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Utah Health Insurance

 

All health insurance policies in Utah 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.

 

Utah 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.

 

There are some other mandatory coverage's in Utah: a minimum amount of maternity care, and breast reconstruction after a mastectomy.

 

The Utah Comprehensive Health Insurance Pool (HIPUtah) is a pool of people, living in Utah, who do not qualify for individual health insurance because of their current health.  If you would like more information or to see if you qualify please call 1-800-662-3398

 

HIPUtah does have limits and if it is full when you are trying to enroll, private insurance companies must offer you a policy.

 


                            Request a Utah Health Insurance Quote

 

 

Utah Small Business Health Insurance

 

 

 

 

Cities in Utah

 

Salt Lake City UT

West Valley City UT

Provo UT

Sandy UT

Orem UT

West Jordan UT

Ogden UT

Layton UT

Taylorsville UT

St. George UT

 

 

 

 

Commonly Searched Terms

 

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UT Self Employed Health Insurance

Affordable Health Insurance in UT

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UT Health Insurance Policies

 

In Utah, a small group health plan can not base your health insurance premiums on your health.  This is called non discrimination.  Small Business Health Insurance in Utah is also guaranteed issue, meaning that you can not be turn down for coverage.  On the other hand, if you are a group of 50+ employees you can be turned 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. 

 

No pre-existing conditions can be applied to any Utah group policy for pregnancy or genetic information.

 

All Utah insurance companies that insure small businesses are only able to look back 6 months to see what type of treatments/diagnosis you have received before they issue their pre-existing condition exclusions.

 

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.

 

Like with individual policies, Utah health insurance companies have to offer small businesses standardized policies.  Non standard policies can also be offered along with standard policies.

 

Utah 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.  These limited rates are only good if you have a business with less than 50 employees.

 

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

 

                             Request a Utah Small Business Health Insurance Quote

 

 

 


Utah Individual Health Insurance

 

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

 

In Utah, insurance companies are able to decide if they want to insure you or not.  They can either rate you up or just refuse coverage. 

 

Utah does mandate that every insurance company offering individual health plans must offer standardized policies.  This helps consumers to make better decisions relative to comparing plans.  There are standardized HMO's, PPO's and Indemnity plans.  None of which cover pregnancy.

 

The only exclusion to this is that Utah's individual health insurance providers must offer insurance to anyone who does not have the ability to get insurance through their job, Cobra, or state funded group.

 

Utah 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 Utah must give credit to prior credible coverage as long as there was not more than a 63 day lapse in coverage.  In Utah, pre-existing conditions are only considered if they occurred within that last 6 months.

 

The rates that an individual pays for a Utah Health Insurance Plan are based on age, location, health history, family size, sex etc.  There are limits on how much an insurance company can charge an individual for coverage.

 

 The Childrens Health Insurance Plan is a plan that the state of Utah started.   It is designed to provide affordable health insurance for all of Utah's children.  To be eligible there are certain requirements that must be met.  Visit their website for more information.

 

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

 

                             Request a Utah Individual Health Insurance Quote

 

 

 

Utah Self Employed Health Insurance

 

In Utah, the protections that apply to Small Businesses do not apply to Utah self employed business owners.  So as a self employed person, you will be eligible for an individual policy in Utah.  All individual laws and guarantees will also apply to you.

 

Another option for affordable Utah 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 Utah click here.

 


                            Request a Utah Self Employed Health Insurance Quote

 

 

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

 

It is important for a consumer to realize that in Utah, temporary health insurance is not guaranteed renewable.

 

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

 


                            Request a Utah Temporary Health Insurance Quote

 

 

 

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

 

Indemnity Plan - In Utah, as health insurance rates continue to rise, many people are finding it more affordable to drop their health insurance and buy a Utah 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 Utah 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 Utah 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 Utah it is mandated, by the state, that all companies that offer a Utah Group Health Insurance Policy must also enable their employees to extend their health coverage temporarily; called Cobra.  A Utah Cobra Insurance is typically available for a time period of 18 to 36 months.   In Utah you are given 60 days to decide if you are going to take Utah 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 Utah 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 Utah 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 Utah Temporary Health Insurance Plan.  If you are contemplating working at a consultant, it would be in your best interest to look into a Utah 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 Utah Health Insurance Leads click here

 

 

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