you have lady parts. Also prohibited is charging more based on occupation, past health problems, or employer size or industry. What's more, insurers will be prohibited from refusing to renew coverage because an individual or employee becomes sick or has a pre-existing condition.
this puts it on the big screen, republicans can try and pervert the rules to Draconian references they have pelted us with for four years like "it's an abomination" but no more mistaking their lies for the truth.  providing healthcare to those who can't afford it is an abomination?  what God do they worship, Greek mythicals?
The essential health benefits rules establish 10 categories in which services must be included in health plans: ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services (including behavioral health treatment), prescription drugs, rehabilitative and habilitative services and devices, laboratory services, preventive and wellness services and chronic disease management, and pediatric services, including oral and vision care. Health plans offered in the individual and small group markets, including both those in the exchanges and in the existing market, have to offer a core package of items and services in those categories.
when you see the one's that make say "alright" remember had we allowed Romney in you would be reading 10 catagories of how to reach your local ER.