The Little Princess & The Big Guy

The Little Princess & The Big Guy

Wednesday, March 24, 2010

It IS a *** big deal, Mr. Biden

I don't agree with many of the elements of the health care bill. The thought of being forced to buy insurance from industry giants sticks in my craw.
However, as per the Huffington Post, these are the 'need to knows' about the bill Mr. Obama signed.

1. And end to pre-existing condition issues: Health Insurers cannot deny children health insurance because of pre-existing conditions. A ban on the discrimination in adults will take effect in 2014.

2. Small Business Tax Credits - Businesses with fewer than 50 employees will get tax credits covering up to 50% of employee premiums.

3. Seniors Get 'Donut Hole' Rebate: Seniors will get a rebate to fill the so-called "donut hole" in Medicare drug coverage, which severely limits prescription medication coverage expenditures over $2,700. As of next year, 50 percent of the donut hole will be filled.

4. More Young Adults Covered On Parents' Plans: The cut-off age for young adults to continue to be covered by their parents' health insurance rises to the age 27.

5. No Lifetime Caps: Lifetime caps on the amount of insurance an individual can have will be banned. Annual caps will be limited, and banned in 2014.

6. Adults With Pre-Existing Conditions Covered: A temporary high-risk pool will be set up to cover adults with pre-existing conditions. Health care exchanges will eliminate the program in 2014.

7. New Insurance Plans Must Include Preventative Care: New plans must cover checkups and other preventative care without co-pays. All plans will be affected by 2018

8.The End Of 'Recissions:' Insurance companies can no longer cut someone when he or she gets sick.

9. Transparency In Insurance Companies: Insurers must now reveal how much money is spent on overhead.

10. Customer Appeals Process: Any new plan must now implement an appeals process for coverage determinations and claims.

11. Enhanced Fraud Abuse Checks: New screening procedures will be implemented to help eliminate health insurance fraud and waste.

12. Medicare Expansion To Rural Areas: Medicare payment protections will be extended to small rural hospitals and other health care facilities that have a small number of Medicare patients.

13. Deductions For Blue Cross Blue Shield: Non-profit Blue Cross organizations will be required to maintain a medical loss ratio -- money spent on procedures over money incoming -- of 85 percent or higher to take advantage of IRS tax benefits.

14. Nutrient Content Disclosure: Chain restaurants will be required to provide a "nutrient content disclosure statement" alongside their items. Expect to see calories listed both on in-store and drive-through menus of fast-food restaurants sometime soon.

15. Better Coverage For Early Retirees: The bill establishes a temporary program for companies that provide early retiree health benefits for those ages 55‐64 in order to help reduce the often-expensive cost of that coverage.

16. Better Consumer Information On The Web: The Secretary of Health and Human Services will set up a new Web site to make it easy for Americans in any state to seek out affordable health insurance options The site will also include helpful information for small businesses.

17. Encouraging Investment in New Therapies: A two‐year temporary credit (up to a maximum of $1 billion) is in the bill to encourage investment in new therapies for the prevention and treatment of diseases.

And, by the way, yes, Mr. Biden let the 'F-bomb' drop. B.F.D.

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