HEARING - U.S. Senate Special Committee on Aging
HEARING - U.S. Senate Special Committee on Aging HEARING - U.S. Senate Special Committee on Aging
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
- Page 67 and 68: 64 Chairman MELCHER. Senator Heinz.
- Page 69 and 70: 66 Mr. SHAPLAND. I think we are in
- Page 71 and 72: 68 Those problems are real problems
- Page 73 and 74: 70 Mr. SHAPLAND. Oh, no. There are
- Page 75 and 76: 72 comprehension, and it is growing
- Page 77 and 78: 74 that educational process, and we
- Page 79 and 80: 76 So we have supported and activel
- Page 81 and 82: 78 Mr. SHIAPLAND. How much would nu
- Page 83 and 84: 80 rently being offered by the indu
- Page 85 and 86: 82 Recently, Karri Lynn has started
- Page 87 and 88: 84 Mr. Chairman and Members of the
- Page 89 and 90: 86 standards for voluntary certific
- Page 91 and 92: 88 non-group subscribers of reporti
- Page 93 and 94: 90 We believe a new federal program
- Page 95 and 96: 92 However, public awareness is nee
- Page 97 and 98: 94 Item 3 Testi~ony of GAIL SHEARER
- Page 99 and 100: 96 to Secretary Bowen's proposals c
- Page 101 and 102: 98 -4- most-states do not monitor t
- Page 103 and 104: 100 Catastrophic Protection within
- Page 105 and 106: 102 - a - participants and in part
- Page 107 and 108: 104 - 2-- Consumers Union suV orts
- Page 109 and 110: 106 29), but fails to acknowledge t
- Page 111 and 112: 108 explore all alternatives to lon
- Page 113 and 114: 110 adds to the complexity of Medic
- Page 115 and 116: 112 - 10- Consider first the propos
- Page 117: 114 - 12- insurance premiums and me
- Page 121 and 122: FOR RELEASE AT 9:00 P.M. H2ST) TUES
- Page 123 and 124: 120 Itema I CENTER FOR MEDICARE ALw
- Page 125 and 126: Page 3 122 aide services, however,
- Page 127 and 128: Page 5 state treasuries." 124 Judge
- Page 129 and 130: 126 462 6485 New Developments 10,05
- Page 131 and 132: 128 462 6-85 New Developments 10,05
- Page 133 and 134: 130 462 6-85 New Developments 10,05
- Page 135 and 136: 132 10,930 New Developments tI.PZ ;
- Page 137 and 138: 10,932 134 New Davelopments 492 346
- Page 139 and 140: 136 10,934 New Developments It! ;6
- Page 141 and 142: 10,936 138 New Developmenlt I. Thc
- Page 143 and 144: 140 10,938 New Development. 492 S-8
- Page 145 and 146: 10,940 142 New Developments i92 586
- Page 147 and 148: ATroR EYS -HARLES C. -ULiIN JUDITH
- Page 149 and 150: 146 reformed its decision-making pr
- Page 151 and 152: 148 : 14 2i57 New Developments 13,1
- Page 153 and 154: ~ 150 a>, rsn Cdw ~w (e d rum 0A7,.
- Page 155 and 156: 152 All Of these figures are based
- Page 157 and 158: 154 The requirements of this Act sh
- Page 159 and 160: 156 Drefting Note: Where the word "
- Page 161 and 162: 158 (b) The issuance of the group p
- Page 163 and 164: 160 (2) Contain a provision establi
- Page 165 and 166: 162 and competitive reasons. It is
- Page 167 and 168: 164 -13- E. Affordability of Long T
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