Obamacare’s Technology “Glitches” Leave Customers Without Coverage

July 8, 2014

The second open enrollment period for the president’s health care law begins in just four months, but the unresolved back end issues have left some who purchased plans in the first enrollment period still without coverage. The Energy and Commerce Committee learned in November 2013 that 30 to 40 percent of the system still needed to be constructed. Now, after nearly eight months and several declarations of a job well done by the administration, this work remains incomplete with no indication for when everything really will be “working the way it’s supposed to.” 

July 7, 2014

Some Still Lack Coverage Under Health Law

Months after the sign-up deadline, thousands of Americans who purchased health insurance through the Affordable Care Act still don't have coverage due to problems in enrollment systems.

In states including California, Nevada and Massachusetts, which are running their own online insurance exchanges, some consumers picked a private health plan and paid their premiums only to learn recently that they aren't insured.

Others received a policy but then got married, had a baby or another "life event" that required their coverage to be updated, yet have been waiting months for the change to take effect.

As a result, some of these people say they have put off medical treatments or paid out of pocket for health expenses. Some insurers say they will be reimbursed.

The Obama administration said in April that about eight million people had picked health plans through the Affordable Care Act, using online exchanges where they compare prices and see if they qualify for credits to subsidize the cost. …

In Nevada, about 150 people have joined a lawsuit seeking class-action status against that state's exchange and Xerox Corp. which helped set up the marketplace. Thousands of residents remain uninsured despite paying premiums or completing all steps to enroll, according to the suit, filed in Clark County.

Robert Rolain of Las Vegas, one of the plaintiffs, said that in October, he signed up his wife, Linda, using the state exchange for a Nevada Health Co-Op plan starting March 1. In November, a tumor was found on her brain, and doctors discussed surgery.

Mr. Rolain paid $136 toward the first month's premium, which was offset by a tax credit of $420, according to a copy of his statement and a receipt. Mr. Rolain said he was dumbfounded when he took his wife to an oncologist in March and learned she wasn't covered. They postponed surgery for two months, he said, until they got notice that she was insured.

"She wasn't so far along when they found the spot. Now the doctor said it had spread up the whole left side of her head," said Mr. Rolain, 73, whose wife had surgery May 14.

By then, Ms. Rolain's survival prospects had diminished. She died June 30. …

Read the article online HERE