Starting tomorrow, you will no longer need to fear your insurance company will drop you just when you need help the most. And when your new policy year begins, your children up to age 26 are welcome to stay on your plan.
The American Diabetes Association has been weighing in at every turn on how the new rules can best meet the health care needs of people with diabetes and pre-diabetes, and we will continue to do so. Once fully in place, these sweeping changes will put an end to discrimination against people with diabetes in the insurance market. And we take a big leap down that road to fairness tomorrow.
Here are some of the changes taking effect as of September 23 (Please note some of these will impact you when your insurance plan's year begins):
- No Pre-existing Condition Exclusions for Children: Insurers are prohibited from rejecting children under age 19 because of their diabetes.
- No Dropping the Sick: Insurers are prohibited from rescinding policies to avoid paying medical bills when a person is diagnosed with diabetes or has a complication related to diabetes.
- No Lifetime Limits on Benefits: Lifetime caps on benefit coverage are prohibited, and there are new restrictions on annual limits as well.
- Young Adults Can Stay on Their Parents' Plans Until Age 26.
- Right to Appeal: New protections provide consumers with a way to appeal coverage decisions to their insurance company and to an external review process.
In addition, earlier this summer, new high risk pools were established for people who could not get insurance because of conditions like diabetes, and seniors began receiving a $250 rebate for medications they previously had to pay for on their own. For more information about what you can expect from the new law and a time line of when changes take effect, see the September issue of Diabetes Forecast® and healthcare.gov.