HEARING - U.S. Senate Special Committee on Aging

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Summary 93 In summary, we believe that the private market has functioned well in providing acute health care protection against major financial loss for the majority of Medicare beneficiaries. We recognize that there are beneficiaries, however, who cannot afford private protection. We urge that any new program focus on that segment of the beneficiary population not adequately protected by current programs. Regarding long term care, we also believe private insurance can play an important role. However, governmental activities appear necessary to educate the elderly about the need for protection, and to provide incentives for purchase of long term care insurance. Protecting the elderly from catastrophic expenses can best be done through a combination of public and private sector initiatives, and we look forward to working with you as you pursue this important topic. (533:1/21/87) 72-699 0 - 87 -- 4 10
94 Item 3 Testi~ony of GAIL SHEARER MANAGER, POLICY ANALYSIS CONSUMERS UNION before the SPECIAL COMMITTEE ON AGING UNITED STATES SENATE hearings on CATASTROPHIC HEALTH INSURANCE January 26, 1987
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S. HRG. 100-69 CATASTROPHIC HEALTH
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CONTENTS Opening statement by Senat
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2 Second, I think the private insur
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4 So the question before us is how
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6 the elderly, long-term health car
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8 ments for our retirement. I might
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10 Mrs. YELINECK. Well, it would be
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12 As I understand it, you have not
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14 Mrs. YELINECK. One does not expe
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16 Senator BURDICK. Well, thank you
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18 Mrs. YEL.INECK. No. I started ou
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20 Therefore-I am supposed to take
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22 Chairman MELCHER. Well, I am ple
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24 month. Let us assume it costs $1
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26 STATEMENT BY SENATOR PETE WILSON
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28 Mrs. RIEGER. We have; we have wo
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30 Four years ago this August was w
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32 she has only 50 percent vision i
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34 Senator HEINZ. So it is both a p
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36 rich. Indeed, in the academic co
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38 pointedly in the comment from Mr
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40 finding out is that it is very l
Page 45 and 46: 42 industry's role in providing cat
Page 47 and 48: 44 Senator HEINZ. So things are wor
Page 49 and 50: 46 Chairman MELCHER. In exactly the
Page 51 and 52: 48 plement policy, what should that
Page 53 and 54: 50 - 2 - I am Robert Shapland, Vice
Page 55 and 56: 52 - 4 - CATASTRIPC PROTECTION IiDE
Page 57 and 58: 54 -6- MiCIGAP INSJRANCE: A RPL1C/P
Page 59 and 60: 56 To ensure that all of these cont
Page 61 and 62: 58 - 10 - The HJAA also endorses Me
Page 63 and 64: 60 - 12 - Finally, given that Congr
Page 65 and 66: 62 - 14 - A recent HLAA survey of o
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: 92 However, public awareness is nee
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 and 118: 114 - 12- insurance premiums and me
Page 119 and 120: Consunmer Unon Pubtishcr of Consume
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
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ATroR EYS -HARLES C. -ULiIN JUDITH
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146 reformed its decision-making pr
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148 : 14 2i57 New Developments 13,1
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~ 150 a>, rsn Cdw ~w (e d rum 0A7,.
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152 All Of these figures are based
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154 The requirements of this Act sh
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156 Drefting Note: Where the word "
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158 (b) The issuance of the group p
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160 (2) Contain a provision establi
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162 and competitive reasons. It is
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164 -13- E. Affordability of Long T
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NAIC LTC ADVISORY COMMITEE EXPOSURE
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Setinzn IS. Poicyx D~efinitieno aid
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170 3. The term "noncancellable' ma
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172 extension of benefits beyond th
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artinM B Requirmnts for Rplnmacwt 1
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176 The above "Notice to Applicant"
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(pinnal Rasting &mdsninn 178 Benefi
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APPEMI!X B 180 OCWARISCN OF lVLCY i
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COMPAIeSON OF LOtG TEIM CoAt PfLtCI
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COMPABI:SZN OF LC#C TE" CAiE -OLICI
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COWaPAISON Of LOSt TERM CARE POLICI
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cowRiiSOi or touTE reM CasE nOuczcS
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COGPARISON OF LONG TERM CARE POLICI
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SOME BASIC THINGS YOU SHOULD KNOW M
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Private health insurance is availab
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WHAT MEDICARE PART B PAYS 196 MEDIC
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EXPENSES NOT COVERED BY MEDICARE Me
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HEARING - U.S. Senate Special Committee on Aging

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