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Michigan Health Insurance

 

All health insurance policies in Michigan 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.

 

Michigan 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.

 

To find out more about Michigan's Health Insurance mandates and laws visit the Division of Insurance here.

 


                            Request a Michigan Health Insurance Quote

 

Michigan Small Business Health Insurance

 

 

 

 

Cities in Michigan

 

Detroit MI

Grand Rapids MI

Warren MI

Sterling Heights MI

Flint MI

Lansing MI

Ann Arbor MI

Livonia MI

Dearborn MI

Westland MI

 

 

 

 

 

Commonly Searched Terms

 

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MI Self Employed Health Insurance

Affordable Health Insurance in MI

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MI Health Insurance Policies

 

In Michigan, a group health plan, can not base your health insurance premiums on your health.  This is called non discrimination.  Small Business Health Insurance in Michigan is also guaranteed issue, meaning that you can not be turn down for coverage.

 

Pre-existing exclusions are limited on the amount of time they can exclude coverage.  Also an insurance company can only claim "pre-existing" something that happened in the last 6 months.   The amount of time for a pre-existing waiting period depends of the type, and size of the group.   Credit must be given for any prior

credible coverage's.  Pregnancy is not considered a pre-existing condition on a group health plan.

 

The pre-existing exclusion period for a small business plan that is insured by a private insurer is 6 months and 12 months for a self insured group.

 

In Michigan, you can be charged more relative to the overall health of your group.  This is not true of Blue Cross of Michigan.

 

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

 


                              Request a Michigan Small Business Health Insurance Quote

 

 

Michigan Individual Health Insurance

 

All Michigan Health Insurance Policies have to cover disabled children on their parent’s policy into their adulthood.

 

In Michigan, insurance companies (other than Blue Cross Blue Shield) are able to decide if they want to insure you or not.  They can either rate you up or just refuse coverage.  Also Michigan 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.

 

Blue Cross and Blue Shield of Michigan offer individual policies on a guaranteed issue basis.  Also all HMO's in the state must offer their policies on a guaranteed issue basis during open enrollment.  If you are HIPAA eligible, you can not have any pre-existing exclusions on your Blue Cross policy.

 

Michigan allows health insurance companies to include pre-existing conditions for up to 12 months as long as you are not HIPAA eligible.

 

Pregnancy is a pre-existing condition but all your genetic information is not.

 

Relative to Pre-Existing Conditions, Insurance companies in Michigan must give credit to prior credible coverage as long as there was not more than a 63 day lapse in coverage.

 

The rates that an individual pays for a Michigan 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.

 

MIChild is a program that helps to provide affordable health insurance to Michigan Children.  All children must be Michigan residents to qualify.  Check out the site for more information.

 

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

 


                              Request a Michigan Individual Health Insurance Quote

 

 

Michigan Self Employed Health Insurance

 

In Michigan, self employed business owners can buy a Michigan Self Employed Health Insurance policy.  All insurers have the option of offering them, but Blue Cross has to offer self employed policies.  With that being said there are certain requirements to buy a self employed health insurance policy.  You must be a Michigan resident, work 30 hours per week, and get at least 50% of your taxable income from your business.

 

Another option for affordable Michigan 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 Michigan click here.

 


                               Request a Michigan Self Employed Health Insurance Quote

 

 

Temporary Michigan 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 a Michigan Temporary Health Insurance Policy.  These policies will be cheap, with high deductibles and low coverage, but getting a Michigan Temporary Health Insurance Policy is much better than going with out health insurance.

 

A big misconception is that temporary health insurance falls under the same laws as individual health insurance in Michigan.  This is not true.  For example a Michigan Temporary Health Insurance Policy is not guaranteed renewable while an individual policy is.

 

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

 


                              Request a Michigan Temporary Health Insurance Quote

 

 

What types of Michigan 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 Michigan that you have to go to for care.  Most Michigan 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 Michigan 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 Michigan PPO’s offer co-payments for doctor visits as well as hospitalization. 

 

Indemnity Plan - In Michigan, as health insurance rates continue to rise, many people are finding it more affordable to drop their health insurance and buy a Michigan 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 a Michigan 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 Michigan 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 Michigan it is mandated, by the state, that all companies that offer a Michigan Group Health Insurance Policy must also enable their employees to extend their health coverage temporarily; called Cobra.  A Michigan Cobra Insurance is typically available for a time period under 18 months.   In Michigan you are given 60 days to decide if you are going to take Michigan 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 a Michigan 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 a Michigan 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 a Michigan Temporary Health Insurance Plan.  If you are contemplating working at a consultant, it would be in your best interest to look into a Michigan Self Employed Health Insurance Policy.   

 

QuicklyQuoteMe’s Opinion on Health Insurance

On most health insurance policies you have the option of taking a higher deductible, which can save you on your monthly premiums.  For these people who are generally healthy and do not use their medical policy it makes sense to take a risk to lower a monthly bill.

 

QuicklyQuoteMe recommends you consider your risk and talk with our licensed professionals about which deductible is right for your policy.  At QuicklyQuoteMe.com we have the highest quality insurance professionals working with us.  Fill out an online form and speak to one of them directly, they all come highly recommended!

 

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

 

 

If you are a health insurance agent looking for Michigan Health Insurance Leads click here

 

 

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