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re: Whatever you want to call it it's not "insurance" if preexisting conditions exist.

Posted on 4/28/17 at 11:16 am to
Posted by TotesMcGotes
New York, New York
Member since Mar 2009
27873 posts
Posted on 4/28/17 at 11:16 am to
quote:

yep, and I would like to wait till I get into a car accident and then get ins. to cover it

Someone educate me on this:

With respect to PECs, the insurance doesn't retroactively cover the cause of the condition. It covers future expenses that may come about due to the PEC, no?

So the above example that I'm seeing everywhere would be a false equivalence.
Posted by roadGator
Member since Feb 2009
140396 posts
Posted on 4/28/17 at 11:23 am to
quote:

Or some crazy arse wife with a pill problem?


Or some mentally ill shim that wants to cut shis dick off.

The old way you actually didn't have to pay for those things though. You could have chosen to pay with cash or get a plan that only covered catastrophic events/illnessnes.

Your boy Obama killed those choices and left you nothing but what you are bitching about except worse.
Posted by roadGator
Member since Feb 2009
140396 posts
Posted on 4/28/17 at 11:28 am to
quote:

the insurance doesn't retroactively cover the cause of the condition.


I'm not sure what you are trying to say by cause but this may help.

You get into a bad accident. The brakes are broken and the fender is bashed. Then you decide to get insurance. The date of the claim is the only thing that matters in this instance. That isn't covered. However, you find out later that the same accident causes further damage. Your insurer, if they can determine that it was due to the old accident, isn't going to cover the new found issue.
Posted by TotesMcGotes
New York, New York
Member since Mar 2009
27873 posts
Posted on 4/28/17 at 11:53 am to
Why can't that be evaluated by the insurer and built into the coverage?
Posted by BamaAtl
South of North
Member since Dec 2009
21894 posts
Posted on 4/28/17 at 11:54 am to
quote:

Why can't that be evaluated by the insurer and built into the coverage?


Because of community rating.
Posted by roadGator
Member since Feb 2009
140396 posts
Posted on 4/28/17 at 11:55 am to
quote:

Why can't that be evaluated by the insurer and built into the coverage?


It can. Anything can be insured. I can write you a policy that includes a "free" Porsche annually after your check up.

There's not much that can't be underwritten with enough data. You just have to be willing to pay for it.
Posted by TotesMcGotes
New York, New York
Member since Mar 2009
27873 posts
Posted on 4/28/17 at 11:58 am to
Got it. Thanks for explaining.
Posted by TotesMcGotes
New York, New York
Member since Mar 2009
27873 posts
Posted on 4/28/17 at 12:00 pm to
I thought community rating was age/gender.

I have a long way to go when it comes to insurance.
Posted by roadGator
Member since Feb 2009
140396 posts
Posted on 4/28/17 at 12:03 pm to
quote:

A rule that prevents health insurers from varying premiums within a geographic area based on age, gender, health status or other factors.


Age/sex banding allows for individuals inside a group to have different rates based on their, well, age and sex. That's different than community rating for which I provided a basic definition above.
Posted by LSU12223
Member since Sep 2016
1482 posts
Posted on 4/28/17 at 12:31 pm to
It's not a right. It's a business it's privatized business. Businesses should be able to turn anyone away for any reason. The problem is the govt wants to slowly take away power from the people and take it themselves to regulate what we do and when we do it. Its like saying oh I have to let this person in my house even though I know he is a serial killer. It's the same concept. Someone can be 100% healthy and still be turned away from insurance. It's not a right to have but it's a privilege
Posted by lsu13lsu
Member since Jan 2008
11480 posts
Posted on 4/28/17 at 1:26 pm to
quote:

In your perfect world, a child should suffer because his parents went without insurance for a few months?

Nah, I prefer the civilized alternative.


There were programs for children to get health insurance prior to Obamacare via Medicaid, or the Children's Insurance Health Program. The parents would have to be proactive though. The parents have to be proactive with Obamacare so that changes nothing. If there was a lapse in coverage a child (or adult) wouldn't be turned away in an emergency.

Your scare tactic with "But The Children!!" doesn't really work.
Posted by BamaAtl
South of North
Member since Dec 2009
21894 posts
Posted on 4/28/17 at 1:30 pm to
quote:

I thought community rating was age/gender.


Community rating under the ACA is that you cannot charge someone in a community more than anyone else based off of their medical history - you can only use age. Before, you could use all sorts of criteria which is where pre-existing condition exclusions came into play.
Posted by Zach
Gizmonic Institute
Member since May 2005
112467 posts
Posted on 4/28/17 at 1:33 pm to
Chief Justice Roberts already settled this question. It's not insurance. "It's a TAX."
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