Wednesday, October 21, 2009

Toddler denied insurance for being too small

http://www.msnbc.msn.com/id/33411196/ns/today-today_health/

updated 1 hour, 41 minutes ago

First, a Colorado baby was turned down for health insurance for being too big. Now, another Colorado child has been turned down for health insurance for being too small.

Just a week after TODAY highlighted the story of 4-month-old Alex Lange, who at 17 pounds was considered obese, the show presented Wednesday the equally curious case of 2-year-old Aislin Bates, who at 22 pounds was turned down for health insurance for not meeting a proposed insurer’s height and weight standards.

Aislin’s dad, Robert Bates, told TODAY’s Erin Burnett he was shocked that United HealthCare turned down their request for coverage when their daughter is basically a picture of health, having suffered nothing more than a common cold in her life. Doctors have told Robert and his wife, Rachel, that Aislin’s small size is purely a matter of genes, not ill health.

“It seems as if they’re discriminating about the fact that she’s smaller, that her size is an issue,” Robert Bates said. “I don’t see why that would be a factor in whether or not a child is healthy.”

Bates told TODAY that he and his family were previously insured by United HealthCare. Two months after Aislin was born, his employer switched plans to Guardian Health Insurance. In August, Bates left his job to become self-employed, and he went back to United HealthCare requesting coverage. The insurer turned down coverage for Aislin — even though it had already insured Aislin as an infant — stating she did not meet height and weight standards and also noting the Bateses had sought treatment for Aislin’s finicky eating habits.

As the Bateses appealed the decision, their own family doctor went to bat for them, writing to the insurer and stating Aislin’s small size was genetic, that she was developing normally and there was no reason to deny coverage. But Robert Bates said the company rejected the appeal, simply reiterating that Aislin didn’t meet underwriting standards.

Rachel Bates told Burnett their daughter “is not sick at all; she’s just petite, and that’s the issue.” She said little Aislin has been graded in the 3rd percentile for child height and weight, but has been progressing normally in her own range.

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