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Anyone ever heard of $1000.oo per year medication cap health insurance?

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mdmc Donating Member (1000+ posts) Send PM | Profile | Ignore Sat May-17-08 10:34 PM
Original message
Anyone ever heard of $1000.oo per year medication cap health insurance?
Is it true that some health insurance providers only allow $1000.oo per year coverage for medications? Anyone ever heard of this?
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napi21 Donating Member (1000+ posts) Send PM | Profile | Ignore Sat May-17-08 10:42 PM
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1. I haven't heard of $1,000 cap, but my hubby's has a $6,000 cap which
made his plan non-compliant with the medicare drug laws, so even though his meds don't come even close to $6,000/yr. I have to pay for a medicare drug insurance plan each month, even though he will not use it! Really pi**es me off every time I pay that bill! He turned 65 in 2007 but is continuing to work because we can afford health insurance for ME through a private plan, so I'm still covered under his ins. at work. If we hadn't enrolled in this medicare compliant ins. we would be penalized forever...till we die, a certain % each month for not doing so. I really wonder about the mentality of the idiots who put this junk together!
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mdmc Donating Member (1000+ posts) Send PM | Profile | Ignore Sat May-17-08 10:46 PM
Response to Reply #1
3. creation by groupthink
we need a lawyer to understand our coverage
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Selatius Donating Member (1000+ posts) Send PM | Profile | Ignore Sat May-17-08 10:50 PM
Response to Reply #1
4. That's why I favor French-style single-payer health insurance.
Edited on Sat May-17-08 10:52 PM by Selatius
It's a far cleaner, simpler system. None of these nonsensical rules you are running into that penalize you. There is one insurance entity, run by the state. It's non-profit, so it doesn't fight for every penny every time you register a claim, and it represents everyone, so it has awesome bargaining power in terms of negotiating lower prescription drug prices and the cost of various medical procedures.

If you are a citizen or legal resident, you're covered, period. In France, their taxes pay for this system.
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havocmom Donating Member (1000+ posts) Send PM | Profile | Ignore Sat May-17-08 10:45 PM
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2. Have heard of such a thing
Guessing we will hear more of such limitations. We are hearing some real horror stories of the lengths many companies are going to in the effort to avoid paying legitimate claims to long time patrons.

When the stock market does not preform to the insurance companies/share holders' expectations, insurers have sic their bean counters on their patrons to try and save any buck they can get away with. WHen stock market was soft years ago, insurance companies soaked auto insurance policy holders with HUGE and sudden increases.

All connected. And one more reason we HAVE to go to single payer.
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