Guaranteed Issue Health Plans and Health Reform
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Dennis Jarvis
May 11, 2013, 6:00:05 AM5/11/13
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Please consider this free-reprint article written by:
Dennis Jarvis
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Article Title: Guaranteed Issue Health Plans and Health Reform
Author: Dennis Jarvis
Word Count: 519
Article URL: http://www.isnare.com/?aid=1837235&ca=Medical+Business
Format: 64cpl
Contact The Author: http://www.isnare.com/eta.php?aid=1837235
Easy Publish Tool: http://www.isnare.com/html.php?aid=1837235
*********************** ARTICLE START ***********************
healthsubsidy.net is mainly about getting the most health subsidy that you are eligible for and we're serious in that aim. After all, it could mean 1000's to 10's of thousands of dollars per year to you and your family. Those are serious numbers and we felt it warranted an in-depth discussion on how to maximize it. There's another important change resulting from the Health Reform law that we need to discuss...Guaranteed Issue health plans.
A quick definition of Guaranteed Issue health insurance
This is a major change in the health insurance market for individual and family health insurance. A major issue in purchasing health insurance on the individual market (and depending on the State, the group health market) has been health qualification. In most markets, an insurance carrier could decline coverage or increase the premium charged based on the health status and history of the application. Depending on your State and the carrier, roughly 50-80% of the applications might be declined or rated up. This has been a big problem in the health insurance market despite various high risk pools and the temporary PCIP plan as part of the Health Reform bill. It often left people with no or very bad options. That's going away Jan 1st, 2014.
Effective Jan 1st, 2014, health history and status will not impact qualification
It's hard to say whether Guaranteed Issue on the individual/family market or the Health Subsidy is the biggest change coming our way but they're both up there. Here's the landscape for the Guaranteed Issue changes.
An eligible person cannot be declined coverage due to health status or history. Essentially, the whole issue of pre-existing conditions go away. Health history goes a little deeper and speaks to past health issues which previously would affect a person's ability to qualify such as certain types and stages of cancer in one's history. An insurer can also not increase a person's insurance premium based on their health status/history or apply waiting periods or waivers to pre-existing conditions. A person's premiums can also not be increases later on if health changes. Keep in mind that rates can increase by other criteria such as age bands, area, and based on claims experience for large groups (such as by State). Rates just can't be increased based on your individual claims experience for you alone.
Windows for Guaranteed Issue Enrollment
Depending on each State's interpretation of the rules, there will likely be open enrollment windows (such as October 1st through Dec 31st) and certain qualifying events during the year (such as losing group health insurance or moving States). If you do not enroll during these windows, you will likely have to wait till the next window. This restriction plus a penalty for not purchasing health insurance will be the "stick" to motivate people to enroll while the health subsidy will be the "carrot". Guaranteed Issue is applicable to both plans in and out of the Exchange.
- See more at: http://www.healthsubsidy.net/Guaranteed_Issue_Health_Exchange_Plans.html
About The Author: Dennis Jarvis is a licensed health insurance agent who focuses on helping people understand the new health subsidy available through Reform for health care. http://www.healthsubsidy.net
Please use the HTML version of this article at:
http://www.isnare.com/html.php?aid=1837235
*********************** ARTICLE END ***********************
- To distribute your articles go to http://www.isnare.com/distribution.php
- For more free-reprint articles go to http://www.isnare.com
Message delivered directly to members of the group:
publish-the...@googlegroups.com
*****************************************************************
Please consider this free-reprint article written by:
Dennis Jarvis
*****************************
IMPORTANT - Publication/Reprint Terms
- You have permission to publish this article electronically in free-only publications such as a website or an ezine as long as the bylines are included.
- You are not allowed to use this article for commercial purposes. The article should only be reprinted in a publicly accessible website and not in a members-only commercial site.
- You are not allowed to post/reprint this article in any sites/publications that contains or supports hate, violence, porn and warez or any indecent and illegal sites/publications.
