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Thursday, October 29, 2009

Get Individual Health Insurance at Group Rates

By Brockton Barton

When you're buying health insurance as part of a group plan at work, it's normally at lower rates on premiums. If you're self-employed or between jobs, a group health plan may not be an option. If you start another job which does not offer health insurance, or work as an independent consultant, you'll more often that not notice a sharp rate increase when you buy individual health insurance.

An individual plan is one purchased on the private market, not tied to workplace benefits. Although they are called "individual" plans, they can cover you, your spouse and your children. Other ways to buy health insurance when you're between group health plans include "short-term" health insurance and "catastrophic" health insurance.

Individual plans are "medically underwritten", which means the insurer may reject your application, if you have existing health problems. Some states don't allow this practice and require that insurance carriers offer you a policy, no matter what your medical condition. A list of "Guaranteed Issue Laws" has been published by the Kaiser Family Foundation, so do your homework before you let a carrier reject your desired policy application, or make exclusions to it.

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."

Keep in mind, if you go without insurance for 63 days or more, a time period set by the Health Insurance Portability and Accountability Act (HIPAA), you'll lose your rights to coverage of pre-existing conditions.

You may feel locked out of the health insurance market if, for example, you've been uninsured for too long, or have a "pre-existing condition". It may seem impossible, there are practical ways you may be able to get coverage.

Remember to do your homework, because in some states, the self-employed, sole proprietor can be eligible to buy health insurance as a "group of one" - even a home-based businessperson - just as long as you've been in business for at least 30 days.

Do some research to find out if you qualify for a group rate, even if you live in a state that does not offer these "group of one" insurance policies. For example, if you own a business, even a home-based business, and have at least one partner or employee, even your spouse who may be doing secretarial work for you; this situation qualifies you as a two-person business, eligible for a group-rate policy.

Let's say you're planning on leaving an employer where you have a group health plan. Simply ask the insurer to convert it to an individual health plan. The rate will, of course, be higher than your group plan, but at least you've secured your health insurance if you have medical conditions. Another option to check on: if your spouse has a group plan at work, you might be able to be added on to it. - 23211

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