Getting my own insurance?
So stinkin' United Heathcare and my employers are of no help whatsoever. I have an exclusion in my UHC policy for WLS period.
I have just applied for Independence Blue Cross HMO @ $287 p/mo for an individual plan. I am waiting to see if I will be approved.
It lists under "What is not covered"
"Treatment of obestiy, except for surgical treatment of morbid obesity when medically nessecary"
It also seems to have a pre-existing condition clause of 90 days. However, since my PCP and I have only talked about the possibility of me looking into WLS, is jsut the fact that I'm obese a pre-exisiting based on my BMI?
I would think that if this was the solution everyone would be doing it...and since I cant' find anything on OH that says they have, I'm worried I'm barking up the wrong tree.
Anyone have experience with this?
From http://www.pacode.com/secure/data/031/chapter151/s151.9.html
(d) Pre-existing conditions. If pre-existing conditions are excluded, or limited as to coverage, from the medical care and services available from the provider, whether or not available at an additional charge, the term pre-existing conditioning shall not limit coverage beyond that stated in the following definition: ‘‘A pre-existing condition is a disease, illness, sickness or physical condition for which medical care, advice or treatment was recommended by or received from a physician within the 5 year period preceding the date of admission to a facility.’’
From http://www.dol.gov/ebsa/faqs/faq_consumer_hipaa.html
"HIPAA contains protections both for health coverage offered in connection with employment (group health plans) and for individual insurance policies sold by insurance companies (individual policies)."
If you choose to apply for an individual policy for yourself or your family, HIPAA includes protections for individual policies that:
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Guarantee access to individual policies for people who qualify
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Guarantee renewability of individual policies"
(Hi/DoS/CW/GW) 335/320/243.5/174 (-91.5)(total lost) in 18-20 dependent on brand!
I'm more than half-way there! :) (68.5 pounds to go)
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I'm more than half-way there! :) (68.5 pounds to go)
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