To: Henry Niman who wrote (28383 ) 2/25/1999 3:14:00 AM From: Cheryl Galt Read Replies (2) | Respond to of 32384
(Off Topic) Greg and Henry -- Re Medicare and Managed Care Here's today's news from Washington State, which may be typical of things happening in other states, because a federal law is involved. Greg, you said: >> When you talk of being aware on these boards of how managed care will affect our future health care, IMO people better take notice. Everyone should take a long hard look at the huge amount of money involved, and ask themselves some questions: 1.Is your insurance company interested in YOUR health, or THEIR profits? << Greg, does your thinking connect with the attached article? Any comments? ----------------------------------------- The article's about Medigap insurance, needed to cover prescriptions -- because Medicare does NOT generally cover drugs. I don't know much about Medicare and insurance, except for the record keeping I did for my folks during their last 18 months. (I still have that huge tub full of hanging folders.) But I do know, they weren't up to handling their paperwork, or verifying that their coverage was intact. Washington State elders without someone to double check their affairs may be in for a sad surprise. ---------------------------------- This link is permanent - seattletimes.com March 4 is the deadline to apply for Medigap plan " If you were among the 31,000 Washington state seniors - 11,000 in King County - who were dumped by their managed-care plans late last year, and you haven't enrolled in another managed-care plan, you've got until midnight March 4 to sign an application for a Medigap plan. If you meet that deadline, you'll get the best possible deal. After March 4, you could be denied coverage, or find waiting periods in effect for pre-existing conditions.... Under the 1997 federal Balanced Budget Act, if you remained in your managed-care plan through Dec. 31, 1998, you had a 63-day "window" to purchase a Medigap plan." -------------------------------------------------- Most of these people got "dropped" only because their managed care provider decided to no longer cover this age group, or because it's able to drop a customer after 12 months. Those who for some reason do not re-connect with a new company will no longer have insurance coverage for prescriptions. The Washington State insurance office has lined up a pool of 400 volunteers to assist people (state-wide) -- at least those aware enough to know that assistance exists. Is this sort of thing happening in other states? Is this on topic? Might this affect projections of prescription sales in any significant way? Any opinions? Cheryl