HEARING - U.S. Senate Special Committee on Aging

HEARING - U.S. Senate Special Committee on Aging HEARING - U.S. Senate Special Committee on Aging

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115 - 13- (B) State risk pools. If the goal is to increase the adoption of state risk pools, it is not sufficient to merely "encourage the formation of state risk pools to subsidize insurance for those whose medical condition makes it impossible or prohibitively expensive to get insurance." [p. 114]. Legislation is needed to provide states with strong incentives to establish such risk pools. (C) Medicaid Exoansion Option. One positive option discussed in the Report is not recommended: "Permit all individuals below some income level to purchase Medicaid coverage on a sliding premium scale depending on income." [p. 87-. The Report estimates that if the plan included all people under 125% of the poverty line, with premiums limited to 5% of income could cost as much as $15 billion if all eligible people enrolled. The Report fails to estimate the cost savings that would be achieved: many people presently on AFDC and medicaid are deterred from taking a job because they will become ineligible for medicaid and will be unable to obtain affordable health insurance. Note also that even this inflated cost estimate is less than the present federal subsidy for the exclusion from taxation of the employer-paid health insurance premiums (which benefit primarily middle and upper-income people).

Consunmer Unon Pubtishcr of Consumer ReSors 116 Senator John Melcher, Chairman ong>Specialong> ong>Committeeong> on Aging United states ong>Senateong> Washington, D.C. 20510-6400 Dear Senator Melcher: Item, 5 February 17, 1987 I appreciate your invitation to testify at the ong>Specialong> ong>Committeeong> on Aging's January 26, 1987 hearing on catastrophic health care costs. While my testimony of that date sets out Consumers Union's overall position on catastrophic health insurance, I would like to submit some additional comments in response to the statement of the Health Insurance Association of America (which was presented by Mr. Robert Shapland). Consumers Union strongly disagrees with the HIAA portrayal of medigap insurance as "a public/private sector success story" and with the view that "the current combination of private and public coverage is serving the public well." While it is true that 70% of the elderly have purchased private health insurance to supplement Medicare, this in itself is not indicative of a healthy marketplace. Problems that remain in this market include: 1. Dup lcivepolicies. Many Medicare-eligible continue to be sold overlapping, duplicative policies. Our San Francisco office identified a 79-year-old woman with five overlapping medicare supplement policies, three nursing home policies and one hospital indemnity policy, amounting to $6500 per year in premiums. Other couples were found to have $10,000 and $13,000 worth of overlapping medigap policies. 2. Indqte information. The level of understanding of just what Medicare and Medicare supplement policies cover continues to be very low. For example, 70 percent of the population over age 65 believes that Medicare would cover any long nursing home stay, and half of those with medigap policies believe that they are covered for long-term care expenditures. Washington Offi e Suite 520. 2001 S Street. Norihwest -Washington. D C 20009 (202) 462-5262

C<strong>on</strong>sunmer<br />

Un<strong>on</strong><br />

Pubtishcr of C<strong>on</strong>sumer ReSors<br />

116<br />

Senator John Melcher, Chairman<br />

<str<strong>on</strong>g>Special</str<strong>on</strong>g> <str<strong>on</strong>g>Committee</str<strong>on</strong>g> <strong>on</strong> <strong>Aging</strong><br />

United states <str<strong>on</strong>g>Senate</str<strong>on</strong>g><br />

Washingt<strong>on</strong>, D.C. 20510-6400<br />

Dear Senator Melcher:<br />

Item, 5<br />

February 17, 1987<br />

I appreciate your invitati<strong>on</strong> to testify at the <str<strong>on</strong>g>Special</str<strong>on</strong>g><br />

<str<strong>on</strong>g>Committee</str<strong>on</strong>g> <strong>on</strong> <strong>Aging</strong>'s January 26, 1987 hearing <strong>on</strong> catastrophic<br />

health care costs. While my testim<strong>on</strong>y of that date sets out<br />

C<strong>on</strong>sumers Uni<strong>on</strong>'s overall positi<strong>on</strong> <strong>on</strong> catastrophic health<br />

insurance, I would like to submit some additi<strong>on</strong>al comments in<br />

resp<strong>on</strong>se to the statement of the Health Insurance Associati<strong>on</strong> of<br />

America (which was presented by Mr. Robert Shapland).<br />

C<strong>on</strong>sumers Uni<strong>on</strong> str<strong>on</strong>gly disagrees with the HIAA portrayal<br />

of medigap insurance as "a public/private sector success story"<br />

and with the view that "the current combinati<strong>on</strong> of private and<br />

public coverage is serving the public well." While it is true<br />

that 70% of the elderly have purchased private health insurance<br />

to supplement Medicare, this in itself is not indicative of a<br />

healthy marketplace. Problems that remain in this market<br />

include:<br />

1. Dup lcivepolicies. Many Medicare-eligible<br />

c<strong>on</strong>tinue to be sold overlapping, duplicative<br />

policies. Our San Francisco office identified a<br />

79-year-old woman with five overlapping medicare<br />

supplement policies, three nursing home policies and<br />

<strong>on</strong>e hospital indemnity policy, amounting to $6500 per<br />

year in premiums. Other couples were found to have<br />

$10,000 and $13,000 worth of overlapping medigap<br />

policies.<br />

2. Indqte informati<strong>on</strong>. The level of understanding<br />

of just what Medicare and Medicare supplement<br />

policies cover c<strong>on</strong>tinues to be very low. For<br />

example, 70 percent of the populati<strong>on</strong> over age 65<br />

believes that Medicare would cover any l<strong>on</strong>g nursing<br />

home stay, and half of those with medigap policies<br />

believe that they are covered for l<strong>on</strong>g-term care<br />

expenditures.<br />

Washingt<strong>on</strong> Offi e<br />

Suite 520. 2001 S Street. Norihwest -Washingt<strong>on</strong>. D C 20009 (202) 462-5262

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