Stand up for my son, Wesley. Say NO to going back to pre-existing condition exclusions!
Posted October 21st, 2010 by Dawn Josephson“Everything is covered. Your family is fully covered.” I could hardly believe it. My son Wesley has an eye condition called strabismus, and I’d been worried because we already had one insurer drop us and another exclude Wesley’s condition from coverage. Then, as the new patient protections under health reform began to take effect, we finally had the option of buying affordable health insurance without any exclusions for pre-existing conditions for Wesley.
My name is Dawn Josephson, and I’m a MomsRising member from Florida. Ensuring the success of health reform is close to my heart–and I have to say that I’m concerned because I’m hearing some candidates for office talk about repealing or blocking health reform if elected. I know from personal experience that this would be devastating for my family and for so many other families across America.
*Tell all your friends to vote on or by Tuesday, November 2nd, AND also to sign this letter to Congress and state legislators demanding that Congressional and state leaders must continue moving forward on implementing health reform–and not take us back to the bad old days when insurers could drop us just when we got sick, exclude our children from coverage because they have pre- existing conditions, or put lifetime caps on our healthcare coverage.
http://action.momsrising.org/go/451
Why is ensuring the success of health reform close to my heart? Because the provisions of health reform that went into effect on September 23rd this year have already have helped my family immensely.
You see, I’m a self-employed entrepreneur and supply my own health insurance. In July of 2009, my four-year-old son Wesley needed eye surgery to correct a problem called strabismus. Shortly after his surgery, the company we were insured through dropped us, so we had to get new insurance. The new plan, which was very expensive, excluded any treatment related to Wesley’s eye. By June of 2010, we couldn’t handle the premiums anymore, so we began searching for a new plan.
The new plan we enrolled in is an individual plan and is one of the company’s newly created “affordable options.” When the insurance company representative called me and said that everything went through underwriting and we were fully covered, I said, “Okay, but…”
“But what?” she asked.
“But what’s not covered?” I asked.
“Everything is covered,” she replied.
Feeling that I wasn’t making myself clear, I pointedly asked her, “What about my son and his eye condition? If he needs another surgery (which most kids do need more than one surgery to fully correct the problem), is it covered?”
“Yes,” she said. “Your family is fully covered.
I couldn’t believe it. She then said, “We no longer exclude pre-existing conditions in children.”
It didn’t hit me until later that evening what had happened. Legislation from Washington, D.C. had personally affected my family — and in a good way! While I know I somehow feel the effects of Washington’s laws and rules on a regular basis, I never felt it hit home like this. I was both happy and shocked.
Everyone has something in their medical history. Whether that something is small — like strabismus — or big — like hemophilia — it’s a fact of life that we all get sick at some point. And when insurance companies can use any bit of information as a reason to deny coverage and hike up premiums, they’ll do so unless someone steps in to stop it.
*That’s why today I’m urging you to join me in voting on or by Tuesday, November 2nd and signing this letter to Congress and state legislators to demand that our federal and state leaders move us forward on implementing health reform.
http://action.momsrising.org/go/451
MomsRising will be delivering these letters, both now as elected leaders are closely listening to what their constituents are saying in the run up to the elections, as well as after the elections.
Thank you for fighting for all America’s families!
Dawn and the MomsRising Team
P.S. After I responded to an email request from MomsRising to share stories of how health reform has helped your family, I was invited to share my story with President Obama! Read my blog about this amazing experience here.
P.P.S. We’ve got a great opportunity to directly chat with Speaker Nancy Pelosi this Friday, Oct. 22 at 1:30 PM ET– and you are invited to be part of this conversation! Just login to Twitter and follow hashtag #womeninpolitics. We’ll be talking about moms in politics, the perspectives parenting can bring to the legislative process, and her personal experience as a mom and grandmother in the House. Looking forward to tweeting with you!



14 Comments
January 18, 2011 at 3:57 pm by RobThis is great to hear, what was the name of the new company and what were/are the prices like?
Thanks in advance.
[Reply]
Doug Quance Reply:
March 27th, 2012 at 11:34 am
@Rob,
I found your question went unanswered when I asked a similar question on Dawn’s most recent post.
I also want to know what insurance carrier Dawn is now using, as well as the name of the carrier that dropped their coverage.
When I see your question has been unanswered, I must start to question the veracity of Dawn’s post…
[Reply]
Rob Reply:
March 27th, 2012 at 12:07 pm
@Doug Quance, I agree, the post is vague and seems slanted towards creating a bias for the issues she wants people swayed to, happens often.
Thanks!
[Reply]
Doug Quance Reply:
March 27th, 2012 at 12:42 pm
@Rob,
I’m a health insurance broker, and I am always curious when people say that they were dropped from their coverage… and even more curious when people say that they were accepted with a carrier with no pre-existing exclusion riders.
In this instance, Dawn even remarked that their new insurance plan didn’t have any co-pays (I can’t remember where I read that) so naturally my ears perked up.
I suspect that Dawn is pushing a political agenda.
Rob Reply:
March 27th, 2012 at 12:46 pm
@Doug Quance, Doug, I own an agency also, and when I hear “no co pay” I immediately think discount plan scam, so I hope for her sake that wasn’t the case but again, this is lacking some solid info.
Cheers!
[Reply]
Doug Quance Reply:
March 27th, 2012 at 12:52 pm
@Rob,
It is lacking solid info on every article I have seen written by and about her…
Considering she calls herself a Master Writing Coach (http://www.masterwritingcoach.com) I was hoping I would learn something that I did not know.
The silence is deafening.
Rob Liano Reply:
March 27th, 2012 at 12:56 pm
@Doug Quance, ha ha, I know, I guess there is an art to being vague and political in your writing, have a great day!!
[Reply]
Doug Quance Reply:
March 27th, 2012 at 12:59 pm
@Rob Liano,
Hey Rob – I didn’t realize it was you!
Maybe Dawn should have taken advantage of that high risk pool that Florida had… PRIOR to Health Care Reform…
http://www.statehealthfacts.org/profileind.jsp?ind=603&cat=7&rgn=11
Facts are stubborn things… LOL
Doug Quance Reply:
March 27th, 2012 at 1:06 pm
@Rob Liano,
I just sent you an invite on LinkedIn… It might be better than my handle over at the insurance forum…
Rob Liano Reply:
March 27th, 2012 at 1:12 pm
@Doug Quance,
I feel famous!! LOL
I’ll add you on Linked In for sure, and Florida is known for scummy call centers regarding health plans or insurance so who knows what she did.
Ignorance is bliss huh? LOL
[Reply]
Doug Quance Reply:
March 27th, 2012 at 1:45 pm
@Rob Liano,
I would hope that she didn’t fall for some sort of mini-med or similar plan… but who knows? She’s not responding to inquiries…
Again, a thoughtful comment, Much appreciated. I have checked out other entries around here and I liked what I saw. I’ll be back.
[Reply]
October 21, 2010 at 3:00 pm by ClaireThank you so much for sharing your story Dawn! Stories like yours are a powerful way to show Congress how important it is to move forward on healthcare reform. I’m so glad health reform has had such a positive effect on your family. Thanks again for all that you do!
[Reply]
October 21, 2010 at 2:13 pm by MJ PalkerBe careful when people throw out a fishing line with a fat juicy worm on it, because it will catch you and pull you in. Then you will be on the fire being cooked for breakfast if you are camping, or on the frying pan at home for Friday dinner. Sorry, mjp
[Reply]
Trackbacks
Leave a Comment