Medical Forum / Diseases and Disorders / Cancer / January 2006
Cancer-The Uninsured-A Solution
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zwright@houston.rr.com - 17 Jan 2006 04:23 GMT Cancer - The Uninsured - A Solutio
No policy will cover you for cancer diagnosed before you applied for the policy.
With more than 41 million people uninsured in America today, the lack of health care benefits has a widespread effect on American society.
However, this number does not accurately represent the many additional Americans who went without insurance for any part of that year. According to a new study by Families USA, about 74.7 million people under the age of 65, or approximately one-third of Americans, were without health insurance for all or a part of 2001 and 2002. Of this number, nearly two-thirds were uninsured for six months or more and nearly one-fourth of all those without insurance did not have insurance for the entire two-year period
Most Americans know the uninsured population is increasing, but they do not realize that many of those without insurance are their friends and neighbors. Approximately 80 percent of those without insurance are U.S. citizens and about one-third of uninsured adults have incomes of $50,000 or more. The fastest-growing income segment of the uninsured earns more than $75,000 a year
In fact, 70 percent of those without health insurance are gainfully employed and a full two-thirds of Americans under the age of 65 receive health insurance benefits through their job or that of their spouse or parent.
The effects of going without health coverage are widespread. When one member of the family lacks health insurance, it results in the decreasing health, emotional well-being and financial stability of the entire household. Fifty-eight million Americans are uninsured or live with a family member that doesn't have insurance, and thesefamilies pay on average more than 40 percent of their medical expenses out-of-pocket.
Individual health also suffers, often far more than many people realize. Even being uninsured for just one year appears to actually diminish one's health. Americans without health insurance are more likely to die prematurely than those with insurance, attributing lack of insurance to 360-600 premature breast cancer deaths, [http://CANCER.AMERIPLAN-HEALTHCARE.COM] 1200-1400 deaths among HIV-infected adults, and 1400 premature deaths to hypertension each year. Uninsured people also are less likely to have routine checkups and screenings, and therefore are more likely to be diagnosed with a disease in its later stages.
Beyond individuals and their families, communities also pay a high price for the uninsured. Areas with high rates of uninsured individuals are more likely to reduce hospital services, divert public resources away from disease prevention and surveillance programs, and reallocate tax dollars to pay for uncompensated medical care.
Americans are looking for solutions, right now. They have a need now. Waiting on the Government is not the answer and those that suffer with pre-existing conditions need solutions. There is one company that appears to be on the cutting edge of supplying an answer
That company is AMERIPLAN-USA. The company was started in 1992 and is headquarted in Plano, Texas. What they bring to the table is a menu of HIGHLY DISCOUNTED medical services catering to the uninsured and under insured. Savings of 50% to 80%. AmeriPlan Health™ is NOT insurance. It is a health benefits discounted fee-for-service program.AmeriPlan Health™ members receive significant savings on physicians, labs, imaging centers and a full array of medical services. The dental, vision, prescription drug and chiropractic benefits of our program can save you up to 80% on much needed services. You may also realize additional savings on expenses associated with hospital admittances by utilizing the AmeriPlan Health™ Patient Advocacy Program
They focus on the uninsured, and those with pre-existing conditions that are ignored by nearly all Health Insurance Companies. This company is on the cutting edge of providing a solution to the Healthcare crisis in this country
Commentary provided by Zane Evan Wright [Multiple Sclerosis and Uninsured http://CANCER.AMERIPLAN-HEALTHCARE.COM
Figgertoes - 17 Jan 2006 10:59 GMT > Cancer - The Uninsured - A Solution > > No policy will cover you for cancer diagnosed before you applied for > the policy. Not true in USA. Health Insurance Portability and Accountability Act of 1996 (HIPPA) changed all of that.
http://www.dol.gov/ebsa/newsroom/fshipaa.html (may have to copy/paste into browser)
partial quote from above:
Preexisting Condition Exclusions The law defines a preexisting condition as one for which medical advice, diagnosis, care, or treatment was recommended or received during the 6- month period prior to an individual’s enrollment date (which is the earlier of the first day of health coverage or the first day of any waiting period for coverage)
Group health plans and issuers may not exclude an individual’s preexisting medical condition from coverage for more than 12 months (18 months for late enrollees) after an individual’s enrollment date
Under HIPAA, a new employer’s plan must give individuals credit for the length of time they had prior continuous health coverage, without a break in coverage of 63 days or more, thereby reducing or eliminating the 12- month exclusion period (18 months for late enrollees) -end quote-
Best bet are group plans - through patient's or patient's spouse's employer.
