Coverage for Pre-existing Conditions
A pre-existing condition is any health problem that a person has had or has been diagnosed with before the date their new health insurance policy begins. These conditions can be mild – for example, seasonal allergies or a case of acne – or serious and require expensive treatment.
Under the Affordable Care Act (ACA), health insurance companies cannot refuse to cover people with pre-existing conditions nor can they charge them more money or impose a waiting period. They also cannot discriminate against women based on their medical history.
In the individual market, pre-existing conditions are usually determined based on a look-back period of one to ten years; these look-back periods may include a look-back at the date an applicant was enrolled in a plan or the first date they were treated for a pre-existing condition, depending on the state. ACA-compliant major medical plans are not allowed to deny applicants for coverage based on their pre-existing conditions, but many non-ACA-compliant plans can do so.
It’s important to note that in 8 states and the District of Columbia, pre-existing condition exclusion periods may also be reduced by the number of months an applicant had creditable health coverage before they enrolled in a new major medical health plan. This is important because it helps prevent insurers from excluding new applicants who haven’t had any previous health insurance America , especially when they’re young and healthy.
In general, the best way to avoid pre-existing condition issues is to choose a high-quality health insurance policy that includes no exclusions for pre-existing conditions and to work with an experienced independent agent who can help you determine how your specific medical conditions will fit within the guidelines of the company. A great agent can ensure you receive competitive pricing and liberal underwriting based on your unique situation.
Additional Coverage for Life Events
Our customizable insurance policies offer an array of coverage options to meet your needs. These include health, dental and vision benefits, life protection, disability insurance, and long-term care benefit options.
For some of our customers, life events such as the birth or adoption of a child, getting married or divorced, or moving to another city or state can impact their health insurance plans. Fortunately, there are special enrollment periods that can be used to enroll in new coverage outside of the standard annual open enrollment period.
During the special enrollment period, you have up to 60 days from when the qualifying life event occurred to change your health insurance plan. You will need to provide documentation to your health insurance provider proving that the qualifying life event was the reason for your change in policy.
In addition to affecting your coverage, a qualifying life event may also affect your employer-provided group health insurance policy and flexible spending accounts (FSAs). If you lose or change jobs or gain a job with insurance coverage through the workplace, you will be required to re-enroll in a new group plan or FSA within 60 days of a qualifying life event.
These changes can be significant and may have a large impact on your budget and your family’s health insurance coverage needs. The best way to find out if you qualify for an enrollment period is to check with your employer.
Qualifying life events that may be eligible for special enrollment periods vary from state to state. Some of these events are common for both employer-based and individual market plans under the Affordable Care Act, such as the beginning or ending of a marriage or the birth or adoption of children.
However, there are a few important differences in how these events are handled. For example, the birth of a child is not a qualifying life event for a special enrollment period in the individual market under the ACA, but it may count as a qualifying event in your state-run exchange.
Other life events that are recognized as qualifying life events in the ACA but do not qualify for a special enrollment period are changing an address, receiving a divorce or separation decree, or moving to a new job location. This type of change may be easier to qualify for if you are moving from a state with fewer health insurance policy carriers or to another county that is much more likely to have a variety of providers available.
Additional Coverage for Critical Illnesses
Our customizable health insurance policy offer a variety of additional coverage, including critical illness insurance. These plans are an important supplemental policy to consider because they can pay a lump sum if you’re diagnosed with certain serious medical conditions, such as cancer, heart attack or stroke.
While it’s hard to plan for a critical illness, these supplemental insurance policies can give you peace of mind and keep your family financially stable. They also allow you to cover non-medical expenses, such as mortgage or child care costs.
The amount of protection you get under a critical illness policy can vary by provider, but it’s usually a low-cost supplement to your existing health insurance. It can help cover the cost of additional treatment and medical supplies, such as specialized medications or home care.
Many people choose to purchase critical illness health insurance policy on their own, or through an employer. Some even add it to their life insurance coverage, which can help save money.
When you’re looking for critical illness insurance, make sure to ask about the maximum payout limits. It’s also a good idea to consider any exclusions or limitations that may prevent you from receiving a payout.
Most policies pay a lump sum when you’re diagnosed with one of the covered illnesses. You can then use the money to cover your expenses, such as groceries, prescriptions and transportation to and from treatment.
Some providers also offer a multi-benefit payout, which pays multiple times over the life of the policy. For instance, Assurity offers a critical illness payout when you’re diagnosed with cancer, and another payout if you suffer a heart attack or stroke at least six months later.
Having critical illness insurance can help alleviate financial stress and ease the burden of unpaid medical bills, which is a common cause of bankruptcy. It can also help provide peace of mind for those with loved ones who may be unable to work due to an illness.
Some insurers, such as Liberty Mutual and MetLife, offer affordable, customizable critical illness policies with a range of coverage options. These plans offer low premiums and are portable if you leave your employer.
Additional Coverage for Cancer
Our customizable health insurance policy offer you additional coverage that can help minimize the financial burden of cancer treatment and care. We’ll help you find a policy that covers a wide range of common costs, such as the initial diagnosis and hospital stay, plus the cost of chemotherapy.
In addition, our policies can also cover the cost of targeted tumor biomarker testing for specific cancers. This testing can help you and your doctor pinpoint which treatments may work best for your condition.
Adding this type of coverage is simple and can help reduce out-of-pocket costs for you and your family. Most of these policies are designed to supplement your basic health insurance, so make sure that the plan you choose will provide you with enough coverage to cover all your expenses.
Most basic health plans don’t pay for everything associated with a cancer diagnosis and treatment, leaving you with “gaps” in your coverage. Some of these gaps include deductibles and co-pays.
Another common issue is that some cancer insurance policies have a limit on how much they’ll pay out. For example, Aflac’s indemnity policy pays a maximum of $300 per day for radiation and chemotherapy, while Cigna’s lump-sum cash cancer insurance plan pays out up to $100,000.
These limits may be a problem for some people, especially if you’re unable to work after receiving a cancer diagnosis. This is why we recommend selecting a cancer insurance policy that covers a broad range of benefits, such as those offered by health insurance America
In addition to covering cancer treatment, these supplemental plans can also help you avoid costly out-of-pocket expenses by paying for routine wellness procedures such as colonoscopies or breast screenings. These services can help detect cancer early and save you money by preventing the disease from worsening or spreading.
You can also get cancer life health insurance America to protect your loved ones in the event that you pass away due to cancer during your lifetime. However, most cancer-related life insurance quotes are more expensive than standard life policies, so it’s important to compare your options.
