Allynne Noelle has had two metatarsal stress fractures, a torn foot ligament, and two broken ribs. Yet, the 32-year-old ballerina considers herself pretty lucky.
Noelle says not to be fooled by the graceful movements on stage 鈭 ballet is a full-contact sport.
鈥淎s beautiful as the art form of ballet is, it鈥檚 extremely demanding on the body,鈥 said Noelle, a principal dancer with the Los Angeles ballet. 鈥淚t works every single muscle and fiber.鈥
Allynne Noelle, 32, preps her feet for pointe work at the Los Angeles Ballet studio. The ballerina says spending an average of nine hours a day in pointe shoes can make simple nuisances like corns, ingrown toe nails and blisters quickly become debilitating (Photo by Heidi de Marco/KHN).
The annual injury rates at ballet companies run between 67 and 95 percent, . 聽But ballerinas and their male counterparts often dance through the pain.
鈥淵ou鈥檙e kind of raised with the idea that you鈥檙e stronger than any pain you feel,鈥 said Noelle, who once danced with a 103-degree fever that led to her hospitalization with pneumonia.
Despite her tough-it-out training, she鈥檇 prefer to have insurance. So by the time the Affordable Care Act took effect, allowing her ballet company to buy a plan, Noelle was eager to sign up.
鈥楢ll I鈥檝e Ever Wanted To Do鈥
At just 15, Noelle became a professional dancer, working her way up to a coveted spot with big city ballet companies. 鈥淚t鈥檚 all I鈥檝e ever wanted to do,鈥 she said.
But her luck turned in 2009 when her Lisfranc ligament 鈥 in her mid-foot 鈥 tore during a performance in Miami.聽 She kept dancing. 鈥淚 don鈥檛 really remember it happening, I think it was the adrenaline,鈥 recalled聽Noelle.
Ballerina Allynne Noelle snapped her lisfran ligament during a performance, but said adrenaline masked the pain. Doctors replaced scar tissue in her right foot with an artificial ligament (Photo by Heidi de Marco/KHN.
She didn鈥檛 realize how badly hurt she was until she became unable to perform with the National Ballet of Canada the following year.聽 At 28, Noelle found herself back in California 鈥 off stage and without a contract.
Doctors replaced scar tissue in her right foot with an artificial ligament. Her surgery and rehabilitation were covered by workers鈥 compensation. But other than that, Noelle had no health coverage and felt buying an individual health plan was out of the question.
鈥淏allet dancers do not make a fortune for a living,鈥 said Noelle, who says she now earns less than $40,000 a year.聽 鈥淚t鈥檚 definitely a labor of love for us.鈥
By 2011, Noelle was back on stage with the Los Angeles Ballet.聽 The company didn鈥檛 offer coverage at the time, so she went uninsured for almost four years.
She went to Planned Parenthood for preventive care, such as general check-ups or to get a Z-Pak, a common antibiotic, when she got sick. 鈥淚t was a bit of a struggle,鈥 she said.聽 鈥淧rescriptions are extremely expensive when you don鈥檛 have insurance.鈥
Between rent, a car payment, and everyday bills, the Santa Monica resident said it was a 鈥渃omplete impossibility鈥 to buy health insurance.
鈥淓very dance company should make health insurance a priority for their dancers,鈥 said Noelle, her hair up in a bun, dressed elegantly in a flesh-toned leotard, a crimson top and a plain white tutu.
Not Platinum Program But 鈥業t鈥檚 A Start鈥
Julie Whittaker, executive director of the Los Angeles Ballet, was sympathetic to her dancers鈥 health concerns.
A native of Canada, Whittaker grew up with government-funded health care.聽 Having to pay for care was the biggest adjustment she had to make, psychologically and financially, after moving to the U.S.
Principal ballerina Allynne Noelle has had two broken ribs. One partner squeezed her rib too hard and it broke in the middle of a lift. The second rib gave out with the nature of a dance movement (Photo by Heidi de Marco/KHN).
鈥淲e鈥檝e always wanted to look after our dancers,鈥 she said. 鈥淚t was just not something we could afford, until the ACA came along.鈥
Using an insurance broker, the nonprofit performing arts organization signed up in early December for California鈥檚 Small Business Health Options Program, created under the health law.
Whittaker said group insurance may be less expensive under SHOP. 鈥淧lus, it鈥檚 much less complicated and time consuming than applying for quotes from separate companies,鈥 she said.
The ballet company purchased a plan with a $6,000 monthly premium for 35 dancers and 8 staff members.
鈥淲e certainly don鈥檛 have the platinum program,鈥 Whittaker said. 鈥淲e have the bronze,鈥 the least expensive type of plan. 鈥淏ut it鈥檚 a start.鈥
The plan covers primary and preventive care at no cost to the employees. It offers them a choice between Blue Shield and Kaiser Permanente.
Ballet shoes have a hard base made of layers of paper, leather, or burlap. Allynne Noelle said ballerinas often suffer from achilles tendinitis and ankle sprains. 鈥淚t鈥檚 not uncommon to hear a snap,鈥 she said (Photo by Heidi de Marco/KHN).
Noelle chose Blue Shield, and although she feels the $5,000 deductible is 鈥渆xtremely high鈥 for her, she鈥檚 relieved.
鈥淭his new coverage is a peace of mind,鈥 she said. 鈥淚t will save me from drowning in medical bills.鈥
She still thinks the plan is lacking some fundamental services for dancers, including sports psychology. 鈥淭here鈥檚 a lot of pressure to perform consistently, at a super human level,鈥 she said.
Noelle has yet to use her plan, but said she will absolutely take advantage of it.
鈥淥ur entire career is our body,鈥 she said.
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