While everyone is moaning about the Affordable Care Act my insurance company just notified us they’ll no longer cover the reflux meds two of my kids need.
In addition they’re no longer covering my allergy meds.
Sounds about right.
I won’t begin to get into how they won’t cover the amino acid based formula Little Miss needs at $50 a can…
{/rant}
A change in coverage
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“If you like your doctor, you will be able to keep your doctor. Period. If you like your health care plan, you will be able to keep your health care plan. Period. No one will take it away. No matter what.â€
President Obama, July 2009,
Yeah – easy to blame every change in health care/insurance on the Affordable Care Act now isn’t it? Insurance has been pulling this sort of stuff for years. Laurie received these types of letters long before the Affordable Care Act was even discussed. It’s all about bottom line profits. Always has been – always will be.
It was a Republican legislature in Texas that mandated all insurance in the state of Texas must cover amino acid based formulas if it was a medical necessity – however they left a loophole in the bill that said self-funded insurance plans (i.e. the state run Teachers Retirement System) did not fall under that requirement. So while my cousin gets the exact same formula for her baby, who was born 4 days before mine, at $10 a can – we get to pay $50 a can.
The Affordable Care Act has nothing to do with that and yet everyone I’ve told this to points fingers at the Affordable Care Act before they hear the full story.
Obama was wrong to make a blanket statement like he did. He has no control over what drugs Insurance companies choose to cover or not cover – and he has no control over what doctors/hospitals an insurance company chooses to work with. And he can’t guarantee that a doctor that was part of the plan last year will be a part of the plan next year. Baylor UMC just did a huge change in their insurance giving preferred treatment to Baylor physicians and hospitals. Obama can’t force that or stop it.
The Affordable Care Act isn’t forcing my insurance company to stop covering certain meds – but it is forcing them to be sure they put coverage costs at a higher premium than admin costs. Obviously, my health care plan decided it wasn’t beneficial to cover what my family needs.