Best Health Insurance Guide

Nevada Individual Health Insurance Section


Welcome to Best Health Insurance Guide

Nevada Individual Health Insurance Article

This article propagates the vital things you need to know about health insurance. Bet you thought you were thorough on the subject of health insurance. So read on to find out if you have won the bet! State Insurance Pool: Can it help you? health insurance are basically interesting parts of our day-to-day life. It is only that sometimes, we are not aware of this fact! Keep your mind open to anything when reading about health insurance. Opinions may differ, but it is the base of health insurance that is important. We have used clear and concise words in this article on health insurance to avoid any misunderstandings and confusions that can be caused due to difficult words. A “State Insurance Pool” is a ground-breaking program that secures insurance benefits for all individuals, even those who are considered to be high-risk by the insurance industry. Quite often referred to as “Guaranteed Access Programs“, these pools are unique plans created by individual state legislatures in order to make available a sturdy safety net for those folks to whom the dreaded term "medically uninsurable" has been applied. Previously, this determination meant that a person in need of medical care was denied health insurance coverage usually because of a pre-existing health condition. Sadly, it is the patient with such health issues who is in the greatest need of quality health care, yet quite often unable to afford the treatments because of the financial strain involved. Previously, this has led to interruptions in medical care for patients who had exhausted available COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) benefits, and were now unable to meet steep financial demands from care providers. It is noteworthy that state insurance pools vary from state to state; however, they usually function within the confines of a state formed not-for-profit alliance, which is governed by a board of directors. In general, this board has representative members from the insurance industry, individual insurance customers, and members of the specific state insurance department. Operating very much like a clearing house, the board enters into contracts with an insurance company, and then oversees the day to day operations of collecting members’ premiums, receiving and paying out claims, and answering questions on eligibility for treatment. While coverage is frequently comparable to the coveted 80/20 major medicals and outpatient coverage, prospective members may still be denied plan benefits because of perceived issues of being uninsurable, yet this limitation is often restricted to a 12-month period. Thereafter, acceptance is all but guaranteed. While this is good news for patients seeking insurance protection, it is important to remember that this coverage, while state sponsored, is not free. As a matter of fact, premium costs are usually quite a bit higher than comparable plans offered on the open market by competing insurance companies, yet because of state law regulations, there is a firm cap on the amount of money a patient may be charged for insurance. In general, this cap runs between 125 to150 percent of the base individual market rate. While the cap is firm, there is still some elasticity in the rates, and they sometimes may vary based on plan participants’ ages, or even domicile addresses. Quite often copies of rejection notices must accompany an application for coverage under the umbrella of a state insurance pool from state-licensed insurance carriers. Additionally, anyone wishing to take advantage of a state-run plan must be a resident of the state in which the plan is offered. In lieu of a rejection by an insurance carrier, an individual who can evidence 18 months or more of uninterrupted health care coverage and is considered HIPAA eligible will quite often qualify for pool coverage. Coverage for dependants is available as well. You may be filled with astonishment with the amount of information we have compile here on health insurance. that was our intention, to astonish you. In short, a state insurance pool is of invaluable help to anyone who has been denied health insurance because of pre-existing conditions or has exhausted the allotted time period of COBRA benefits, and needs assistance in receiving needed medical care without fear of exorbitant out-of-pocket expenses. As of 2003, thirty-three states offered high-risk pools to their residents. Twelve states have chosen to opt out of these programs by providing alternatives. For example, the District of Columbia has contracted with Carefirst Blue Cross Blue Shield to have an open enrollment period where interested individuals may purchase coverage regardless of medical conditions, and enjoy full benefits after only a short two-month waiting period. Rhode Island and Pennsylvania have contracted with Blue Cross/Blue Shield to offer year-round enrollment for otherwise deemed uninsurable patients. Interestingly, this health care concept has since been expanded to also apply to hurricane insurance. “Windstorm Coverage Pools” are an alternative for homeowners who are unable to purchase individual coverage for their residences. Homeowners in a few coastal counties of Georgia and New York are even to participate in pool coverage for wind and hail damage through a program entitled “FAIR” (Fair Access to Insurance Requirement). The completion of this article on health insurance was our prerogative since the past one month. However, we completed it within a matter of fifteen days! This article has practically covered all points on health insurance. Do you feel the same thing upon reading this article?


Nevada Individual Health Insurance Best products


Nevada Individual Health Insurance News

Nevada U.S. Sen. Cortez Masto backs expanding health care tax credit eligibility

She said the problem is under current law, if a parent has health insurance but that employer doesn’t offer coverage to a spouse or child, those family members can be prevented from getting tax ...

Read more...


Nevada Hotel and Lodging Association adds an Association Health Plan to member benefit packages

... offer a new Association Health Plan to the members of the Nevada Hotel and Lodging Association (NHLA). Smaller hospitality providers can now offer high-quality and affordable medical, dental, ...

Read more...


Health insurance: Nevada wades into nationwide debate about association health plans

In Nevada, there are six association health plans overseen ... Those figures, however, are for the individual health insurance market. For small business owners, the ACA’s mandatory requirements to ...

Read more...


Nevada health insurance rates face proposed increases

Those figures will be released in October. Four insurance companies will be offering 24 individual health plans in Clark, Washoe and Nye counties on the exchange. Nevada health insurance rates face ...

Read more...


Once again, Centene steps up to provide health insurance — this time in Nevada

Brian Sandoval on Tuesday announced an agreement with Clayton-based Centene Corp. to make sure health insurance ... to utilize Nevada's online marketplace and secure coverage for their families," ...

Read more...


ACA: Anthem leaving Nevada health insurance exchange in 2018

Anthem Blue Cross Blue Shield is pulling out of another health insurance exchange market as the political uncertainty surrounding the Affordable Care Act continues to adversely impact the program. ...

Read more...