Got Obamacare and then went out and had a baby? Good luck getting that child covered under your new plan. The Associated Press reported last week:
You were patient with the government's kooky website, and now you have your health insurance card. That's good, since your family is expecting a new baby.
But you may have jump through more hoops to get the child formally added to your policy. The Obama administration confirms there is no quick and easy way for consumers to update their coverage under the new health law for the birth of a baby and other common life changes.
With regular private insurance, parents just notify the health plan. Insurers still must cover new babies, officials say, but parents will also have to contact the government at some point later.
For now, the HealthCare.gov website can't handle new baby updates, along with a list of other life changes including marriage and divorce, a death in the family, a new job or a change in income, even moving to a different community.
Such changes affect not only coverage but also the financial assistance available under the law, so the government has to be brought into the loop. But the system's wiring for that vital federal function isn't yet fully connected.....
Insurers say computerized "change in circumstance" updates to deal with family and life developments were supposed to have been part of the federal system from the start.
But that feature got postponed as technicians scrambled to fix technical problems that overwhelmed the health care website during its first couple of months.
"It's just another example of, 'We'll fix that later,'" said Bob Laszewski, an industry consultant who said he's gotten complaints from several insurers. "This needed to be done well before January. It's sort of a fly-by-night approach."
"We are currently working with insurers to find ways to make changing coverage easier while we develop an automated way for consumers to update their coverage directly," responded administration spokesman Aaron Albright.
A Dec. 31 circular from the Centers for Medicare and Medicaid Services addressed the problem.
In questions and answers for insurers, the government said that the federal insurance marketplace will not be able to add a child until the system's automated features become "available later." It does not provide any clue as to when that might take place.
The federal marketplace serves 36 states through HealthCare.gov and call centers. The Medicare agency, which runs the government's other major health programs, is also responsible for the coverage expansion under Obama's law.
The question-and-answer circular says parents with a new baby will be told to contact their insurer directly "to include the child immediately" on their existing policy.
After the federal system is ready to process changes, parents will have to contact the government to formally bring their records up to date. Albright said parents will be able to add a new child to their policy for 30 days... Rest of the story
1 comment:
Typical problem when government gets into a business they know nothing about and when the consumer has no other choice. They make rules and then "fix" it later meanwhile the consumer is left in limbo
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