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07-14-2010, 04:14 PM #6
Senior Member
Caregiver 5 paitent law
I'm going to ignore everything about your post except the health insurance part, because you are so badly misinformed. No offense.
Originally Posted by GanjaThump
I am in the health insurance industry, but I don't work for any one insurance carrier. I'm basically an agent who works as an advocate for my clients.
First, health insurance companies have to take in more than they pay out, to cover admin costs, profits, etc. Can we please agree to ignore the 'insurance companies are evil because of x profits last year' argument?
Second, regarding 'limits'. I don't think you understand how insurance policies work. Everything is spelled out in the certificate of coverage when you purchase the plan, so there shouldn't be any question about 'limits' or what types of medications your policy covers. Medications are expensive, and different policies cover different things. I don't take any meds, so I can pay less for a policy that has no prescription coverage, because I don't need to pay for a benefit that I don't use.
Third, if you are the one buying health insurance, it's on your shoulders to make sure you know what you are buying. Colorado law states that you have a ten day free look period. That means that once you receive you actual insurance policy, you have ten days to review it, maybe look through the limitations and exclusions parts. If you don't like it, you can return it and get a refund.
Fourth, there are different plans that cover different things. Some plans have no prescription coverage, some cover generic only, and some are full benefit plans that cover all Rx, including high cost injectibles. It's up to you as the consumer to know what kind of insurance you are purchasing.
It's obvious that you are mis-informed on this subject. If you are making a comment that your coverage at a job or something sucks, okay since you might not have a say in the matter. My point still stands that you should know what you are buying and be aware of the 'limits', and plan accordingly.
edit: my post went the wrong way, but I don't really think your post says anything, because it's a foolish position to post that some exec has control over your healthcare. That's retarded. Do you mind clarifying?
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