My husband, Socks, changed policies/insurance companies twice following diagnosis/treatemnt before becoming eligible for Medicare. Also on COBRA from 2 plans.
Figgertoes
bj - 17 Jan 2006 15:57 GMT >> spammer wrote: >> No policy will cover you for cancer diagnosed before you applied for >> the policy. > > Not true in USA. Health Insurance Portability and Accountability Act of > 1996 (HIPPA) changed all of that. Not quite "all".
HIPAA only covers you if you're in/have been in, a group plan. There are a *lot* of people who aren't in group plans, maybe not in any plan. I have an individual plan -- it continues to cover me for most things, because I already had it when I was diagnosed with diabetes & cancer (& had a few other things needing care, like orthopedics & rehab) -- but it does have some *permanent* exclusions, not just a waiting period, for a couple of things that I had when I started the policy.
This spammer has been all over the place, too. bj
J - 17 Jan 2006 17:19 GMT > >> spammer wrote: > >> No policy will cover you for cancer diagnosed before you applied for [quoted text clipped - 15 lines] > This spammer has been all over the place, too. > bj Looks like an MLM Distributor to me. When I click on the web page, there's a name of someone in Texas and then the benefits page says it's Ameriplan. When I search that (in the Google archives):
1) other newsgroups (dental) say they charge 11.95 for a list of dentists and $840. for a quote on designing a webpage (not to design it) just to quote 2) They've created themselves some Google "sub groups", one we can read the messages, the other not permitted to read. 3) I see posts dated 1999, so it's not new 4) there seems to have been a domain name dispute http://www.arbforum.com/domains/decisions/105737.htm
Gee, I miss Socks. DLU are you out there? Is this really a valid DC Chamber of Commerce webpage http://www.dcchamber.org/ ? They've got Ameriplan on it. Looks like the city Chamber of Commerce, Naively part of an MLM scam? Then there's this one http://www.uschamber.com/default and they're both on the same street ! Looks like the National Chamber of Commerce. If that was in my Province, I'd sure be getting on the phone and asking questions as to why Ameriplan is on the website, but I'm not. Anyone out there up for asking them the question? J
turtill@hotmail.com - 17 Jan 2006 17:37 GMT >Looks like the National Chamber of Commerce. >If that was in my Province, I'd sure be getting on the phone and asking >questions as to why Ameriplan is on the website, but I'm not. Anyone out there >up for asking them the question? >J Why worry J? Anyone who comes to a cancer group to make money is not worth worrying about and certainly no the sort of people I would want anything to do with. Pete
66.25.9.168 Record Type: IP Address
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J - 18 Jan 2006 09:16 GMT > >Looks like the National Chamber of Commerce. > >If that was in my Province, I'd sure be getting on the phone and asking > >questions as to why Ameriplan is on the website, but I'm not. Anyone out there > >up for asking them the question? > > Why worry J? Nobody is guarding the henhouse in Washington, DC. Don't you find that funny ? <g> - sad really. Having said that it's probably the same here. Chamber of Commerce encourages commerce. Better Business Bureau is supposed to advise on business scams... J
turtill@hotmail.com - 18 Jan 2006 10:01 GMT >> >Looks like the National Chamber of Commerce. >> >If that was in my Province, I'd sure be getting on the phone and asking [quoted text clipped - 9 lines] >Better Business Bureau is supposed to advise on business scams... >J Unfortunately Usenet is littered with scams and in this ng in particular many folks are new to it and very vulnerable. This is one of the reasons I once suggested you should have a yahoo group where you can control what is posted. I still think that is a good idea as it would not mean closing this ng but it would give more protection to vulnerable folks here on Usenet for the first time. I really never heard your objection to doing that or any misgivings you may have had. Usenet can be very rough and is not good for vulnerable folks with experience yet alone those without while going through cancer. pete
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J - 18 Jan 2006 10:14 GMT > >Nobody is guarding the henhouse in Washington, DC. > >Don't you find that funny ? <g> - sad really. [quoted text clipped - 4 lines] > > Unfortunately Usenet is littered with scams I'm talking abuut scams in real life. If you think they're just on Usenet, you're mistaken. J
turtill@hotmail.com - 18 Jan 2006 11:00 GMT >> >Nobody is guarding the henhouse in Washington, DC. >> >Don't you find that funny ? <g> - sad really. [quoted text clipped - 7 lines] >I'm talking abuut scams in real life. If you think they're just on Usenet, you're >mistaken. Unfortunately I am well aware of scams in every day life. The problem with Usenet is that it is where many folks are targeted because it is so easy. Why do you object to a yahoo group of your own as well as this ng? pete
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Figgertoes - 18 Jan 2006 14:40 GMT >>> >Nobody is guarding the henhouse in Washington, DC. >>> >Don't you find that funny ? <g> - sad really. [quoted text clipped - 13 lines] > this ng? > pete Not speaking for J, just me.
