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Advocate 

   Advocate, The (Newspaper) - April 1, 1978, Estherville, Iowa                                Published in cooperation with Iowa Lakes Area Agency on Aging and Iowa Commission on the The address of The Advocate is MultiPurpose Senior Box 2328 Highway IA 51301 Serving Buena Palo Alto and Sioux 4 7 Iowa 51301 1978 Elderly Win Insurance Fight By Ron Wyden For elderly have been struggling with the fine print and 150word sentences in the health they purchase to supplement their Medicare Medicare does not cover many of the medical costs of the including most nursing prescription prosthetic and custodial Over 11 million elderly purchase private health insurance dubbed in the hope that these policies will help them with part of the bills that Medicare does not In reality many of these policies are of little value to the nations elderly they are not standardized and are so dominated with that many seniors cannot under stand The end result is that part of their typically small fixed incomes is wasted on private health policies that do not meet their needs or duplicate existing because many agents prey on the older persons legitimate fear that illness will bring financial they often persuade them to buy four or five supplementary policies that extend the same basic Under Federal Congress has assigned insurance regulation to the Each State has an insurance and this office is usually delegated comprehensive power by the State legislature to regulate insurance transactions in the public In two elderly Alice Rosa Carter of and our agencies that serve the needs of the including an area agency on aging and the decided to challenge the longstanding practice of writing supplementary medical insurance in incomprehensible legal langu With the aid of their Steve Goldberg of the seniors asked the Oregon insurance commissioner to adopt a new regulation requiring that any agent who sells supplementary medical insurance should give the prospective purchaser a form showing the coverage available under Medicare that and how the new would fill those In the the senior cause did not fare Several weeks after the petition was the seniors received a letter denying their The reason stated was that existing rules gave the insurance commissioner authority to regu late police and assist senior the commissioners office These rules do not permit advise each purchaser about what type of policy he should The seniors then wrote to the Governor and the explaining that they were not seeking and would not seek advice about specific they they did want the insurance to adopt rules that would give them the information necessary to make intelligent choices about private health insurance In July they received a note from the Governor stating that he had been in touch with the insurance commissioner and that a public hearing on their request would be scheduled On the hearing took Over 400 senior citizens filled the State Capitals largest hearing room to Those who could not get into the hearing room listened to the proceedings from loudspeakers in the Thirty seniors testified at the allday hearing on behalf of the adoption of the Most persuasive testimony in favor of the rule came from several retired insurance salesmen and 86yearold Grace Lapray of who was asked why she purchased four policies with identical coverage from the same He said trust she Most of the nations biggest insurance companies sent representatives to speak against the rules John a lawyer with the Health Insurance Association of a Chi trade organization of the na tions largest health insurance seemed to speak for most of the industry when he The burden is on the buyer to decide what he or she At the conclusion of the the commissioner told the elderly present that he would have an answer for them within several But in early Goldberg learned that the commissioner had given the industry opportunity to comment on possible courses of action being considered without giving similar opportunities to the While this practice was legal under Oregon Goldberg protested and earned the right to view the Commissioners proposed On the Commissioner stated at a press conference that he had filed Oregon Administrative Rules 83652 105 and 83652110 with the Oregon Secretary of States office as required by Oregon The rules files were very similar to those proposed by the despite the omission of references to several issues important to the These included information about the average length of stay in an Oregon an enforcement and a clear distinction between skilled and inter mediate care nursing Most nursing homes are the and Medicare does not cover these Several witnesses and petitioners at the hearing had asked the commissioner to require that the forms be printed in large That request was also But on senior activi had won a major No other state has yet provided the elderly with such a valuable reference tool to help with the purchase of supplementary medical in There is little question that the spark behind the rules enactment was the collective show of political strength by the elderly at the and that without it the rules would not have been Ron Wyden is the Legal Services Developer for the Elderly for the State ol He is also a member of the Iowa

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