11-11-2016, 10:56 PM
$tevie wrote:
One is a ban on insurers denying coverage for pre-existing conditions.
I have posted this before but I will try again. A ban on a denial based on a preexisting condition doesn't make any sense separated from a process for setting the rate. Otherwise, the insurance company can just set your rate at 1000x or 10,000x the market price.
There are three deeply interrelated concepts:
"coverage for preexisting conditions": the policy covers conditions that existed before signing up
"guaranteed issue": the company will sign you up no matter what your medical history
"community rating": the cost of a policy is based on a shared risk pool, not the individual's medical history.
You can't really do one without the others.