Personal Health Insurance And Employer Group Plans–Finding Coverage For Individuals With Preexisting Conditions

Health insurance options for individuals who may be part of an employer group health care plan can help when a particular employee as a preexisting condition, which may otherwise create problems when it comes to finding personal health insurance, but when some workers have found themselves without insurance due to either insurance cutbacks at their place of employment or because they were laid off, this has created a problem for some who may need health insurance coverage quickly.

Preexisting conditions under an employer group health insurance plan will not disqualify an individual from being covered by an insurance plan, but they may simply have to go through a waiting period before their particular condition is covered under the employer’s policy.  However, many men and women report that these preexisting conditions are what has stopped them from getting a personal health insurance plan when they either have lost their jobs, have become self-employed, or no longer have a group health insurance plan from their place of employment.

Obviously, consumers who are in a position where they are attempting to meet medical costs alone will quickly discover that without some form of coverage, in many cases, some individuals have acquired a great deal of debt or even had to file bankruptcy. Yet, according to an article on Kiplinger.com there could be, as a result of new healthcare reform laws, more options coming for those who may have a preexisting condition and are in a position where they cannot find coverage. According to this report, the law will “prohibit insurers from rejecting people because of their health. But that rule doesn’t take effect until 2014, so the law also created high-risk insurance pools to help cover people with health problems until then.”

While many unemployed workers who may have medical needs that could disqualify them from finding either a health insurance plan or affordable coverage have been prompted to take advantages of COBRA health insurance extension options as this could also be one way that men and women with a preexisting condition can keep coverage while they are either looking for a job or exploring options for alternative health insurance once this particular extension has expired. In some cases, consumers may need to be uninsured for at least six months before they can be covered under one of these pools that has been set in place particularly for those with preexisting conditions who are deemed to be “high-risk.”

However, the severity of a condition that is preexisting in the life of an individual may not necessarily disqualify them from individual health insurance, so some advisers also counsel the uninsured to look at individual health insurance policies that may be offered through various carriers in their state. While some unemployed individuals have simply been able to acquire short-term health insurance, which offers security when it comes to meeting medical costs after a certain deductible has been met, these plans are usually only in place as a way to guard against high medical costs in the event of an emergency and may not be as comprehensive as individual insurance plans, which could translate to someone with a preexisting condition being unaided by these particular options. However, consumers who may be unemployed, unable to take advantage of an employer group health insurance plan, or who simply cannot afford the costs of health insurance due to their preexisting condition may want to either look at COBRA extension options or research these high-risk pools in their particular state which may offer them some form of coverage while they are attempting to find a more long-term solution to their health insurance needs.