Why Buy Health Insurance?
If you're
healthy, you probably don't think about health insurance -
until you get sick or injured. Then, health insurance can
become the most important thing in your life and the lives
of your loved ones. If you've ever experienced an unexpected
health crisis and been without health insurance, you know
what a financial and emotional disaster it can be.
Most people
who are full-time employees of large companies receive health
insurance as part of their employee benefit package. But if
you work part-time, work in a small office, are self-employed
or unemployed, you may be among the more than 44 million people
in this country who aren't covered.
Health insurance
is too important a purchasing decision to take lightly. An
uninformed choice today could leave you without the coverage
you might need later. Whether you're shopping for an individual
health plan for you or your family?or comparing the plans
offered by your employer?shop wisely. You want to make sure
that the plan you select meets your unique healthcare needs
and also fits your wallet.
Carefully
identifying your current and anticipated preferences and needs
can help you select a plan that meets your personal requirements
for now and in the future. Although most plans cover outpatient
and hospital care, and a number of other services, some coverages?like
dental care and vision care
are not usually included in a general plan.
What
happens to my group health coverage when I quit or loose my
Post Employment
Coverage
When you
leave your job, you also leave behind your employer-based
health insurance. Unless you're moving into a job situation
where you're covered immediately by your new employer or you
can join your spouse's plan, you'll need to obtain coverage
on your own. Your options for personal coverage include
short-term medical, individual medical plans, and COBRA
coverage.
Short
Term Medical: Short-term medical plans are designed
for people who are responsible for their own health insurance
until they secure permanent individual insurance or employer-based
coverage. Premiums for these plans tend to be lower than COBRA
or individual major medical plans, mainly because they do
not cover preexisting conditions.
Short-term
medical plans can usually be purchased for coverage periods
of one to six months. Some companies allow you to reapply
for one additional period of the same length as the initial
period. Short-term medical plans generally do not provide
coverage for any preexisting condition, and any condition
that may have developed during the first coverage period may
be excluded from your second coverage period. Short-term medical
plans may also be an option to meet the needs of graduating
students, who may be responsible for their own health insurance
until they secure employer-based coverage or permanent individual
insurance.
COBRA:
If you quit your job or are let go for any reason other than
gross misconduct, you may qualify for continuation of your
employer's health insurance benefits under the federal law
known as COBRA (Consolidated Omnibus Budget Reconciliation
Act of 1985). You may also qualify for COBRA if you lose your
employer-based health insurance coverage because your work
hours are reduced. If you lose coverage for one of these reasons,
you, your spouse, and children may continue your previous
health insurance coverage under COBRA for up to 18 months
by paying the full premium plus an administrative fee (up
to 2 percent). If you are disabled, the COBRA coverage could
be extended to 29 months. Spouse and dependent coverage is
available for up to 36 months for reasons of your death, divorce,
separation, or when your child reaches the plan's age limit.
For a healthy person, the premium for COBRA continuation coverage
may exceed the premiums charged for short-term medical and
individual plans that you can purchase. You should compare
COBRA costs and coverage with other options before purchasing.
HIPAA:
Another piece of federal legislation known as HIPAA (Health
Insurance Portability and Accountability Act of 1996) may
become very important to you if you terminate your current
employment. HIPAA guarantees that you can obtain group health
insurance if you have had continuous coverage for the previous
18 consecutive months. Time covered on a COBRA plan counts
toward the 18 consecutive months. HIPAA also guarantees certain
eligible persons the ability to purchase an individual health
policy. This guarantee is more limited, and the types of available
plans vary considerably by state. Visit http://www.hhs.gov/ocr/hipaa/
for more info.
Individual
Plan: If you can't find group coverage or you're not eligible
for COBRA (or have exhausted your COBRA benefits), you definitely
need to go shopping for an individual plan.
Being without health insurance puts you and your family
at risk!
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