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Indiana Health Insurance

 

All health insurance policies in Indiana are considered guaranteed renewable as long as your premiums are paid up to date.  So this means your health insurance can not be canceled because you become sick.

 

Indiana mandates that health insurance companies cover newborns and adopted children for the first 31 days, on their parent’s policy.  But inversely pregnancy is, and can be considered a pre-existing condition, except on group health policies.  Pregnancy is a pre-existing condition but not on group health insurance.

 

The ICHIA (Indiana Comprehensive Health Insurance Association) is Indiana's high risk pool.   If you have just lost your group health coverage you would now be considered HIPAA eligible.   In this case you could get an individual policy from ICHIA with out any pre-existing clauses added.  If you are an individual who could not buy health insurance from private companies, due to your health, you can get a ICHIA policy but you will have pre-existing condition elimination periods.

 

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ICHIA offers a choice of three annual deductibles; $500, $1,000, and $1,500.   Every plan is a PPN network where in network coverage is 80/20 and out of

network drops to 60/40.  The state of Indiana limits what you can be charged on one of these plans to 150% of what a normal plan would cost.

 

If you have any questions or comments about getting Health Insurance in Indiana you should visit The Indiana Division of Insurance.

 

                              Request an Indiana Health Insurance Quote

 

 

Indiana Small Business Health Insurance

 

In Indiana, a group health plan, can not base your health insurance premiums on your health.  This is called non discrimination.  Small Business Health Insurance in

Indiana is also guaranteed issue, meaning that you can not be turn down for coverage.

 

The state of Indiana puts limits on what an insurance company can charge Small Businesses in premiums.  So yes health, age, group size etc all affects your prices, but they can only affect your prices so much!

 

Pre-existing exclusions are limited on the amount of time they can exclude coverage.  Also if you have current coverage, without lapses, that will be credited against your pre-existing period.  Pregnancy is not considered a pre-existing condition on a group health plan.

 

The maximum pre-existing waiting period is 9 months for an employee. If you are a late enrollee your maximum waiting period is 15 months.  Any pre-existing periods must be applied only after written notice.  If you have had continuous credible coverage, Indiana law protects you from new pre-existing clauses

 

Indiana does limit the amount of variation between premiums of different group health plans.  Each Small Business Plan will have certain enrollment periods in which employees can sign on to get coverage.

 

For additional information about Small Business Health Insurance in Indiana click here.

 

                               Request an Indiana Small Business Health Insurance Quote

 

 

Indiana Individual Health Insurance

 

All Indiana Health Insurance Policies have to cover disabled children on their parent’s policy into their adulthood.  The consumer must notify the insurance company in writing no more than 30 days after the policy ends.

 

In Indiana, insurance companies are able to decide if they want to insure you or not.  They can either rate you up or just refuse coverage.  Also Indiana does not mandate what you buy, so insurance companies are able to design specific policies for specific consumers, rather than make insurance companies offer similar policies.

 

Indiana allows health insurance companies to include pre-existing conditions and these are the two ways they can do it:

-         With an Elimination Rider which basically changes the policy to deny coverage of anything to do with the pre-existing condition.

-         With a Pre-Existing period, this can not be more than 12 months.

 

Relative to Pre-Existing Conditions, Insurance companies in Indiana must give credit to prior credible coverage as long as there was not more than a 30 day lapse in coverage.  Pregnancy is considered pre-existing but genetic information is not.

 

Even though Indiana does not make health insurance companies use standard policies, they do mandate certain coverage's on all policies; cancer screening and diabetic testing supplies.

 

The rates that an individual pays for an Indiana Health Insurance Plan are based on age, location, health history, family size, sex etc.  Sadly there is no limit on how much an insurance company can charge and individual for coverage.

 

 Hoosier Healthwise is a program that was started a few years ago in Indiana.  It is designed to provide health insurance for low income Indiana residents, and uninsured children.  

 

For additional information about Individual Health Insurance in Indiana click here.

 

                               Request an Indiana Individual Health Insurance Quote

 

 

Indiana Self Employed Health Insurance

 

In Indiana, if you are self employed, you are not eligible for a small business health plan.  Just like in other states, self employed people are to be covered under individual health plans and their laws and regulations.

 

Another option for affordable Indiana Self Employed Health Insurance is often associations or self employed groups.  Just keep in mind that not all of these groups or associations are regulated by the state.

 

One benefit for Self Employed people is that they are able to deduct 100% of their health insurance premiums from their taxes!

 

For additional information about Self Employed Health Insurance in Indiana click here.

