How to Buy Individual Health Insurance Coverage at Group Rates
Group health insurance, as part of a group plan at a full-time job, is generally offered at lower rates on premiums compared to individual health insurance coverage. But if you leave your job – or start another one that doesn’t offer health insurance, a group health plan may not be an option. And you may be surprised at just how expensive the same coverage is when you buy individual health insurance.
Individual health insurance plans are purchased directly from the insurance carrier by the individual, and do not offer benefits normally tied to a full-time workplace. However, individual plans can cover you and your family members. Keep in mind there are other ways to get health insurance when you’re between group health plans, including “short-term” and “catastrophic” health insurance plans.
Insurance carriers may reject your application for individual coverage, if you have existing health problems, because they are medically underwritten. But keep in mind, some states require that insurance carriers offer you a policy, no matter what your prior conditions are. So do your homework before you let a carrier reject your desired policy application. Check the list of “Guaranteed Issue Laws”, published by the Kaiser Family Foundation.
Individual plan buyers pay premiums determined by their “expected” health care costs, so prices will be higher as they grow older and/or less healthy. But don’t let any confusion tempt you to go without health insurance. Healthy or not, you could have a serious accident, and, as many others are, be forced into “medical bankruptcy.”
So don’t lose your rights to coverage of pre-existing conditions. Don’t go without insurance for 63 days or more, a time period set by the Health Insurance Portability and Accountability Act (HIPAA).
If you’re uninsured and have a “pre-existing condition”, you may feel like a reject from the health insurance market. It may seem to be impossible or unaffordable. But there are practical ways you may be in a position to manage to get coverage.
Double check the facts in your state because, in some states, self-employed sole proprietors are eligible to buy independent health insurance at the premium rate of a “group of one”. Even if you are a home-based businessperson you may do so, if you can show that you’ve been in business for 30 days or more.
You might qualify for a group rate if you own a business and have at least one partner or employee, even if you live in a state that does not offer these “group of one” insurance policies. For example, does your spouse do some bookkeeping or any other business-related tasks for your company? That setup qualifies you as a two-person business, and therefore makes you eligible for a group rate policy.
Before planning to leave an employer with which you have a group health plan, call and inquire as to whether their insurance carrier can convert it to an individual health plan for you. Even though the rate will be higher than your employer’s group plan, it’s your best option, for the time being, to secure health insurance. This is most important for those with existing medical conditions. Also inquire as to whether your spouse has a group plan at their work, and if they can add you on.
Looking to find the best deal on Guaranteed Individual Health Insurance? Then visit here to find the best advice on Gauranteed Issue Health Insurance for you and yours.
