Portable health insurance will listen carefully, but do not expect full or low-cost coverage

The Senate moved toward passage yesterday a proposal, health insurance to ensure the viability of many people, employers or change or lose their jobs. Much of the action - to vote next week - is a guarantee that eligible workers, employers lose-sponsored coverage of the situation, would receive assurances by the various players in the market.

The proposed scheme would be a great help for people with health problems, it can not get health insurance in their own work or quitting be dismissed, as well as people who are feeling their jobs because they fear the disruption of their coverage. But the “portability” would not help millions of people, including self-employed or employers are not offered coverage. It would also not make them all easier to find an honest and accessible.

Jeffrey Jones, 33 years, a designer of Poolesville, Md., would probably never appreciate any assistance from a few years, when he tried to buy a policy to replace the medical care of his family has always been ‘ an employer, went to the store. The insurer rejected insurer, demonstrated that after learning of his wife Cecilia, 34, had a weak heart,.

But while the portability law that the Senate proposal, however, prevented that this is not what helped pay for a policy, he found available - Coverage of Blue Cross & Blue Shield of the National Capital Area for $ 600 per month.

“We absolutely feel that we are stuck in a place,” said Mr. Jones now. Fortunately, he found a new job offered health insurance, leaving the family without the coverage of three weeks.

The Senate cash account offered by the tree Nancy (R., Kan.) and Edward Kennedy (D., Mass.). Exigerait that insurers offer individual hedging strategies available to too many workers, the employer offered a plan for at least 18 months. It is also time waiting for the treatment of existing health conditions that insurers, on the eligibility of employees, changes sponsored by an employer plan to another, or for a personal quote policy.

A similar measure was adopted by the House of Representatives last month, but the legislative outlook remains uncertain. Republicans and Democrats in opinion on some Republicans want additional elements, such as tax deductible medical savings accounts in the home version and the legislation could die under the weight of litigation.

But no matter the outcome, people, a store’s policy, individual health is always a difficult moment, “says Gail Shearer, Director of health policy for the Washington office of Consumers Union. The legislation does not apply to premiums, insurers that the costs or benefits they can offer.

The strategies vary enormously from one comprehensive plan significant medical costs that can be several hundred dollars per month until the bare bones policy with a monthly premium in the vicinity of $ 50 or $ 75 Often, the new man on various policy areas, after they have exhausted their benefits under COBRA, the federal law requires employers of 20 or more to offer coverage at group rates, which were previously employed as long that 18 months.

In some countries already some protection mechanisms. More than 10 countries - including Maine, New Jersey, New York, Vermont and Washington - “guarantees the problem” laws that prohibit insurers deny that the only exit hedging policy for reasons of health protection, said Susan Laudicina , Research director of the Blue Cross Blue Shield Association. These and several other states also have some kind of “community rating” the law requires that insurers for the loading of all human beings the same price for a certain policy, or that establishes limits for the sector premiums can vary for different people.

But in some cases, insurers have withdrawn from these statements. Mutual of Omaha Cos. has stopped selling new individual policy in Washington, New Jersey, Maine and Kentucky. In recent years, giants such as Aetna Life & Casualty Co. and Metropolitan Life Insurance Co. have left the various insurance markets as a whole, while Prudential Insurance Co. of America, are no longer sold by such a policy in most countries.

Traditionally, it was difficult to imagine a cheaper if you’re not young and healthy. Most vehicles medical examination applicants in many countries where these so-called risk analysis medical and increasingly rigid standards over the years, said Glenn Pomeroy, North Dakota Insurance Commissioner. If you have suffered from cancer, cardiovascular diseases or problems of hypertension, insurers can exclude that coverage condition, a waiting time even that for a year or deny coverage in general, said Geraldine Dallek, director of health policy for Families USA.

In addition, some Blue Cross plans, traditional insurers of last resort, have medical requirements for some of their individual coverage. Blue Cross of Western Pennsylvania, a medical plan, which is a cover for a family of four for $ 288 per month, while the oldest family member is between 30 and 39 If the family has health problems that they disqualify, they can always cover, but a flying flat sewing would cost $ 693 per month. The insurer offers other options for low-income families.

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