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Doctors, hospitals expect some confusion as Obamacare plans start (427 hits)


(Reuters) - Hospitals and medical practices across the United States braced for confusion and administrative hassles as new insurance plans under President Barack Obama's healthcare law took effect on Wednesday.

More than 2 million people enrolled in private plans offered under the Affordable Care Act, popularly known as Obamacare, during the initial sign-up period for health benefits. Enrollment began in October and lasts through March, but Americans in most states had to enroll by last week to get coverage that takes effect with the start of the new year.

A spokeswoman for the Centers for Medicare and Medicaid Services, or CMS, part of the U.S. Department of Health and Human Services, said there were no hiccups to report in the first day the plans were in effect.

The expansion of coverage through the new plans is one of the main parts of the 2010 law, the most sweeping U.S. social legislation in 50 years. Over time, the law - which requires most Americans to buy insurance, offers subsidies to help low-income people get covered and sets minimum standards for coverage - aims to dramatically reduce the number of Americans who lack health insurance, which the U.S. government has estimated at more than 45 million.

After a difficult October launch plagued by problems with the website used to enroll people in coverage, the focus for the government and healthcare providers has turned to what will happen beginning on Wednesday when patients with the new coverage start to seek care.

The law still faces political and legal hurdles. Roman Catholic Church-affiliated organizations obtained last-minute court injunctions on Tuesday that gave them temporary exemptions from a part of the healthcare law that requires employers to provide insurance policies covering contraception.

U.S. Supreme Court Justice Sonia Sotomayor granted one temporary injunction to Baltimore-based Little Sisters of the Poor and Illinois-based Christian Brothers Services, plus related entities.

The Centers for Medicare and Medicaid Services had 10,000 agents on call for New Year's Eve and New Year's Day to field questions from people dealing with enrollment problems...

"For consumers whose marketplace coverage begins on January 1, we're doing everything we can to help ensure a smooth transition period," Kathleen Sebelius, the U.S. secretary of health and human services, said in blog posting on Tuesday.

"What we are stressing to folks is that if they get to a provider (and) there is some confusion (about coverage), call their insurer," Schiliro said. "If the insurer is not able to resolve it, they should call our toll-free number (800-318-2596) ... and operators will be there 24/7."

Some healthcare companies are trying to get ahead of potential problems as well.

The pharmacy chain Walgreen Co said on Monday it would allow consumers who had not yet received plan identification numbers from their insurers to get prescriptions at no upfront cost in January, if they could provide evidence of their coverage or pharmacy staff could otherwise confirm it.

Wal-Mart said on Tuesday it would institute a similar practice.

Read more:
http://www.reuters.com/article/2014/01/01/...
Posted By: Jen Fad
Saturday, January 4th 2014 at 7:43PM
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