Who would keep up with them? Moderated groups need mostly full-time coverage 24/7 - right? Wouldn't many of the same people post to both? One of the great things about this group was that Socks could get answers whenever problems occurred - day/night as members live in different time zones.
Steph would be even busier or we'd need another doc.
This group is being hammered right now. Let's hope the MLM folks are about finished with their New Years resolutions to generate more biz & their attendance will fall off like it already has at my health club.
Fig
turtill@hotmail.com - 18 Jan 2006 17:42 GMT
>Not speaking for J, just me. > [quoted text clipped - 3 lines] >whenever problems occurred - day/night as members live in different time >zones. I never suggested closing this group down. I belong to a BMW yahoo group and I also subscribe to BMW ng's. The yahoo site is much more specialised and helpful and because it is moderated the behaviour os better. It is 24/7 too and there are provisions to have more than one mod if required.
>Steph would be even busier or we'd need another doc. On a Yahoo group Steph would not be distracted by nonsense.
>This group is being hammered right now. Let's hope the MLM folks are >about finished with their New Years resolutions to generate more biz & >their attendance will fall off like it already has at my health club. I post to a disability ng and that has and is still the target of spam and nonsense. Fortunately the folks there are pretty clued up about Usenet and can take care of the nonsense ok. I am saying close this group down. I am saying have a yahoo group too. pete
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bj - 18 Jan 2006 15:36 GMT > The problem with Usenet is that it is where many folks are targeted > because it is so easy. Why do you object to a yahoo group of your own as > well as this ng? You could start a yahoo group of your own -- & be the moderator/watchdog. If people want to join it, fine. There are already hundreds of cancer groups on Yahoo -- have you explored them?
Yahoo groups are not immune from spam, either. bj
turtill@hotmail.com - 18 Jan 2006 19:37 GMT >You could start a yahoo group of your own -- & be the moderator/watchdog. If >people want to join it, fine. There are already hundreds of cancer groups >on Yahoo -- have you explored them? > >Yahoo groups are not immune from spam, either. I don't want a yahoo group for myself. I was thinking about some of the folks here and of course about J who likes a bit of privacy and control too. I am happy with Usenet and always have been but some folks are not well enough informed to understand how it works and take care of ther problems that brought them here too. pete
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figgertoes - 17 Jan 2006 19:41 GMT > >> spammer wrote: > >> No policy will cover you for cancer diagnosed before you applied for [quoted text clipped - 12 lines] > some *permanent* exclusions, not just a waiting period, for a couple of > things that I had when I started the policy. Not quite true. Your time on the private plan would be credited on a group plan (that you are not in/have been in) for eliminating waiting period for pre-existing conditions. I don't know of any permanent exclusions on group plans except for things not covered for any group member. Most groups are employer-based, but not all.
> This spammer has been all over the place, too. I know. I wasn't interested in debating the merits of the poster's plan. I found the leading sentence startling & untrue. Just didn't want diagnosed people to read that & believe it.
Fig
Derek Hornby - 19 Jan 2006 22:02 GMT > *lot* of people who aren't in group plans, maybe not in any plan. I have an > individual plan Yes so do I it makes sense for peace of mind knowing that future care, and treatment needs are taken care of.
Derek
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