Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

bluestarone

(16,976 posts)
Fri Aug 20, 2021, 11:02 AM Aug 2021

Asking a question here for the smart ones we have onboard!

Would it be legal and possible for insurance companies to announce that they WILL NOT cover hospital treatment care (of Covid-19) for the UNVACCINATED? I mean set a DATE that say after Jan 1st. 2022, NO VAX? NO COVERAGE! THIS , i think would make people think twice about the shot!

18 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
Asking a question here for the smart ones we have onboard! (Original Post) bluestarone Aug 2021 OP
I don't see this being possible. LuckyCharms Aug 2021 #1
While they could deny coverage, I doubt they will... Ohio Joe Aug 2021 #2
This may help. ❤ littlemissmartypants Aug 2021 #3
TY saw this bluestarone Aug 2021 #4
Most have already shifted costs back to the patient Fresh_Start Aug 2021 #5
Agree! bluestarone Aug 2021 #6
Are you serious? womanofthehills Aug 2021 #7
The OP limited the policy to Covid 19 related treatment thucythucy Aug 2021 #8
Are YOU serious? bluestarone Aug 2021 #9
Some of them have already done something like that. I think it's a great idea. George II Aug 2021 #10
Yea it's time to do SOMETHING bluestarone Aug 2021 #11
I expect all of us will be paying higher insurance premiums soon as a result of anti-vaxxers. Midnight Writer Aug 2021 #12
Here's a simple answer... brooklynite Aug 2021 #13
Insurance plans already increase premiums and deductibles for smokers yellowdogintexas Aug 2021 #14
Companies may opt for this to keep premiums down JT45242 Aug 2021 #15
Not ACA compliant policies. Ms. Toad Aug 2021 #16
As it should be sarisataka Aug 2021 #17
Yes, and apparently they have forgotten Ms. Toad Aug 2021 #18

LuckyCharms

(17,444 posts)
1. I don't see this being possible.
Fri Aug 20, 2021, 11:05 AM
Aug 2021

It's kind of like them not paying for treatment for lung cancer patients who smoke, or not paying for liver disease treatment for people who drink excessively.

Ohio Joe

(21,758 posts)
2. While they could deny coverage, I doubt they will...
Fri Aug 20, 2021, 11:06 AM
Aug 2021

They want to make money so they would simply put them in their own category and charge them as much as they could.

Fresh_Start

(11,330 posts)
5. Most have already shifted costs back to the patient
Fri Aug 20, 2021, 11:15 AM
Aug 2021

and since most of the patients are now unvaccinated, it sort of accomplishes your goal

womanofthehills

(8,718 posts)
7. Are you serious?
Fri Aug 20, 2021, 11:18 AM
Aug 2021

So, under this plan a young teen whose low income parent will not Vax them would not be able to get a broken bone set at a hospital. We need more compassion on this site

thucythucy

(8,069 posts)
8. The OP limited the policy to Covid 19 related treatment
Fri Aug 20, 2021, 11:31 AM
Aug 2021

so your hypothetical teen with a broken bone would not be at risk.

What IS happening--and apparently this is legal--is private insurers are no longer waiving the co-pays that accrue relating to Covid 19 hospitalizations. Since the vast majority of those hospitalized are people who have chosen to be un-vaccinated, the impact is about the same--no vaccine = no waiving of the costs of hospital treatment.

I would hope however that costs would continue to be waived for people with legitimate medical reasons for remaining un vaccinated, and for children not yet eligible for the vaccines.

bluestarone

(16,976 posts)
9. Are YOU serious?
Fri Aug 20, 2021, 11:32 AM
Aug 2021

Did you READ what i wrote? NO coverage for COVID TREATMENT only! CAN you READ? Give me a break!!

Midnight Writer

(21,768 posts)
12. I expect all of us will be paying higher insurance premiums soon as a result of anti-vaxxers.
Fri Aug 20, 2021, 11:44 AM
Aug 2021

Why that is not a Democratic Party talking point is beyond me.

If we don't use it against them they will use it against us, just like rising gas prices.

brooklynite

(94,598 posts)
13. Here's a simple answer...
Fri Aug 20, 2021, 11:46 AM
Aug 2021

Your health insurance is a contract between you and the company. COVID vaccine is not yet an approved (non-emergency) solution. Would you want the insurance to have the ability to cancel your policy for some other treatment you didn’t take?

yellowdogintexas

(22,264 posts)
14. Insurance plans already increase premiums and deductibles for smokers
Fri Aug 20, 2021, 11:55 AM
Aug 2021

These are big plans and it is something the company's benefits committee will work out with the carriers. It may be that increasing premiums and deductibles is the only option. However if it can be done the way the OP suggested, some carrier/employer team will try it. State insurance law has to be taken into consideration.

At benefit selection time, most of these large employers offer more than one plan, and most folks choose based on deductible and premium costs and not the approved services, or network availablilty. A good friend switched plans based on price and a necessary service was denied -her former plan had covered it. She blamed "ObamaCare" so I had to explain it was her employer's fault.

JT45242

(2,280 posts)
15. Companies may opt for this to keep premiums down
Fri Aug 20, 2021, 12:36 PM
Aug 2021

As contracts expire and get renewed, I did venture that this will be a major carrot/stick for employer plans.

1. If you do not require vaccinations, then all premiums go up ...both the employee and employer portions... And they will go up a lot.
2. If you do require vaccinations, then lower cost increases.

3. Only higher premiums for non vaccinations... employer pass on all costs to those employees.

As a former union rep, I wod totally endorse 2 or 3 options

Ms. Toad

(34,076 posts)
16. Not ACA compliant policies.
Fri Aug 20, 2021, 12:49 PM
Aug 2021

ACA policies cannot discriminate based on disease - to prevent insurance companies from selecting expensive conditions from coverage (as many did, or tried to do, with HIV/AIDs).

ACA plans must cover all essential services: https://www.healthcare.gov/coverage/what-marketplace-plans-cover/

sarisataka

(18,663 posts)
17. As it should be
Fri Aug 20, 2021, 01:18 PM
Aug 2021

Have people forgotten how hard it was to fight to get the ACA? We wanted companies to cover "avoidable" health issues like HIV... and childbirth.

Why do we want to give the power back to insurance companies to pick and choose what will be covered? Is it because we think only "those people " will not get the vaccine? There are people, I work with one, who cannot get the vaccine even though there desperately want it.

Ms. Toad

(34,076 posts)
18. Yes, and apparently they have forgotten
Fri Aug 20, 2021, 01:54 PM
Aug 2021

the policies which cost an arm and a leg (or more), and excluded any pre-existing condition permanently (if they would even issue a policy), and excluded coverge for many expensive conditions and drugs.

I've lost track of how many threads I've jumped into to remind people about the basic premises of the ACA.



















Latest Discussions»General Discussion»Asking a question here fo...