Many people in America today take prescription medications or have a condition that is being treated or monitored by their doctor, so when someone is looking to change their health insurance carrier it is important to know how this will be handled prior to applying. Anything that is ongoing is considered a preexisting condition and may be subject to a waiting period before it is covered by the new insurance. Ask:
(1) What is the lookback period to determine if something will be considered pre-existing? If your doctor took you off cholesterol medication almost a year ago, for example, know whether it would be covered if he put you back on it next month.
(2) How long will it be before something that is considered a preexisting condition will be covered? For many insurance companies this is 12 months.
(3) Will time spent on your previous insurance count towards satisfying the pre-existing condition waiting period. If, for instance, you had been on a group policy through an employer and it was still in force or had not lapsed for more than 63 days you may be a considered a HIPAA eligible person. Does the policy you want to apply for recognize this?
If you are taking a brand name prescription and don't ask about preexisting conditions before applying you could find yourself paying for your medication in full for the next 12 months and what you were paying a $30 copay for previously for could easily now cost you over $200/month.
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Ronald Haines
ronald@hcibenefits.comwww.hcibenefits.com