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Health Insurance California >> Health Insurance >> Health Insurance - Pre-existing Conditions

Pre-existing Conditions

Many people worry about health insurance coverage as it has preexisting conditions, especially when they change jobs. The Health Insurance Portability and Accountability Act (HIPAA) helps assured continued health insurance coverage for employees and their dependents as well. Starting July 1, 1997, insurers have rights to impose for about one to 12-month waiting period for any preexisting condition treated or analyzed in the previous six months. Your prior health insurance coverage would be credited toward the preexisting condition exclusion period providing you have maintained continuous health plan coverage without a break of more than 62 days. Pregnancy is not considered as preexisting condition, and the newborns and adopted children who are covered within 30 days will not be subjected to the 12-month waiting period.

If you have had group health insurance coverage for two years, and you switch jobs and go to another health plan that new health plan can not impose another preexisting condition exclusion period. If, for example, you have had prior coverage of only eight months, you might be subjected to a four-month, preexisting condition exclusion period when you switch your jobs. If you've never been covered by an employer's group health plan, and you get a job that offers such health coverage, you might be subjected to a 12-month, preexisting condition waiting period.

Federal law also makes it easier for you to obtain individual health insurance under certain situations, as well as if you have left a job where you had group health insurance plan, or had another health plan for more than 18 months without a break of more than 62 days.
If you have not been covered under a group health insurance plan and have found it difficult to get health insurance on your own, check with your state insurance care department to see if your state has a risk pool. Similar to risk pools for automobile insurance, these could even provide health insurance for people who cannot get it elsewhere.

 

 

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Health Insurance


Health insurance is a type of insurance whereby the medical expenses of the person who is insured is paid by the insurer if the insured becomes sick due to covered causes, or due to accidents. The insurer may be a private organization or a government agency.

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