Will health insurance cover a serious pre-existing condition?
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I believe I may have a serious medical condition. I know I should go to the doctor ASAP but I have a concern about my health insurance. My coverage is ok but not the greatest. I may or may not be changing jobs and the new job has much better insurance. Also, I am currently on my wife's health insurance policy and she may be changing jobs in March. How do I know if my possible medical condition would be covered by any new insurance policy? If it turns out to be serious, I may not be able to afford to pay my medical bills if my new insurance carrier chooses not to cover it. What are my options?
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Answer:
(This answer assumes you are a U.S. resident.) There is good news for you: the Health Insurance Portability and Accountability Act (HIPAA) will provide you with protection in this situation. There is not enough information to conclusively tell you whether the plan through your or your wife's new insurer will completely extinguish your pre-existing condition exclusionary period, but if you've been covered at least 18 months under a group plan, it definately will. Go here to read more: http://www.dol.gov/ebsa/faqs/faq_consumer_hipaa.html If your or your wife's new plan has a "waiting period," all you have to do is elect COBRA during that period of time. Even if you choose not to elect COBRA, the waiting period cannot be counted as a period of lapse; therefore, it isn't counted against the 63-day period you'll read about in the link above. p.s. -- I have expert knowledge regarding HIPAA provisions and there's alot of misinformation here about this issue. If you have any questions, please send me a message through Yahoo Answers.
Todd K at Yahoo! Answers Visit the source
Other answers
If this medical condition has already been diagnosed than you will be flat out of luck. It is possible that if you haven't "discovered" it before you change companies that you may be okay. I wouldn't waste much time as prevention and early treatment for most things tends to be a much better method than waiting until its too late. Good luck!
CSUflyer
If it is serious, go to the doctor now. You don't seem certain that you are changing jobs. On top of that, a new company may make you wait 90 days for coverage. Since you don't know the details of the plan you *might* end up on in several months, it is safer to go get yourself checked now.
TaxGurl
Hmo's will cover even after diagnosis. Go to the Dr. The most important thing is to get medical attention asap. You can't wait what if you are waiting until it's too late and no amount of insurance will help you? That being said. Just enroll in the co HMO. they pay the most for health care at the best price to you.
hunter2
Very few if any insurance companies cover pre-existing conditions. About the only time they do is when your employer changes insurance companies, but if you change employers your condition probably wont be covered.
stephenl1950
It depends on the insurance. Some plans waive the pre-existing condition clause if you had insurance immedaitely prior to the current plan taking effect. You should never deny yourself medical care if you need it though. Payment can ALWAYS be worked out!!
zippythejessi
As long as you are continuously covered under medical insurance changing insurance companies will not matter. If, however, you had no insurance for more than 3 months and then you get insurance the company could choose not to cover the pre-existing condition. You should go ahead and change jobs now. By the time your wife changes jobs you should be eligible for insurance with your new job and can switch your coverage from your wife's to yours. Then you can cover your wife when she switches jobs for the period of time she won't be covered until she becomes eligible at her new job. Good luck.
PRS
A lot of times, if you have a certificate that shows you were insured (evidence of insurability), and the previous condition was covered under the prior insurer, a new insurer will pick up the preexisting condition because there was no lapse in coverage. You will have to make that a condition of new employment - or of your wife's new employment.
mbrcatz
You are right to be concerned about pre-existing conditions. Insurance is very crappy these days. Don't go to a doctor until you or your wife change jobs. that way, there will not be any record of a pre-existing condition. Usually the new insurance will not cover any condition existing 6 months prior to obtaining your new insurance.
starflower
First things first, if you become terminally ill because you didn't go to the doctor, ask yourself this: will insurance cover me now or does it matter now? You need to go to the doctor if you seriously think you have a "serious medical condition". Insurance companies are mostly known to have rejected any applicants with any pre-existing conditions. What you can do is find out from your "future employer" (if you are still going to change jobs) the insurance comapny the use and do a little searching yourself. Call them up and inquire. Won't hurt if they don't know you; will hurt if what you have is serious and you don't tend to it ASAP.
Mikki C
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