- You are not allowed to use this article in UCE (Unsolicited Commercial Email) or SPAM. This article MUST be distributed in an opt-in email list only.
- If you distribute this article in an ezine or newsletter, we ask that you send a copy of the newsletter or ezine that contains the article to http://www.isnare.com/eta.php?aid=1837235
- If you post this article in a website/forum/blog, ALL links MUST be set to hyperlinks and we ask that you send a copy of the URL where the article is posted to http://www.isnare.com/eta.php?aid=1837235
- We request that you ask permission from the author if you want to publish this article in print.
The role of iSnare.com is only to distribute this article as part of its Article Distribution feature ( http://www.isnare.com/distribution.php ). iSnare.com does NOT own this article, please respect the author's copyright and this publication/reprint terms. If you do not agree to any of these terms, please do not reprint or publish this article.
*****************************
Article Title: Guaranteed Issue Health Plans and Health Reform
Author: Dennis Jarvis
Word Count: 519
Article URL: http://www.isnare.com/?aid=1837235&ca=Medical+Business
Format: 64cpl
Contact The Author: http://www.isnare.com/eta.php?aid=1837235
Easy Publish Tool: http://www.isnare.com/html.php?aid=1837235
*********************** ARTICLE START ***********************
healthsubsidy.net is mainly about getting the most health subsidy that you are eligible for and we're serious in that aim. After all, it could mean 1000's to 10's of thousands of dollars per year to you and your family. Those are serious numbers and we felt it warranted an in-depth discussion on how to maximize it. There's another important change resulting from the Health Reform law that we need to discuss...Guaranteed Issue health plans.
A quick definition of Guaranteed Issue health insurance
This is a major change in the health insurance market for individual and family health insurance. A major issue in purchasing health insurance on the individual market (and depending on the State, the group health market) has been health qualification. In most markets, an insurance carrier could decline coverage or increase the premium charged based on the health status and history of the application. Depending on your State and the carrier, roughly 50-80% of the applications might be declined or rated up. This has been a big problem in the health insurance market despite various high risk pools and the temporary PCIP plan as part of the Health Reform bill. It often left people with no or very bad options. That's going away Jan 1st, 2014.
Effective Jan 1st, 2014, health history and status will not impact qualification
It's hard to say whether Guaranteed Issue on the individual/family market or the Health Subsidy is the biggest change coming our way but they're both up there. Here's the landscape for the Guaranteed Issue changes.
An eligible person cannot be declined coverage due to health status or history. Essentially, the whole issue of pre-existing conditions go away. Health history goes a little deeper and speaks to past health issues which previously would affect a person's ability to qualify such as certain types and stages of cancer in one's history. An insurer can also not increase a person's insurance premium based on their health status/history or apply waiting periods or waivers to pre-existing conditions. A person's premiums can also not be increases later on if health changes. Keep in mind that rates can increase by other criteria such as age bands, area, and based on claims experience for large groups (such as by State). Rates just can't be increased based on your individual claims experience for you alone.
Windows for Guaranteed Issue Enrollment
Depending on each State's interpretation of the rules, there will likely be open enrollment windows (such as October 1st through Dec 31st) and certain qualifying events during the year (such as losing group health insurance or moving States). If you do not enroll during these windows, you will likely have to wait till the next window. This restriction plus a penalty for not purchasing health insurance will be the "stick" to motivate people to enroll while the health subsidy will be the "carrot". Guaranteed Issue is applicable to both plans in and out of the Exchange.
- See more at: http://www.healthsubsidy.net/Guaranteed_Issue_Health_Exchange_Plans.html
About The Author: Dennis Jarvis is a licensed health insurance agent who focuses on helping people understand the new health subsidy available through Reform for health care. http://www.healthsubsidy.net
Please use the HTML version of this article at:
http://www.isnare.com/html.php?aid=1837235
*********************** ARTICLE END ***********************
- To distribute your articles go to http://www.isnare.com/distribution.php
- For more free-reprint articles go to http://www.isnare.com
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