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JoePhilly

(27,787 posts)
21. Its through their standard insurance.
Wed May 22, 2013, 09:21 AM
May 2013

My sister and her husband had standard insurance for their family, but it rarely covered anything for my niece that was more than colds, flus, and sports injuries. Her other issues, the kidney stones, bad headaches, and other things that might be related to the chemo treatment she had when she was 2 were not covered. Claims for those would be denied.

The cancer she had was a nerve cancer that is usually fatal because it almost always occurs in the brain and has almost no symptoms until its too late. In her case, the cancer was on the nerves near her pancreas. For some reason, it caused her to get high fevers for apparently no reason. After a ton of tests they found the cancer, and fortunately they caught it early enough to treat. The survival rate for this cancer is usually under 10%. She took powerful chemo and other drugs for about 4 months. And she survived. But one of the major risks of the treatment will be other medical issues later in her life.

This is the part of Obamacare that applied to her ...

http://www.healthcare.gov/law/features/rights/childrens-pre-existing-conditions/index.html

Prior to Obamacare, their insurance company would deny various treatments based on her earlier cancer.

After Obamacare was passed, they could no longer do that. They have to cover these treatments.

This part of the preexisting condition element of Obamacare, the part for children, went into effect right away. That same protection will ultimately roll out to everyone.

Recommendations

0 members have recommended this reply (displayed in chronological order):

Everyone is insured zipplewrath May 2013 #1
The problem is actually a shell game that has been played by Providers for years. riqster May 2013 #2
Ah, thanks for that bit of info. That makes a lot of sense. nt BenzoDia May 2013 #10
Okay but zipplewrath May 2013 #11
What he's saying is that providers are taking phantom losses. BenzoDia May 2013 #12
Right, but zipplewrath May 2013 #14
Gotcha. There will be people who don't comply with the law and still go to the hospitals. BenzoDia May 2013 #16
Not everyone is supposed to be insured now riqster May 2013 #13
But the mandate starts in 2014 zipplewrath May 2013 #19
Please read the details. nt riqster May 2013 #20
Here's a little story of how this works......broke my ankle.... a kennedy May 2013 #23
Not till next year. This part has already taken affect. pnwmom May 2013 #27
That makes no sense leftstreet May 2013 #3
D'oh! Typo riqster May 2013 #4
Most providers "charge" the same now, it is what they accept that's important. Hoyt May 2013 #5
No, providers can and do charge up to 5X the amount riqster May 2013 #6
Article shows insured and uninsured get charged the same. Then, Hoyt May 2013 #7
I know someone without insurance and I saw her bill. They scared her to death pnwmom May 2013 #28
That's Communism pure and simple Kingofalldems May 2013 #8
Obamacare has done absolutely nothing for me... Gravitycollapse May 2013 #9
I'm a medicaid worker Puzzledtraveller May 2013 #15
My 17 year old neice, who had cancer at 2, now gets full coverage. JoePhilly May 2013 #17
Mind if I ask if she was covered by in Pre-existing condition insurance pool or standard insurance? BenzoDia May 2013 #18
Its through their standard insurance. JoePhilly May 2013 #21
The law was passed how many years ago? Almost 4. Gravitycollapse May 2013 #24
Ummm ... I guess the wait could have been longer ... right? JoePhilly May 2013 #25
So because I'm no worse off, that means Obamacare was a success... Gravitycollapse May 2013 #26
It has been a success for many but not yet for all. JoePhilly May 2013 #30
You can't blame every failure on the Republicans. Obama had the nation behind him... Gravitycollapse May 2013 #31
Thanks for sharing. That's wonderful! BenzoDia May 2013 #29
More links for those who doubt: riqster May 2013 #22
Latest Discussions»General Discussion»We Told You So (How Obama...»Reply #21