Health insurance: Veterinarians wonder what to do now?

For veterinarians facing the end of their coverage, there's little assurance they'll obtain a new policy in time.
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Mar 01, 2013

Veterinarians who are facing the inevitable loss of the health insurance they've relied on for years have several options—some plagued with an unsettling level of ambiguity—and a single certainty. "The one thing we do know; it won't be the way it used to be," says veterinary consultant Fritz Wood, CPA.

Approximately 17,500 veterinarians and their dependents currently hold medical policies through New York Life. Most have had this insurance for their entire careers—decades, in some cases—but New York Life is eliminating health coverage for professional associations as of Jan. 1, 2013.

This leaves many American Veterinary Medical Association (AVMA) Group Health Life Insurance Trust (GHLIT) members facing unwelcome change amidst the unknowns of a new healthcare system. For peope who are young and healthy, individual policies may be the answer. Others may need to turn to private and public health insurance exchanges—which have been promised but have not yet materialized.

Options

"It's not something we do every day—shop for health insurance," says John Volk, an analyst with Brakke Consulting. "I think people always feel a bit inadequate about it." Many may not even know where to begin.

For those who are overwhelmed by the prospect, Wood suggests finding an independent insurance agent. "Think of them like a personal shopper," he says. Insurance is regulated at the state level, so people who want to do the legwork themselves can also look to state insurance commissions' websites, many of which have a variety of resources.

Individual plans may be the best alternative for people who are young and healthy, even if the coverage isn't identical to what they currently have. "If it was me, I'd rather be ahead of the game—even now—getting in touch with an independent insurance agent," Wood says. "The important thing is, you can't afford to go any time without health insurance."

Veterinary practice owners have additional options. Jim Arensburg, an independent insurance agent with Benefit Brokers in Overland Park, Kan., says that if a veterinarian has some health issues and is at least part owner of his or her business, "they should do a group plan through the business. They're not going to get declined."

Arensburg says it takes at least two employees to qualify for a group plan and the policy may get more expensive depending on preexisting conditions, but individuals won't be declined coverage due to medical status.

Unfortunately, not everyone will qualify for an individual policy or have a group plan to join. Rhea Morgan, DVM, DACVIM, DACVO, who works as an independent contractor at Village Veterinary Medical Center in Farragut, Tenn., is at a frustrating standstill. "When you're in my age category—I'm 60—the vast majority of us can't do anything at this time. We're stuck," she says.

Preexisting health conditions (which are much more likely with increasing age) make it much harder to obtain individual coverage. Even if someone does qualify, he or she may face a waiting period of a year or more before the benefits kick in. "That's the problem with the individual policy," broker Arensburg says. "If you cough or sneeze, they're going to decline you."

If an individual or a group plan isn't possible, securing affordable medical coverage becomes much more uncertain. "Those are the two options," Arensburg says. "Those who don't own are left in limbo."

Most veterinarians caught in this gap are forced to wait until the proposed health insurance exchanges, introduced by the Patient Protection and Affordable Healthcare Act of 2010, become reality.