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  #1  
Old 08-01-2012, 08:23 AM
Clip-Clop Clip-Clop is offline
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"Today, the law builds on these benefits, requiring new, non-grandfathered private health plans"

The idea was right, the execution was so pro-insurance companies it was outlandish the way this was written.
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Old 08-01-2012, 09:24 AM
Danzig Danzig is offline
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Quote:
Originally Posted by Clip-Clop View Post
"Today, the law builds on these benefits, requiring new, non-grandfathered private health plans"

The idea was right, the execution was so pro-insurance companies it was outlandish the way this was written.
one of the reasons why i don't like obamacare. they're trying to make a for-profit system work, while saying they're wanting to control costs. yeah, good luck with that. obamacare will end up a failure. altho the scotus ruled in favor of the forced purchase, or you get taxed-the tax/penalty isn't high enough to actually make people buy it. so, the exact group (young and healthy) that insurers wanted forced to buy to keep the entire system afloat, probably won't.
then, they said one way to keep costs down was to expand medicaid so as to prevent high priced er visits, etc. but the tool to force that expansion was removed. (by the way, a recent study showed non-insured were no more likely to go to er's for non emergencies than those with coverage, but that didn't get much play). so, states who don't wish to expand, probably won't-thus leaving the poorer without. and actually, obamacare didn't provide 100% coverage anyway. there would still be a sizable group that couldn't get coverage.
take into consideration that big pharma had a big say in obamacare...well, we know who ultimately put it all together. now, to sit back and watch what happens next.
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Old 08-02-2012, 11:53 AM
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ROR !! Just be prepared for this...

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Old 08-02-2012, 02:02 PM
Danzig Danzig is offline
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geeker, that paper above reminds me of the 'free' colonoscopies. they are free only as a screening. if one polyp is found and removed, it has now become treatment, not just diagnostic-thus, will be billed for a couple thou, not free.
patients have not been happy upon waking and being presented with a bill. now, it helps the patient because the polyp is now gone. but it sure helps the place conducting the test, doesn't it?
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Old 08-02-2012, 02:12 PM
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Quote:
Originally Posted by Danzig View Post
geeker, that paper above reminds me of the 'free' colonoscopies. they are free only as a screening. if one polyp is found and removed, it has now become treatment, not just diagnostic-thus, will be billed for a couple thou, not free.
patients have not been happy upon waking and being presented with a bill. now, it helps the patient because the polyp is now gone. but it sure helps the place conducting the test, doesn't it?

If the patient agreed to the procedure to have it removed and was informed of the charge, it's his bad...no...If he didn't agree, sue em...
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  #6  
Old 08-02-2012, 03:26 PM
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Geeker, your paper has nothing at all to do with the ACA, it's a reflection of what your private insurance company did.

In fact, some of those limitations your insurance company dinked you for, listed, have been eliminated by the ACA. That's the point. ROR!
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Old 08-02-2012, 08:17 PM
Danzig Danzig is offline
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If the patient agreed to the procedure to have it removed and was informed of the charge, it's his bad...no...If he didn't agree, sue em...
that's the thing, you're knocked out during the scope. they just do it while they're 'in there'. but people don't necessarily know ahead of time just what can change things between a freebie, and what makes it not a freebie. just like the note above. but seriously, who wouldn't want something removed if found? problem is, people don't like to find out free isn't free.
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Old 08-02-2012, 04:10 PM
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www.healthcare.gov

Preventive Services Covered Under the Affordable Care Act

If you have a new health insurance plan or insurance policy beginning on or after September 23, 2010, the following preventive services must be covered without your having to pay a copayment or co-insurance or meet your deductible. This applies only when these services are delivered by a network provider.

16 Covered Preventive Services for Adults

Abdominal Aortic Aneurysm one-time screening for men of specified ages who have ever smoked
Alcohol Misuse screening and counseling
Aspirin use for men and women of certain ages
Blood Pressure screening for all adults
Cholesterol screening for adults of certain ages or at higher risk
Colorectal Cancer screening for adults over 50
Depression screening for adults
Type 2 Diabetes screening for adults with high blood pressure
Diet counseling for adults at higher risk for chronic disease
HIV screening for all adults at higher risk
Immunization vaccines for adults--doses, recommended ages, and recommended populations vary:
Hepatitis A
Hepatitis B
Herpes Zoster
Human Papillomavirus
Influenza (Flu Shot)
Measles, Mumps, Rubella
Meningococcal
Pneumococcal
Tetanus, Diphtheria, Pertussis
Varicella
Learn more about immunizations and see the latest vaccine schedules.
Obesity screening and counseling for all adults
Sexually Transmitted Infection (STI) prevention counseling for adults at higher risk
Tobacco Use screening for all adults and cessation interventions for tobacco users
Syphilis screening for all adults at higher risk

22 Covered Preventive Services for Women, Including Pregnant Women


The eight new prevention-related health services marked with an asterisk ( * ) must be covered with no cost-sharing in plan years starting on or after August 1, 2012.

