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