Friday, April 28, 2006

Help! Health Insurance if you're already sick????

This question comes up at least 3 times a week. I have clients with conditions like rhumatoid arthritis - auto-declines with many health insurance for individual companies. How can they get help?

This info applies to Texas - but I'm sure other states have similar options - you just have to check with your own state insurance commission - so here goes -

If you already have any health insurance, the best bet isprobably to hold on to it. If you don't, the best advice that anagent should give you would be to look at the Texas Risk Pool first.The website link is: http://www.txhealthpool.com/ . However, thereare some people who do not qualify: (Make a phone call to the riskpool to be sure you are interpreting the rules correctly.) 1. The rules for eligability are here, and you can see they arequite numerous:: http://www.txhealthpool.com/eligibil.html 2. Pre-existing conditions may be excluded for 12 months_. Wow. Ihad to read that paragraph twice. To me, it seems like the reasonthat anybody would consider the risk pool, is that they do have apre-existing condition. Read the 'pre-existing' condition paragraphon the web page in section 1. 3. _They cannot afford it. Many middle class Americans make toomuch to qualify for Medicaid or a county health system, but stillcannot afford the risk pool. ...or they do have access to a groupinsurance plan, but because of unemployment of other circumstances,it is unaffordable.
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ANOTHER SITUATION MIGHT ARISE WHERE YOU DO HAVE AN INDIVIDUAL PLAN,BUT YOU HAVE A WAIVER OR RIDER ATTACHED TO IT, AND YOU MUST WAIT OUTA PERIOD OF TIME BEFORE YOU HAVE COVERAGE. YOU MAY HAVE A HIGHDEDUCTIBLE TO KEEP YOUR PREMIUMS IN LINE, AND STILL FIND YOURSELFBURIED UNDER LOTS OF OUT OF POCKET EXPENSES. PERHAPS PRESCRIPTIONSAREN'T COVERED, OR THEY HAVE A VERY HIGH DEDUCTIBLE.A SIMPLE BROKENARM, WITH A TRIP TO THE EMERGENCY ROOM, COULD COST YOU A LOT OFMONEY, BUT NOT ENOUGH TO MEET YOUR DEDUCTIBLE.
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IS THERE AN ANSWER? I HAVE HAD GREAT LUCK WITH THE FOLKS AT AFFORDABLE HEALTH CAREOPTIONS. THE WEBSITE IS HERE: AFFORDABLE HEALTH CARE OPTIONS THESEPLANS ARE NOT INSURANCE PLANS, BUT CARRY INSURANCE COMPONANTS TOTHEM. HERE IS THE LINK: http://www.ahco.biz/19806 Click on HEALTH PROGRAMS to review your options for health plans,prescription plans, dental plans, vision plans, accident plans,critical illness plans, and maternity plans. Then click on ENROLLNOW. You can _enroll online for the prescription, accident, criticalillness, and the prescription + dental and vision plans. If you areinterested in the FULL HEALTH PLAN OR MATERNITY PLAN, you must fillout the referal form and a representative will contact you to makesure you understand the plan before you enroll. Their customerservice is fantastic, and they get in touch very quickly! IF YOU'DLIKE ME TO HELP YOU, MY CONTACT INFORMATION IS ON THE BOTTOM OF THESCREEN. YOUR SECOND HEALTH PLAN OPTION IS USA+. CLICK HERE FOR USA+. Theirplans are slightly more expensive than Affordable Health Care, butthey truly offer a Cadillac in the Guaranteed Acceptance HealthBenefits. Some plans offer up to 1,000 a day for hospital benefits,doctor copays, group dental benefits, and much more, and they areunderwritten by A rated insurance companies. You can browse variousoptions, download brochures, and apply online from this website. Thanks for your time! I can answer your questions on the phone, andI can also direct you to other online resources for comparingdifferent insurance companies and plans. I would really appreciatethe chance to work for your business.

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