| Moodchangers,
Dr. Feelgood, and health insurance
Recently
I was completing a health insurance application for
a young, dynamic plaintiff attorney in seemingly excellent
physical health. All the "have you ever had or
are now having symptoms, treatment, surgery, or a diagnosis
of any of the following" health questions in the
application were answered with a favorable "No."
I continued, "Which prescription medications are
you currently or have taken within the last 24 months."
His answer: "None, really, jus a little Xanax every
once in a while, rarely actually, that my doctor prescribed
for when I feel a little uptight, but that's all."
This entry in a health insurance application will set
off raised eyebrows and a battery of questions in an
insurance company underwriting department. They will
need to know, in detail, from the attending physician,
"Severity? When? Medications and Dosage? Recurrence?"
My experience has been that the chances of obtaining
health insurance coverage in this type of case will
include a very long wait to obtain a decision and a
70 to 90 percent rate of declination.
In summary, the chances for this young, healthy specimen
of a man to obtain an individual health insurance policy
are slim to none. If he does get lucky he will have
a restrictive rider and/or a hefty premium increase
in his insurance policy.
How about an attractive, athletic female tennis player
on a partial tennis scholarship at a university?
She did not want to gain weight and became mildly obsessive
about the possibility of putting on pounds. She told
her doctor about her concern and he immediately prescribed
Prozac, which she took for three months over a year
ago, never touched the drug again, and she got over
her obsessive-compulsive mood. Flat-out decline! No
health insurance, NADA!
Mood-changing drugs are a valuable tool in the physician's
medicine chest; however, I see too many applicants for
health and life insurance who are being blackballed
because their physicians employ what I call "the
pill of the moment" quick-relief therapy.
Insurance companies are scared to death of a mental
or nervous condition. I have been to seminars conductedby
insurance companies that declare a fear of these conditions
by saying, "The problem is that we have difficulty
pinpointing when these conditions started and the prognosis
is always vague. So rather than dealing with this uncertainty,
we simply decline to issue the policy."
My solution to a portion of this problem is so dern
far-fetched and simple that I know a good Mercedes-Benz
and Hummer-driving physician will laugh at me and add
a good dose of hate to the boiling pot.
Shoot, here it goes anyway: REDUCE YOUR PATIENT LOAD,
DR. FEELGOOD!
As to the other culprit (insurance companies): WHAT
HAPPENED TO TAKING A RISK ONCE IN A WHILE!
Pray for out soldier, sailors, aviators, and innocent
Iraqi civilians. Implore God to keep George W. Bush
and his cohorts from continuing to mess up this great
nation by their gross inefficiency.
(Please
send your insurance questions to Henri D. Kahn, c/o
LareDOS, 1812 Houston St. 78040; fax 791-4737; or e-mail
laredos@swbell.net.)
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