10 Outrages Fixed by Health Care Reform – Part 2

Outrage #8: Women Denied

Women have to fight to get to a gynecologist.

Solution: OB/GYN Covered! Plans cannot require pre authorization to see a gynecologist in the provider pool. Women get to pick a gynecologist as their primary care doctor. Ï

Outrage #7: Preexisting Condition – Dropped

If you get sick, your insurance company may drop you and say your illness was a “preexisting condition.”

Solution: Can’t Drop for Preexisting Condition. A group health plan cannot drop an existing customer unless it provides 30 days’ notice and the reason is fraud, intentional misrepresentation of a material fact, non-payment of premiums or plan termination.

[box type=”info” border=”full” icon=”♣”]♣ Rules that apply only to new plans. Some mandates only apply to plans that are not grandfathered in, because it was in effect, and unchanged, since March 23, 2010. This symbol indicates a rule that does not apply to grandfathered plans. [/box]