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In today's high cost
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more important than ever to
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Check List
for Pre-Existing Condition Health Insurance
How to handle denials
and preexisting
conditions
Finding health insurance
for preexisting
conditions is often
difficult. No
Connecticut individual
health insurance company
offers high risk health
insurance for those with
conditions like heart
disease, active breast
cancer and diabetes. You
may however have other
options for health
insurance.
Here are some questions
we suggest you ask
yourself:
-
First Step - Will
every company
consider this a
preexisting
condition?
-
Second Step - Do I
qualify for group
health insurance?
-
Third Step - What
government programs
am I eligible for?
-
Fourth Step - Will I
qualify for a
short-term policy
even with my
pre-existing
condition?
First Step - Will every
company consider this a
preexisting condition?
If you've been denied
health insurance or fear
that you might be turned
down if you apply, your
first step should be to
make sure that every
company will reject your
application. If you are
in Connecticut, you can
request
instant Connecticut
health insurance quotes
from us or call us at
1-800-467-8726. We work
with every company and
each company has a
different set of
guidelines. If you are
not in Connecticut, you
can request
health insurance quotes
for other states and
speak with a broker
local to you.
Second Step - Do I
qualify for group health
insurance?
Even if you have a
one-man or one-woman
business, you may
qualify for a group
health insurance plan in
certain states including
Connecticut. Please
request
Connecticut Group Health
Insurance Quotes for
Connecticut or
Group Health Insurance
Quotes for other
states.
Third Step - What
government programs am I
eligible for?
Children with
Preexisting Conditions
If in Connecticut,
investigate
The Connecticut Husky
health plan. Rates
are lower for low income
families. However,
Connecticut families of
all income levels can
apply.
Adults and Families with
Preexisting Conditions
Investigate plans
offered by the
Connecticut Health
Reinsurance Association.
They can offer health
insurance for diabetics
and health insurance for
others with preexisting
conditions. The phone
number for the Health
Reinsurance Association
is 1-800-842-0004.
Fourth Step - Will I
qualify for a short-term
policy even with my
pre-existing condition?
Getting a short-term
policy, not
surprisingly, is not a
long-term solution.
However, you be asked
only a few medical
questions on the
application, so you may
be approved for a
short-term medical plan
even if you would not be
approved for a permanent
plan. Some companies do
not ask your weight when
applying for short-term
policies.
Short-term insurance has
significant drawbacks.
Even if you are
accepted, preexisting
conditions you have will
probably not be covered.
The primary reason these
plans are good for
people with preexisting
conitios is that they
will probably be covered
for new conditions that
are not related to their
medical history. Medical
bills incurred from a
car accident that
happens during the
policy term is an
example of expenses that
are usually covered by a
short-term plan. Another
drawback is that these
plans can typically be
purchased for a maximum
of six months. Also
short-term plans cannot
be renewed, so you will
need to reapply and pass
the medical underwriting
again if you want to
extend your coverage.
Bear in mind that insurance
regulations vary from state
to state. The information
below is applicable to most
of the US. However, some may
not be. Also insurance
regulations change from time
to time, so some of this
information may not be
applicable when you read
this.
In Connecticut, my home
state, one cannot be denied
coverage if they get
insurance through a group
insurance plan. This is
true even if the group
consists of only one person.
Unfortunately group
insurance can only be
purchased by a business.
Therefore many people don't
qualify because they are
unemployed, retired or
because they work
part-time.
Pre-existing Conditions -
steps for finding coverage
-
Always keep your present
health insurance in
force until you get a
"yes" answer from your
new insurer. Apply well
in advance of the date
your current policy
expires. You will
probably have to pay the
first month's premium
early. If you coordinate
the dates properly, you
can avoid paying two
companies for the same
time period of coverage
-
Be forthcoming with your
agent. You don't have to
apply to learn whether
or not an insurance
company is likely to
accept you. Try to find
out before you actually
apply whether or not you
are likely (can only
give you the
probability) to be
accepted. You don't want
to waste time applying
with an insurance
company that is just
going to say "no".
Reputable companies will
refund all of your money
if they deny you.
However, there is no
point is being hassled
by the paperwork if you
can get a "no" answer up
front. Most insurance
companies will ask if
other companies have
denied you coverage. If
you avoid applying for
coverage with a company
that will say "no" you
can avoid answering that
question the "wrong"
way. As a general rule,
insurance companies are
not allowed to turn you
down just because
another insurance
company has turned you
down. However, if you
have been denied
coverage before, the new
company will probably
dig deeper into your
medical history than
they would have
otherwise
-
Don't take "no" for an
answer until you know
what each of the
companies that serve
your area are likely to
do. Different insurance
companies underwrite
differently. I work with
all of the insurance
companies that serve
Connecticut for health
insurance. For some
medical conditions, I'll
find that Aetna will say
"no" and Anthem Blue
Cross say "yes" for
other conditions it will
be the reverse. This is
why I recommend checking
with all of the
companies. I've compiled
a
list of Insurance
Departments for each
state to make this easy
for you. You call them
or visit their websites
and see what companies
provide health insurance
on a non-group basis in
your state
-
If you've applied and
were denied
insurance coverage,
find out why they said
"no." Insurance
companies have "waiting
periods" for certain
conditions. For example
some insurance companies
may not take you if you
had a kidney stone in
the last six months.
Find out why they said
no and under what
conditions would they
say "yes." You may only
need to wait another
month or get another pap
smear with no findings.
In some cases you can
appeal their decision.
You have rights that
will vary from state to
state. Contact your
state's insurance
department for
information.
-
If all else fails,
contact your insurance
department and ask them
about the plans offered
in your state for those
who have been denied
insurance. Usually these
plans are more expensive
than the standard plans,
but they can provide
substantial coverage.
Another option may be
for you to look into
short-term health
insurance. The
applications for these
policies tend to ask
only a few medical
questions. Some do not
ask your height and
weight. The ones that
I'm aware of will not
cover pre existing
conditions and cannot be
renewed, so there are
some drawbacks to this
option.
Perhaps the best advice I
can give is to stay healthy.
De-stress by finding healthy
ways to enjoy your life and
your family; eat well; drink
plenty of water; get enough
sleep; find a sport or
activity that you enjoy
(maybe one that involves
your spouse and children).
.
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