 

                               Request an Indiana Self Employed Health Insurance Quote

 

 

Temporary Indiana Health Insurance

 

Many situations may arise where you find yourself without health insurance, or about to be without health insurance.  These reasons could range from graduating college to being in-between jobs.  Instead of going without health insurance you should look into getting an Indiana Temporary Health Insurance Policy.  These policies will be cheap, with high deductibles and low coverage, but getting an Indiana Temporary Health Insurance Policy is much better than going with out health insurance.

 

Temporary Health Insurance in Indiana is not guaranteed renewable.  This is important for consumers to realize.  If you buy a policy, and then go to renew it, the insurance company does not have to accept you again.  

 

For additional information about Temporary Health Insurance in Indiana click here.

 

                              Request an Indiana Temporary Health Insurance Quote

 

 

What types of Indiana Health Insurance are there?

 

HMO- Health Maintenance Organization.  This type of insurance is called managed care.  This means you have certain network of doctors and hospitals in Indiana that you have to go to for care.  Most Indiana HMO’s have office visit co-payments that range from $10 to $35, and hospital deductibles that range from $250 to $1,500.  Often the most affordable health insurance plans are HMO’s due to the fact they are managed care.

 

PPO-Preferred Provider Organization.  This type of insurance is also called managed care but it gives the consumer much more freedom; they allow you to visit any doctor or hospital in or out of network.  Most Indiana PPO’s have an in network and an out of network charge.  If the in network co-insurance is 100% then the out of network co-insurance would be 80%.  If the in network co-insurance is 90% then the out of network co-insurance would be 70%   Typically Indiana PPO’s offer co-payments for doctor visits as well as hospitalization. 

 

Indemnity Plan - In Indiana, as health insurance rates continue to rise, many people are finding it more affordable to drop their health insurance and buy an Indiana Major Medical Health Insurance Plan.  An Indemnity plan can also be called a major medical plan or catastrophic health insurance.  Whatever you call it, typically an Indiana Indemnity Plan would cover more “major” claims.  An Indemnity plan has an annual deductible and will usually allow you to pick different co-insurance options.  Indemnity plans allow you access to any doctor or hospital, and for this reason they are typically very expensive.

 

Discount Medical Plans – In recent years many Discount Medical Plans have started to surface.  These plans have relatively inexpensive, but consumers must realize that this is not insurance.  All these companies do is to get their customers discounted rates (20-50% off) on certain procedures at certain physicians and hospitals. 

 

Federal Mandated Health Insurance Laws

 

HIPAA

Along with Indiana Health Insurance Laws, there are Federal Laws that regulate Health Insurance companies.   HIPAA (Health Insurance Portability and Accountability Act of 1996). This act mandated federal standards for individual and group health insurance plans.  Some of the standards that it established were relative to guaranteed renew ability, crediting for prior health coverage and pre-existing condition waiting periods.

 

ERISA

Large corporations do not have health insurance policies.  Typically they are self funded, meaning the corporation pays for all of their employee’s medical bills instead of buying health insurance.  Most of these “self funded” companies are regulated by the federal government under ERISA (Employee Retirement Income Security Act)

 

COBRA

In Indiana it is mandated, by the state, that all companies that offer an Indiana Group Health Insurance Policy must also enable their employees to extend their health coverage temporarily; called Cobra.  An Indiana Cobra Insurance is typically available for a time period under 18 months.   In Indiana you are given 60 days to decide if you are going to take Indiana Cobra Insurance or not.  Once you have passed on the opportunity to take Cobra, you are not eligible to receive it.

 

Cobra Insurance was introduced in 1985.  Cobra stands for Consolidated Omnibus Budget Reconciliation Act.  If you would like more information about your Cobra Insurance options please contact your companies HR department.

 

Often employees are surprised at the cost of an Indiana Cobra Insurance.  The reason for this is that they are now responsible for 103% (100% of the premium plus a 3% administration fee) of a monthly health insurance premium when they probably only paid 20% while employed. 

 

Whether nor not to take Cobra is an important question, and you should realize there are alternatives to an Indiana Cobra Insurance Policy.  One should realize what they plan to do in the future.  If you are looking for another job, and it will be a few months before you get a job, it might make sense to look for an Indiana Temporary Health Insurance Plan.  If you are contemplating working at a consultant, it would be in your best interest to look into an Indiana Self Employed Health Insurance Policy.   

 

 

                           Request a Health Insurance Quote from one of QuicklyQuoteMe’s Agents

 

 

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