Is Your Pre-Existing Condition Really Covered Under ObamaCare?


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One of the selling points of ObamaCare is the claim that one cannot be denied coverage due to a pre-existing condition.  However, what if you’re covered under ObamaCare, but your providers are not part of any ObamaCare plan?  Poor Richard’s has more…

from Forbes (emphasis mine):

For someone in the middle of a cancer treatment, or someone with a chronic condition, this can be extraordinarily distressing, and perhaps dangerous to their health.

Edie Littlefield Sundby writes in the Wall Street Journal that she is on the verge of losing her treatment program for stage-4 gallbladder cancer. Why? Her existing plan doesn’t meet the ACA standards, so it has to be canceled. Her treatment program involves doctors at both the Stanford and UC San Diego medical centers, and the M.D. Anderson Cancer Center in Texas – but there is no plan in the California exchange that includes both Stanford and UCSD centers in it network, much less M.D. Anderson. In fact, UCSD has joined only one provider network, and it’s a heretofore almost unknown type called an “Exclusive Provider Organization” (EPO). The “exclusive” means that in an EPO, coverage is provided exclusively within the network – there is no out-of-network coverage at, except what uninsured people get at the emergency room.

Despite the President’s repeated promises, there is no way Ms. Sundby can keep all of her current doctors, or her health plan, in the new system. Her preexisting condition doesn’t prevent her from enrolling in any of the new Obamacare exchange plans – but none of those plans actually cover the same treatment she was receiving for her preexisting condition.

Ms. Sundby’s predicament is probably not an isolated case. Abby Goodnough of the New York Times reports that many people are having extreme difficulty finding out whether the plans they are shopping on the exchanges will cover the current doctors or hospitals they go to, or the drugs they take.

read the rest

So, Ms. Sundby had a plan that she liked, and it was covering her providers, who were treating her cancer.  But, according to our ObamaCare  loving regressive friends, her plan was junk, and had to be cancelled.  Now, she can get a plan, but none of them will cover her providers.  So, technically, she has ObamaCare coverage, but no treatment.

Of course, the regressives will blame that on someone else.  If she dies, it will be a small price to pay towards the regressive’s control of healthcare.

  • jfmoris110

    Obama lied. people are dying. It’s not the same as the “Bush lied ” meme the dems howled for years:
    – being wrong is not the same as lying
    – reporting a widely held belief does not make you responsible for it
    – it’s not like Bush invaded Iraq hoping his party would gain control of 1/6th of the American economy, and thereby political dominance. Someone who lies for gain is far worse.

    And that’s not even mentioning that Saddam:
    – had large stockpiles of uranium anyway
    – had chemical weapons, and used them
    – had rockets capable of reaching Israel (scuds)
    -had plenty of time to export stuff – to Syria, perhaps?

    What is a big lie:
    – the unfair accusation of a lie, used to hammer a political opponent until everyone believes it.
    – this is a regular pattern of behavior for democrats. They use their dominance of the bureaucracy, media, and legal branch to push false charges against their opponents, often timed right before elections (and dismissed disgracefully, afterwards).
    – Using their lies to profit- when they win election, they loot the treasury giving out benefits to supporters, and creating laws which profit their faction at the expense of others (lawsuits, green energy, unions, welfare leeches, education monopoly….)
    -using their lies to establish moral equivalency. They balance the evils they commit with shrill, unfair, manipulative, lying accusations against their opponents. And the always present thug tactics – riots and abusive protests.

    Many democrats I’ve talked to seem very willing to agree that politicians are crooks. But when I provide examples of how crooked the democrats are, their responses are just stupid lies /propaganda:
    – bush stole that election
    – bush lied about saddams weapons
    – trickle down economics/ can’t drill away our energy problems/ oil company subsidies/ …..
    And the fact is, they seem to proudly elect the biggest liars available –
    the Obamas are lawyers who gave up their liscenses? They are too crooked to be lawyers in chicago!!

  • conservativesonfire

    But, she can die knowing some third generation welfare bum is getting free health care. How nice!

  • Carrie Barton

    What difference does it make? Hillary
    Some people will live and some will die Kathleen. Sebelius said this about a 10 year old child. The stories are out there. The only thing, the people in charge of us and telling us what we are allowed to do abd not allowed don’t care. Why should they? They don’t know us