The Los
Angeles Times (4/28, Girion) reports, "Stung by criticism
and facing tougher federal regulation, two of the nation's
largest health insurers say they will stop the practice of
dropping sick policyholders." Last week, HHS Secretary Kathleen
Sebelius criticized WellPoint, Inc. following a story which
stated that the insurer cancelled the policies of customers who
were diagnosed with breast cancer. The Times adds, "The moves
Tuesday by WellPoint, Inc., the parent of Anthem Blue Cross of
California, and Blue Shield of California, follow action by
Congress and the Obama administration to crack down on the
practice known as rescission."
The AP
(4/28, Murphy) also reports, "Health insurer WellPoint, Inc.
said Tuesday it will start complying ahead of schedule with a
health care reform provision that limits cases in which insurers
can cancel coverage when a customer gets sick." The company
"said that starting May 1, it will follow a reform guideline
that restricts cases of rescission only to instances where a
patient committed fraud or intentional misrepresentation."
Reuters (4/28, Heavey) says that WellPoint made the
announcement after House Democrats urged the company and six
other insurers to cease rescissions based on pre-existing
conditions. The other insurance companies included UnitedHealth,
Humana, Aetna, Kaiser Permanente, the Blue Cross Blue Shield
Association and Assurant Health.
Politico (4/28, Haberkorn) notes, "The reform law
wouldn't ban the practice until Sept. 23," although "House
members asked insurers to voluntarily ban the practice sooner.
Several insurers said last week they would voluntarily move up
the implementation date of another provision of the law that
allows young adults to stay on their parents' plans until age
26." Meanwhile, "Blue Cross Blue Shield Association spokesman
Brett Lieberman said the group is reviewing the request."
CQ
HealthBeat (4/28, Norman, Ethridge, subscription
required) reports that Rep. Pete Stark (D-CA), commenting on
WellPoint's action, said, "WellPoint took the first step. ...
Now it's up to the other insurance companies to show they're
serious about making health reform work." CQ notes that "Aetna
responded to a reporter's inquiry by saying the company believes
rescissions are 'still a necessary tool to fight fraud in the
application process.' However, Aetna said it would work 'to
ensure that our process fully conforms to the law and is
implemented prior to the dates outlined in the Patient
Protection and Affordable Care Act.'" Meanwhile, Sebelius
stated, "We want to make sure companies are not engaged in those
activities right now, so we are going to work very aggressively
not only to look at the practice that we've heard about in
WellPoint, but other insurers who are targeting sick patients."
The Indianapolis Business Journal
(4/28, Wall) also covers the story.
Sandra Block writes in
USA Today (4/28), "The
health care bill signed into law in March allows adult children
to remain on their parents' group insurance policies until age
26. Some states already allow adult children to remain on their
parents' plan, but the maximum age varies, and some states limit
the coverage to full-time students." Block says, "This change
could provide a huge benefit for young adults who graduate this
spring and don't have a job, or end up working for an employer
that doesn't provide health insurance. But some graduates may
not be able to jump on their parents' plan right away." She also
recommends that parents make sure there is no break in coverage
for adult children if coverage does not begin until next year.
They should also determine if it is cheaper to purchase an
individual plan.
Federal Government Not Extending Dependents' Benefits This Year.
According to
McClatchy (4/28, Marcy),
"Many parents breathed a sigh of relief when they heard that
health insurance companies were opening up coverage to young
adult children under the new healthcare law," but "lots of
others -- including those whose parents...work for the federal
government -- probably won't be able to get that coverage until
next year. The federal employee health insurance program has
announced that it's unlikely this year to offer young adults the
ability to remain on their parents' policies until the age of
26."
BlueCross BlueShield Of Utah To Extend Dependent Coverage
Starting In June.
The Salt Lake Tribune (4/28,
Stewart) reports, "Starting in October, under the new federal
health overhaul, dependent children can remain on their parents'
health insurance plans until age 26 even if they're married. But
one of the state's largest insurers, BlueCross BlueShield of
Utah, has decided to voluntarily abide by the new federal rules
early, starting in June." Other insurers are also "vowing early
implementation," including "United Healthcare, Kaiser Permanente
and Humana."
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