Windy City Media Group Frontpage News

THE VOICE OF CHICAGO'S GAY, LESBIAN, BI, TRANS AND QUEER COMMUNITY SINCE 1985

home search facebook twitter join
Gay News Sponsor
Donate

Sponsor
Sponsor

  WINDY CITY TIMES

AFC, Harvard Law file federal complaint against Humana
by Matt Simonette
2016-09-06

This article shared 881 times since Tue Sep 6, 2016
facebook twitter pin it google +1 reddit email


AIDS Foundation of Chicago ( AFC ), on Sept. 6, filed a formal complaint with the U.S. Department of Health and Human Services' Office for Civil Rights ( OCR ) against Humana, charging that the insurance giant routinely denies coverage for or limits access to HIV medications through prohibitively high cost sharing requirements.

AFC filed the complaint in partnership with Harvard Law School's Center for Health Law and Policy Innovation ( CHLPI ), which has partnered with a number of health organizations for complaints against insurance companies in other states.

According to the complaint, Humana offers policies on the Affordable Care Act marketplace but regularly refuses to cover lifesaving medications and requires significant cost-sharing from patients with certain conditions such as HIV. Insurance companies on the marketplace cannot refuse to exclude policyholders because of pre-existing conditions.

"We're calling for change because we cannot codify discriminatory practices by insurers," said Ramon Gardenhire, Vice President of Policy and Advocacy at AFC, in a statement. "This landmark effort will protect insurers who offer reasonable access to HIV medications, promote more consistent coverage patterns by insurers, and support efforts to ensure that people living with HIV and other chronic diseases can thrive."

"Filing this complaint is a step toward making the ACA work better," added AFC CEO and President John Peller. "We're taking this action to ensure that the Affordable Care Act remains affordable. The vast majority of health care plans in Illinois provide good and affordable coverage for people living with HIV. Unfortunately, there are some bad actors that need to be addressed and returned to compliance for the sake of health equity across the U.S."

According to the complaint, a Humana individual plan enrollee taking the medication Triumeq would pay more in three months than an enrollee with diabetes would pay in an entire year for all prescriptions and medical services.

"CHLPI and AFC are using the OCR process to shine a light on discrimination occurring under the cloak of supposedly neutral insurance plan benefit design. When an insurer requires chronically ill patients to pay a disproportionate share of the cost of medication, it violates federal law," said Robert Greenwald, CHLPI's faculty director and clinical professor of law at Harvard Law School. "These are landmark Complaints that will benefit everyone looking to receive equitable, comprehensive health care through the marketplaces by helping to define anti-discrimination law at a time when insurers are covering less and less."

The complaint comes as part of a larger call for accountability for coverage, or lack thereof, in the federal insurance marketplace.

"Health care that people cannot afford is about as useful as no health care at all," said Gardenhire. "Left unchecked, these practices will drive people living with HIV out of the health insurance market, essentially returning them to a pre-Obamacare coverage gap."


This article shared 881 times since Tue Sep 6, 2016
facebook twitter pin it google +1 reddit email

  ARTICLES YOU MIGHT LIKE

Gay News

Pritzker administration announces highly effective HIV treatment coming to Illinois in 2023 2022-12-02
-- From a press release - CHICAGO — Governor JB Pritzker and the Illinois Department of Public Health (IDPH) announced today on World AIDS Day that a new, long-acting HIV treatment called Cabenuva will become available to thousands of ...


Gay News

World AIDS Day: GLAAD releases 2022 State of HIV Stigma Study 2022-12-01
-- From a press release - (New York, NY - December 1, 2022) GLAAD, the world's largest lesbian, gay, bisexual, transgender and queer (LGBTQ) media advocacy organization, is releasing its third annual State of HIV Stigma ...


Gay News

Peppermint barks while Broadway bangs, and all the other dish to start the week 2022-11-28
- "I love Broadway. I love what they do—Broadway Cares, but I also want to say the show is extraordinary!" —Nicole Kidman's impromptu speech after bidding $100K to Broadway Cares/Equity Fights AIDS for Hugh Jackman's hat after ...


Gay News

Lambda Legal challenges anti-HIV military policy 2022-11-13
- Lambda Legal filed a legal challenge to the U.S. military policy that prevents people living with HIV from enlisting in the U.S. Armed Forces, according to a press release. The current policy requires that applicants for ...


Gay News

National AIDS Memorial names 2022-2023 Pedro Zamora Young Leaders Scholarship recipients 2022-11-09
-- From a press release - SAN FRANCISCO, California, Nov. 09, 2022 (GLOBE NEWSWIRE) — The National AIDS Memorial has announced its 2022/2023 Pedro Zamora Young Leaders scholars, its largest and most diverse class ever, providing ...


Gay News

Sheryl Lee Ralph producing HIV/AIDS documentary 2022-10-29
- Recent Emmy winner Sheryl Lee Ralph has signed on to produce Unexpected, a documentary short about women of color living with HIV in the South, Variety reported. Directed by Zeberiah Newman, the film will chronicle Masonia ...


