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Nebraska Health Insurance

 

All health insurance policies in Nebraska 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.

 

Nebraska mandates that health insurance companies cover newborns and adopted children for the first 30 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.

 

CHIP is the Nebraska Comprehensive Health Insurance Pool.  This is a high risk pool for Nebraska residents who do not qualify for private insurance due to their health.  To qualify for CHIP you must have been a resident of Nebraska for 6 months and have written proof that you have been refused health insurance by at least one company.

 

HIPAA individuals are also eligible for coverage under a CHIP policy and will not have to deal with any pre-existing condition clauses or exclusions.

 

CHIP offers a PPO product.  You have a choice of many different deductibles, all of which have an 80% coinsurance and a $1,500 max out of pocket.  Pre-existing conditions will be excluded for the first 6 months.  Premiums are typically 135% of what a typical healthy person would pay.

 

To get more information about The Nebraska Comprehensive Health Insurance Pool and to see if you qualify please call them at (402)390-1814.  Their mailing address is: CHIP Customer Service Center P.O. Box 3248 Omaha Nebraska 68180

 

                                Request a Nebraska Health Insurance Quote   

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Nebraska Small Business Health Insurance

 

 In Nebraska, a group health plan, can not base your health insurance premiums on your health.  This is called non discrimination.  Small Business Health Insurance in Nebraska 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 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 and neither is genetic information.

 

Pre-existing conditions on a Nebraska Small Business Health Insurance policy can only be described as what was treated, or diagnosed, in the most recent 6 month period.

 

The maximum pre-existing waiting period is 12 months for an employee. If you are a late enrollee your maximum waiting period is 18 months.  Any pre-existing periods must be applied only after written notice.

 

Nebraska 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 Nebraska click here.

 

                              Request a Nebraska Small Business Health Insurance Quote

 

 

Nebraska Individual Health Insurance

 

All Nebraska Health Insurance Policies have to cover disabled children on their parent’s policy into their adulthood.  Also policies must cover diabetic testing and supplies as well as annual mammograms.

 

In Nebraska, 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 Nebraska 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.

 

Nebraska 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 Nebraska must give credit to prior credible coverage as long as there was not more than a 90 day lapse in coverage.

 

The rates that an individual pays for a Nebraska 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.

 

Kids Connection is a program the Nebraska started to help insure the state's uninsured children.   It is a great program, and if you qualify, can be very helpful.  Visit their site.

 

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

 

                                 Request a Nebraska Individual Health Insurance Quote

 

 

Nebraska Self Employed Health Insurance

 

In Nebraska self employed people are not able to buy health insurance like other small businesses.  A self employed persons rights are protected under the laws protecting individuals so that is the type of policy they must by.

 

Another option for affordable Nebraska 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 Nebraska click here.

 

                               Request a Nebraska Self Employed Health Insurance Quote

 

 

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

 

Individual policies are guaranteed renewable, but in Nebraska, Temporary Health Insurance is not guaranteed renewable.  This is a very important issue to remember.

 

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

 

                               Request a Nebraska Temporary Health Insurance Quote

 

 

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

 

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

 

 

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