Buying
Individual Health Insurance Policies
Some people do not have health insurance
coverage through their job because it is not offered by their
employers or they are self-employed. These people have to get
individual health insurance policies, which are harder to
obtain, more expensive and less consumer friendly. The laws and
regulations governing job-based coverage and individual
policies are very different.
Generally speaking, individual policies do
not offer as much benefits or protections as that of
job-based coverage. This does vary based on the state where
the individual health insurance policies were purchased.
Good health is not a
guarantee even if you are healthy and currently do
not spend much on healthcare. Just one hospitalization can
set you back financially.
You can go to an agent to purchase an
individual policy or look for health insurance coverage
online. Independent insurance agents must be registered with
your state department of insurance. So they will have a list
of people licensed to sell health insurance in your state.
Another way of locating an agent is by visiting the National
Association of Health Underwriters website.
As the rules covering the two are different,
consumers buying individual health insurance policies must
be smart in their shopping and be aware of their rights and
protections under the law.
Some things to look for under individual
health insurance policies are:
1. Non-cancelable, guaranteed
renewable coverage
This means that the policy cannot be
canceled as long as you continue to pay the premiums and do
not try to defraud the insurance company.
There are times when insurance companies
cancel health insurance policies because the insured becomes
sick, in much the same way that auto insurance companies
cancel people who have too many accidents. Unfortunately,
this is legal in many states.
So, look for a policy which is noncancelable
and guaranteed to renew each year if you can. Failing which,
the next best thing is to find a "conditionally renewable"
policy, which means that the insurance company reserves the
right to cancel all policies similar to yours, but cannot
single you out for cancellation.
2. A 10-day rescession period
Most insurance companies will allow you 10
days to check the policy documents carefully and then decide
whether or not you want this coverage.
You should be able to cancel the coverage
and get your premium refunded if you decide you do not like
the terms of the policy within the 10 days.
3. Clearly defined
terms
Be clear on the following:
- What is covered
- What is not covered
- When the coverage begins
When looking at individual health insurance
policies, you will find a wide level of coverage and more
options are available to you. This is because there is no
employer pre-selecting certain types of plans to choose
from.
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