Anemia screening on a routine basis for pregnant women
Bacteriuria urinary tract or other infection screening for pregnant women
BRCA counseling about genetic testing for women at higher risk
Breast Cancer Mammography screenings every 1 to 2 years for women over 40
Breast Cancer Chemoprevention counseling for women at higher risk
Breastfeeding comprehensive support and counseling from trained providers, as well as access to breastfeeding supplies, for pregnant and nursing women*
Cervical Cancer screening for sexually active women
Chlamydia Infection screening for younger women and other women at higher risk
Contraception: Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, not including abortifacient drugs*
Domestic and interpersonal violence screening and counseling for all women*
Folic Acid supplements for women who may become pregnant
Gestational diabetes screening for women 24 to 28 weeks pregnant and those at high risk of developing gestational diabetes*
Gonorrhea screening for all women at higher risk
Hepatitis B screening for pregnant women at their first prenatal visit
Human Immunodeficiency Virus (HIV) screening and counseling for sexually active women*
Human Papillomavirus (HPV) DNA Test: high risk HPV DNA testing every three years for women with normal cytology results who are 30 or older*
Osteoporosis screening for women over age 60 depending on risk factors
Rh Incompatibility screening for all pregnant women and follow-up testing for women at higher risk
Tobacco Use screening and interventions for all women, and expanded counseling for pregnant tobacco users
Sexually Transmitted Infections (STI) counseling for sexually active women*
Syphilis screening for all pregnant women or other women at increased risk
Well-woman visits to obtain recommended preventive services for women under 65*

27 Covered Preventive Services for Children

Alcohol and Drug Use assessments for adolescents
Autism screening for children at 18 and 24 months
Behavioral assessments for children of all ages
Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
Blood Pressure screening for children
Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
Cervical Dysplasia screening for sexually active females
Congenital Hypothyroidism screening for newborns
Depression screening for adolescents
Developmental screening for children under age 3, and surveillance throughout childhood
Dyslipidemia screening for children at higher risk of lipid disorders
Ages: 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
Fluoride Chemoprevention supplements for children without fluoride in their water source
Gonorrhea preventive medication for the eyes of all newborns
Hearing screening for all newborns
Height, Weight and Body Mass Index measurements for children
Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
Hematocrit or Hemoglobin screening for children
Hemoglobinopathies or sickle cell screening for newborns
HIV screening for adolescents at higher risk
Immunization vaccines for children from birth to age 18 —doses, recommended ages, and recommended populations vary:
Diphtheria, Tetanus, Pertussis
Haemophilus influenzae type b
Hepatitis A
Hepatitis B
Human Papillomavirus
Inactivated Poliovirus
Influenza (Flu Shot)
Measles, Mumps, Rubella
Meningococcal
Pneumococcal
Rotavirus
Varicella
Learn more about immunizations and see the latest vaccine schedules.
Iron supplements for children ages 6 to 12 months at risk for anemia
Lead screening for children at risk of exposure
Medical History for all children throughout development
Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
Obesity screening and counseling
Oral Health risk assessment for young children
Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years.
Phenylketonuria (PKU) screening for this genetic disorder in newborns
Sexually Transmitted Infection (STI) prevention counseling and screening for adolescents at higher risk
Tuberculin testing for children at higher risk of tuberculosis
Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
Vision screening for all children

Learn more about the U.S. Preventive Services Task Force Recommendations.

Last updated: July 31, 2012
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  #9  
Old 08-02-2012, 04:55 PM
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dellinger63 dellinger63 is offline
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Hope I get at least a thank you for paying for strangers BC pills and abortions but then again I'm a big BC fan!

Where do I sign up to get BC vouchers
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  #10  
Old 08-02-2012, 05:54 PM
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geeker2 geeker2 is offline
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Dell it's all free don't cha know -
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