I can't provide a link, but I can tell you that the insurance company is not paying those claims that are starting to come in from the January/Feb hospitalization. I read that the same way you do nevertheless the insurance company doesn't read it that way and is denying the claims. I will try and find some time and post one of those denial things they are sending out tomorrow. Keep in mind there is a lot of money at stake here my wife has been hospitalized 35 days so far in 2014 and 12 of those were in intensive care on life support.
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Originally posted by: Chilcoot
Yes, malibber, the information from Kaiser is from last summer.
However, I don't think there's been an extension to the requirement that all employer plans cover pre-existing conditions beginning January 1, 2014. Can you provide a link to such an extension? As best I can tell, ALL employer plans that must cover pre-existing conditions now.
Also, I don't think you understand what you quoted from Kaiser. It says that while certain plans can be grandfathered, those plans also cannot exclude coverage for pre-existing conditions effective January 1, 2014. I think you've misread it to mean the opposite, that they CAN exclude coverage. You're reading it wrong.
Please provide a link stating that grandfathered employer plans have been excepted from the requirement that they cover pre-existing conditions effective January 1, 2014. I don't think such an extension has been made.
Originally posted by: Chilcoot
Yes, malibber, the information from Kaiser is from last summer.
However, I don't think there's been an extension to the requirement that all employer plans cover pre-existing conditions beginning January 1, 2014. Can you provide a link to such an extension? As best I can tell, ALL employer plans that must cover pre-existing conditions now.
Also, I don't think you understand what you quoted from Kaiser. It says that while certain plans can be grandfathered, those plans also cannot exclude coverage for pre-existing conditions effective January 1, 2014. I think you've misread it to mean the opposite, that they CAN exclude coverage. You're reading it wrong.
Please provide a link stating that grandfathered employer plans have been excepted from the requirement that they cover pre-existing conditions effective January 1, 2014. I don't think such an extension has been made.