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Garret Lewis

Tucson Doctor Says No To Patient With Obamacare Policy

 

Good for this doctor.  Is he standing up for his belief? Maybe.  I think he's saying no because Obamacare policies may cost him lots of money.

People who receive the federal subsidy to be part of Obamacare will be allowed to incur a three-month “grace period” if they can’t pay their premiums and then simply cancel their policies, stiffing the doctors and hospitals.

Their only repercussion is that they have to wait until the following year’s open enrollment if they want coverage on the exchange.

Under Section 156.270 of the Affordable Care Act, the insured needs to pay a premium for just one month before qualifying for the three-month grace period. The insurance company must pay the claims during the first month of the grace period; during the second and third month doctors and hospitals are left to collect unpaid bills.

This loophole wasn’t lost on some unnamed individuals who queried the Department of Health and Human Services during an open comment period for the new law in 2011.

While officials at HHS did not respond to requests for comment on this story, they did offer a glimpse into their thinking in a March 27, 2012, report contained in the Federal Register.

“HHS will continue to explore options for incentivizing appropriate use of the grace period,” the register said.  “HHS will monitor this issue moving forward and will continue to work on the development of policies to prevent misuse of the grace period.”

Experts say the federal government has given people the green light to commit fraud.

“In a sense, it legalizes fraud,” said Wesley J. Smith, a senior fellow at the Discovery Institute of Human Exceptionalism and a frequent critic of the Affordable Care Act. “It legalizes putting your burdens on the insurance companies’ shoulders and never paying your premiums. The government wants people to be irresponsible and apparently they want the whole system to descend into chaos.”

Click here for the rest of this story.

Too many people don't know this and that includes the reporter from KVOA.  I'm friends with a specialist in town that told me ACA or Obamacare policies pay just 60-70 percent of Medicare and Medicare pays much less than regular insurance policies.  So, the reporter was also flat out wrong about claiming the reimbursement rates are the same.  ACA policies reimburse doctors much less than the regular, non-ACA policies.  

I just wish this doctor would come out publicly and let people know he can't afford to take the chance of doing a surgery and not just get reimbursed poorly, but be stuck paying the bill.

Click here to see the KVOA story and read the uneducated comments.

 

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