Gay News

LGBTQ+ HISTORY MONTH Podcast sheds light on forgotten murders of gay men in Montreal 2022-10-22
- When people ask about or Google the murders of gay men in Montreal in the '90s, it all leads to the podcast "The Village: The Montreal Murders." LGBTQ+-rights advocates encouraged me to listen to the podcast. ...


Gay News

ViiV announces recipients of largest U.S. fund for HIV prevention in Black women 2022-10-10
- ViiV Healthcare announced the recipients of an $8-million investment to increase awareness and action around HIV prevention and care for Black women, according to a press release via CSR Wire. Funding will support community programs focused ...


Gay News

CDPH report: New HIV, AIDS diagnoses at lowest points since the 1980s; other STIs rise 2022-10-06
-- From a press release - CHICAGO — The number of Chicagoans newly diagnosed with HIV and AIDS in 2020 was at the lowest level in four decades, according to a comprehensive new HIV and STI (sexually transmitted infections) report from the ...


Gay News

AIDS Run & Walk raises approximately $500K 2022-10-06
- Nearly 2,400 advocates, community partners, runners, walkers, volunteers, staff members and more gathered at Soldier Field on Oct. 2 for the 31st annual AIDS Run & Walk Chicago. The event raised approximately $500,000 (although online fundraising ...


Gay News

Art Institute revises Gonzales-Torres placard to include HIV-related details 2022-10-04
- Art Institute of Chicago (AIC) has revised the label accompanying the Felix Gonzalez-Torres' installation "Untitled (Portrait of Ross in L.A.)" to reinstate references both to Gonzalez-Torres' partner Ross Laycock and ...


Gay News

31st annual AIDS Run & Walk, with the theme 'Forward Together,' returns this weekend 2022-09-30
- The 31st annual AIDS Run & Walk returns to Chicago on Sunday, Oct. 2, in order to raise awareness about the disease and funds for the organizations that help people impacted by HIV/AIDS across the city. ...


Gay News

AIDS Foundation Chicago holding Women's Connection Summit of Hope on Oct. 6 2022-09-27
-- From a press release - AIDS Foundation Chicago (AFC) is hosting a Women Connection Summit of Hope in partnership with the Illinois Department of Corrections (IDOC) to address the needs of cis and transgender women who have been recently released from ...


Gay News

AIDS Foundation Chicago hosts two-day event about unique challenges facing elders living with HIV/AIDS 2022-09-24
- AIDS Foundation Chicago hosted a two-part educational webinar about the complex needs of elders living with HIV/AIDS Sept. 22-23, where experts discussed how to better serve patients through healthcare, policies ...


Gay News

National AIDS Memorial releases 'The Black Community & AIDS' 2022-09-23
- The National AIDS Memorial has released its latest mini-documentary, "The Black Community & AIDS," the seventh film in its oral history project. "The Black Community & AIDS" chronicles the personal stories of nearly two dozen survivors ...


 




Copyright © 2022 Windy City Media Group. All rights reserved.
Reprint by permission only. PDFs for back issues are downloadable from
our online archives. Single copies of back issues in print form are
available for $4 per issue, older than one month for $6 if available,
by check to the mailing address listed below.

Return postage must accompany all manuscripts, drawings, and
photographs submitted if they are to be returned, and no
responsibility may be assumed for unsolicited materials.
All rights to letters, art and photos sent to Nightspots
(Chicago GLBT Nightlife News) and Windy City Times (a Chicago
Gay and Lesbian News and Feature Publication) will be treated
as unconditionally assigned for publication purposes and as such,
subject to editing and comment. The opinions expressed by the
columnists, cartoonists, letter writers, and commentators are
their own and do not necessarily reflect the position of Nightspots
(Chicago GLBT Nightlife News) and Windy City Times (a Chicago Gay,
Lesbian, Bisexual and Transegender News and Feature Publication).

The appearance of a name, image or photo of a person or group in
Nightspots (Chicago GLBT Nightlife News) and Windy City Times
(a Chicago Gay, Lesbian, Bisexual and Transgender News and Feature
Publication) does not indicate the sexual orientation of such
individuals or groups. While we encourage readers to support the
advertisers who make this newspaper possible, Nightspots (Chicago
GLBT Nightlife News) and Windy City Times (a Chicago Gay, Lesbian
News and Feature Publication) cannot accept responsibility for
any advertising claims or promotions.

 
 

TRENDINGBREAKINGPHOTOS







Sponsor


 

Sponsor


Donate


About WCMG      Contact Us      Online Front  Page      Windy City  Times      Nightspots
Identity      BLACKlines      En La Vida      Archives      Advanced Search     
Windy City Queercast      Queercast Archives     
Press  Releases      Join WCMG  Email List      Email Blast      Blogs     
Upcoming Events      Todays Events      Ongoing Events      Bar Guide      Community Groups      In Memoriam     
Privacy Policy     

Windy City Media Group publishes Windy City Times,
The Bi-Weekly Voice of the Gay, Lesbian, Bisexual and Trans Community.
5315 N. Clark St. #192, Chicago, IL 60640-2113 • PH (773) 871-7610 • FAX (773) 871-7609.