Should Bigger Babies Be Denied Insurance Coverage?
My son weighed 7.0 lbs at birth, which was an average size. He was (and still is) a good eater who grew very quickly. At his 4 month checkup, he weighed over 16 pounds and was in the 95th percentile for both height and weight. I never worried about his size because he was a breastfed baby who just happened to grow early. Our pediatrician never worried either. "Some kids grow quickly right away and then level off, while others hit a growth spurt later on. Every child is different," she told me. That's why I was shocked to hear a story from Colorado, where a 4-month old was denied insurance coverage because he was considered "obese".
Rocky Mountain Health Plans determined that Alex Lange (who weighed 17 pounds at 4 months) had a pre-existing condition (obesity) which made him a high risk patient. Alex's parents were looking for a new insurance company when their current plan raised their rates by 40 percent. Alex was in the 99th percentile for both height and weight, but his parents were told insurance companies don't take babies over the 95th percentile. So they denied him coverage.
It's not like Alex is eating M&M's all day and that's how he gained weight. He's probably not very mobile yet, so he's not burning tons of calories. His primary job is to eat, sleep and grow at 4-months old. To me, it's wrong to label this baby as "obese".
Last week Rocky Mountain Health Plans made a change to their policy so that obesity is no longer a pre-existing condition for infants. They agreed that denying Alex Lange coverage was a flaw in the system that should be corrected. Alex Lange is now elligible for coverage through their company.
This case does lead to some interesting questions. Many people expect a young baby to have chubby cheeks and rolls on their arms and legs. That's often a sign of a "healthy" baby. But at what point does the baby fat become a concern? At one year old? Two years old? Older? I don't think Alex Lange's parents have any reason to worry at this point, just like I'm not worried about my son. But at what point should a parent start to worry?
What do you think?
Rocky Mountain Health Plans determined that Alex Lange (who weighed 17 pounds at 4 months) had a pre-existing condition (obesity) which made him a high risk patient. Alex's parents were looking for a new insurance company when their current plan raised their rates by 40 percent. Alex was in the 99th percentile for both height and weight, but his parents were told insurance companies don't take babies over the 95th percentile. So they denied him coverage.
It's not like Alex is eating M&M's all day and that's how he gained weight. He's probably not very mobile yet, so he's not burning tons of calories. His primary job is to eat, sleep and grow at 4-months old. To me, it's wrong to label this baby as "obese".
Last week Rocky Mountain Health Plans made a change to their policy so that obesity is no longer a pre-existing condition for infants. They agreed that denying Alex Lange coverage was a flaw in the system that should be corrected. Alex Lange is now elligible for coverage through their company.
This case does lead to some interesting questions. Many people expect a young baby to have chubby cheeks and rolls on their arms and legs. That's often a sign of a "healthy" baby. But at what point does the baby fat become a concern? At one year old? Two years old? Older? I don't think Alex Lange's parents have any reason to worry at this point, just like I'm not worried about my son. But at what point should a parent start to worry?
What do you think?
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Comments
- 9/20/2011 11:38:27 AM
IMO the biggest issue here is that someone's medical history became public information. - 7/20/2011 11:16:18 AM
Our pediatrician NEVER said our kids were obese. He said they were fine, despite an obviously obese mom.
We have free education in America, we should make basic health checkups for kids free, too. - 5/26/2011 10:16:29 PM
SO.... WHY is it OK for insurance companies to tell us what we need to weigh? what if that poor little baby actually had a syndrome that caused excessive wt gain? downs? or some other chromosomal defect? NOW since his coverage is denied his parents will never know? wow~!!!! and this is all ok all in the name of "healthy weight". - 4/14/2011 9:43:22 AM
Also, companies should have an ethical standard. - 1/7/2011 10:21:33 PM
First of all, NO ONE should be denied insurance coverage. One of the few good things about my state is that I'm fairly certain that is illegal (they will just charge you an arm and a leg.) Second, a 4 month old baby cannot be put on a diet. If you feed them less than what they should be getting, it will restrict their growth and development. Telling someone their infant is too fat to insure is just ridiculous. - 1/7/2011 3:59:18 PM
I agree with what JCEDIT89 says. Those charts are flawed. You will know if there is something up with your kid. Give them healthy foods, let them out to play, put them to bed at a decent hour, and love them as they are. I used to be so concerned about how big my oldest was but not anymore. We take an active role in his life and know that if we are offering him the right foods and plenty of opportunities for play (exercise), he will be set with a healthy outlook for life. Same goes for my other 2. - 7/15/2010 12:51:24 PM
I can't even find the words to comment on that. - 3/16/2010 12:03:05 PM
This is pure foolishness. I can't even believe it made it this far. "
Exactly!!! You can't just not feed the baby, you have to let the babies eat as they want nature knows what it is doing in infants and newborns, it all evens out when the kids begin to crawl and walk. You do not want parents going to the other extreme and not feeding the infants for fear of having an obese kid or kid with a wieght problem! Infancy is too young to tell about a kid's future weight. Babies are supposed to be chubby and healthy! - 3/3/2010 4:47:36 AM
I totally agree! My sister's son was a fat little baby he was sooooo chubby and cute but once he started walking and running and playing his weight leveled off and he became thin and was a non eater type kid or picky eater! You can't judge a baby as having a wieght problem when younger than 1 or 2 years old because some babies are just born bigger to begin with especially boys. Only babies who are the extreme like weigh 60 pounds at 6 months old or something really obsurd like that should actually be labeled as obese or overweight. But normal babies who may be chubby don't really count as overweight because that's how babies grow. They eat and get chubby till they start walking and running and playing then it levels off. Only when a kid continues to get chubbier or remain chubby past 2 or 3 years old would I say a parent should begin to try to moniter and limit what kinds of foods they eat and make sure they get healtheir foods. But infancy is too young and too early to worry about a kid being overweight or not. The same way that some infants are just naturally thin and smaller and may not have the chubby baby look is not anything to really worry about as long as they are healthy. Infancy is too young and not really a true indicater of a child's future weight. I met a little petite thin 100 pound lady I worked with who told me she weighed 10 pounds at birth! LOL! You just can't go by how an infant looks to determine wieght issues unless you are talking extremes like 60 pound 6month olds. - 3/3/2010 4:28:12 AM
Yes -- they actually said SERVED even more ridiculous -- the company supposedly has values - here's one : We are respectful, compassionate, and fair. --- Compassionate ??? to a 4 month old??? - 2/13/2010 3:18:09 PM
Bah humbug to insurance companies, whose only true concern is the bottom dollar! - 2/10/2010 8:28:51 PM
I was 6# even at birth, and slender throughout my childhood and young adulthood. Look at where I am now.
Shows what you can tell at 4 mos. - 2/10/2010 10:58:10 AM
My middle son who is now 6ft 7" was born just 7lbs 8.5 oz - And fully breast fed at 3 months was the "fattest - Hungryest baby" my child health nurse had ever seen!! But not only did he have a lot of growing to do, His first needle at 3 months old he had a terrible reaction to the whooping cough vaccine and lost half his body weight while in hospital!! His baby body fat actually may have saved his life!
- 11/12/2009 6:36:11 PM
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