Posted on 03/18/2014 8:24:04 AM PDT by grundle
Tony Snow
And it still only paid...I think it was 60% once all that was met. That is not insurance it is pure theft.
A pre-existing heart condition should have no bearing on treating someone for cancer. Unless the said treatments would cause his heart to fail.
That, or otherwise reduce his chances to something minuscule right off the bat. Chemo is usually pretty hard on the body.
We have no indication of this.
We have no clear statement of it, but it’s an obvious reason. It would be a better article if a bunch of things were more clearly stated.
The fact of the matter is that pre-existing conditions are covered under Obamacare.
They are covered to the extent that the treatments are covered, new or pre-existing. There are other articles than this one which describe the covered treatments narrowing from plans people had previously. The main ones I recall were complaining about the inability to cancel functionally useless plans.
When I retire later this year, I will fall under TriCare Prime. The annual family enrollment fee is Family: $547.68 per year Then there are co-pays but they are really not steep at all: Tricare Copays
If I move out of the Prime area coverage or system then like many plans it is a 80%/20% deal.
Years ago I never thought being part of any military health care system active duty or retired was a good deal. Now after seeing Obamacare, I have a pretty good deal.
I agree, Redleghunter.
My father was in a position where oncologists refused chemo because they thought the chemo would hurt him more. The insurance company didn't refuse to pay for chemo; the doctors were making that decision.
If the pastor had a heart condition that could be worsened with chemo, an oncologist might decide not to treat him. He's receiving chemo, so his oncologist must have no objection to him receiving it. So, why would the insurance company object?
It really sounds as if, like I think you suggested earlier, his insurance plan through the church just was not a very good one. Hopefully people will help this pastor, run a fundraiser, etc., to help him pay off that big bill. Then he can focus on just getting well.
Absolutely a no-brainer right there. :-)
I was diagnosed with stage 3A colon cancer a couple of years ago at the age of 44.
A few years ago, I read that stage 3 colon cancer has a very good prognosis.
But, even if the survival rate were, say, 6%, fighting cancer is still worth a try because - who knows? - the patient could be in that 6%. Sadly, I had a relative (only 42 with two young sons) fighting a rare type of colon cancer the same year I was fighting cancer. Unfortunately, in her case, the specific type of cancer was particularly brutal. She fought so hard, but she didn't make it through the year. She was beautiful, by the way. And, with a young family to raise, she did everything she could to try to beat it - starting with chemo and, when it didn't work, her husband drove her everywhere looking for clinical trials. It was worth the try, for her sons' sake.
This is about gross coverage eligibility, not about treatment protocols.
My sympathies on the loss of your friend. Heartbreaking, she was very young and the children...
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