Quote:
Originally Posted by AGDee
Our preventative care visits are also free. However, the pediatrician won't bill any of my daughter's visits as "well child" visits because she has asthma so it is always billed as asthma care since it always has to be addressed. That irks me a little.
This is a gradual thing they are implementing, with different pieces of it true in different years, but by 2013, we will have the following requirements to get the "cheap" healthcare:
1) Blood pressure below 140/90 or, if diabetic, 130/90
2) Non tobacco user
3) BMI less than 30 (not in the "obese range") or have lost 5% of your body weight since your last annual visit
4) Fasting blood sugar <120 or A1C <8 (the A1C is if you're diabetic)
5) Cholesterol: Acceptable LDL-C level, which, I believe will be below 159.
And, your spouse or domestic partner must meet all the requirements as well. Children are exempt.
It has caused quite an uproar, honestly.
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I don't like that, there are a lot of reasons why you can't control some of that. And hard and fast lines are not necessarily reflective of actual health. I understand their reasoning, and I'm not sure I have a better measure of health myself, but I wouldn't be thrilled by it. (Which is why I'm pro single-payer. If you put everyone in the same pool you distribute the risk.)