Ban Unfair “Pre-existing Condition” Practices

JWI Statement on Health Reform for Women:

Ban Unfair “Pre-existing Condition” Practices

Insurers offer women health care policies that exclude coverage related to certain "pre-existing" conditions. Only a handful of states guarantee health coverage for women; the remaining 45 states[i] allow insurers to use prior health insurance claims, health conditions and health history to deny, underinsure, or rescind health coverage. Unfair insurance practices take a toll on women's health.

Coverage is routinely rejected for future Cesarean sections if a woman has previously had a C-section.[ii]

A recent Congressional investigation into insurance practices for individuals diagnosed with cancer found nearly 20,000 rescissions from three large insurers over five years, saving them $300 million in medical claims – $300 million that instead had to come out of the pockets of people who thought they were insured.[iii]

Victims of domestic violence are routinely denied health coverage in Washington, DC and the following eight states: Idaho, Mississippi, North Carolina, North Dakota, Oklahoma, South Carolina, South Dakota, and Wyoming.[iv]

  • Health Reform must ban insurance practices that charge higher premiums based on health status and health history, and/or use pre-existing conditions to exclude coverage, rescind existing insurance or reject coverage outright.
  • Health Reform must provide women with a guarantee of available coverage.



The statistics are clear: Women need Health Care Reform!
To learn more go to: HealthReform.gov and National Women’s Law Center

[i] National Women’s Law Center, Nowhere to Turn: How the Individual Health Insurance Market Fails Women 10 (2008), http://action.nwlc.org/site/DocServer/NowhereToTurn.pdf?docID=601. 

[ii] Denise Grady, After Caesareans, Some See Higher Insurance Cost, New York Times (June 1, 2008) http://www.nytimes.com/2008/06/01/health/01insure.html?pagewanted=2&_r=1. 

[iii] Waxman H. and Barton J. Memorandum to Members and Staff of the Subcommittee on Oversight and Investigations: Supplemental Information Regarding the Individual Health Insurance Market. June 16, 2009. http://energycommerce.house.gov/Press_111/20090616/rescission_supplemental.pdf

[iv] National Women’s Law Center, Nowhere to Turn: How the Individual Health Insurance Market Fails Women 10 (2008), http://action.nwlc.org/site/DocServer/NowhereToTurn.pdf?docID=601. 

 
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