Sen. Manchin: Only People Covered By Protect Act Are Senate Republicans
* * *
"For 10 years,
Background
Senator
* The proposal fails to provide an explanation for "treatments" for pre-existing condition exclusions. Meaning that while a consumer with pre-existing conditions can gain coverage, the bill could allow insurers to exclude certain types of care. For example, a patient with a history of cancer would gain insurance coverage, but the insurer would be able to exclude coverage for screenings or treatment for a reoccurrence of cancer.
* It poses no limit on how much more insurers in the individual market could charge a patient dependent on health status, age gender or occupation. Meaning a woman of childbearing age could be charged more because of her gender, as well as a 50 year old with heart disease, because of their age.
Current protections for patients with pre-existing conditions include:
- Guaranteed access to insurance in the individual market regardless of health. Previously, insurers typically used medical underwriting to deny coverage to people with pre-existing conditions, and also excluded coverage of any pre-existing conditions for people who were accepted.
- Community rating in the individual and small business markets, prohibiting insurers from varying premiums based on people's health, which was common before the ACA.
- Required coverage of essential benefits. Prior to the ACA, insurers in the individual market often excluded coverage of maternity, mental health, and substance abuse.


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