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Frequently Asked Questions

My insurance company has rescinded my health insurance policy. What does this mean?

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The insurer has voided coverage. Recision usually occurs as a result of incomplete or inaccurate information submitted on the application, or an omission of information that is pertinent to the underwriting of the policy.

My insurance company has rescinded my health insurance coverage. What exactly does that mean?

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Most laws permit health insurance policies to have a minimum two-year incontestability period during which the company may rescind a policy under certain circumstances. An insurance policy is issued based on information contained in the application or enrollment form. When an individual fails to completely and accurately disclose health information, including weight and height, on the application, it affects how the policy would have been issued.

My health insurance policy includes a deductible and coinsurance. What does this mean?

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A deductible is the initial dollar amount you must pay out-of-pocket before an insurance company pays its share. It is usually a flat dollar amount. Usually the higher the deductible, the lower the premium. Coinsurance is the share or percentage of covered expenses you must pay in addition to the deductible. For example, your policy may pay 80% of covered charges after you pay the deductible. You would then pay the remaining 20% as coinsurance until a maximum out-of-pocket expense is reached.

My insurance company has cancelled my health insurance policy. What does this mean?

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Rescission or cancellation can be due to many reasons. It occurs as a result of incomplete or inaccurate information submitted on the application, or an omission of information that is mandatory. Check if you unintentionally submitted wrong or incomplete information to the insurance company.

My health insurance company is nonrenewing my individual policy. Can they do this?

Wisconsin Small Employer - Frequently Asked Questions
If your policy is not guaranteed renewable, the company can exercise its right to nonrenew your policy. Nonrenewal refers to the termination of a policy at the expiration date. If an insurer decides it does not want to renew your policy, it must mail or deliver to you a nonrenewal notice at least 60 days before the policy's expiration date. The nonrenewal notice must provide the reason for the nonrenewal.

What does “coinsurance” mean in a health insurance policy?

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In a health policy, coinsurance represents the percentage of the medical bills the insured will be responsible to pay after the deductible is met. For example, if your policy is “80% coinsurance”, then once the deductible is met, the insurance will pay 80% of covered medical bills and you pay 20%. Typically there will also be a provision called a “stop-loss”, which is basically a maximum amount you will ever have to pay out of your own pocket for covered medical bills.

What if a health insurance company denies an application for health insurance?

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Assuming paternity and/or support has been established, state law says that no health insurer can deny enrollment of a child in the parent's plan based on the fact that the child: was born out of wedlock, is not claimed as a dependent on the federal tax return of the parent, or does not reside with the parent, regardless of the enrollment period. If an insurer fails to comply with these provisions, the failure can be reported to the Ohio Department of Insurance.

Will my insurance company or health plan pay for MRgFUS?

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Payment and coverage of MRgFUS will vary from health plan to health plan. MRgFUS is a recently introduced new technology for treatment of uterine fibroids and received FDA approval in October, 2004. Because this treatment option is relatively new, few insurance companies reimburse for this as part of their routine treatment options. It will be necessary for you to contact your health plan to verify whether it is a covered benefit under your plan policy.

Can I buy health insurance for less if I deal directly with an insurance company?

Frequently Asked Health Insurance Questions
No. Health Insurance rates are strictly regulated by the state. Health insurance will cost the same whether you use an independent health insurance agent or deal directly with an insurance company. No. An independent health insurance agent is paid a commission by the health insurance company. No additional fees are added to your health insurance cost No. In Illinois it does not matter that you have previous group health insurance coverage.

Are your services covered by my health insurance policy?

FAQ's
If you have a medical/dental plan that covers psychological services, my services are most likely covered by your plan. I am a registered member of the College of Psychologists of Ontario. Please check your plan to find how much coverage is offered for psychological services. Some plans require a note from the family doctor recommending counselling services. Most doctors are happy to make a brief referral for counselling when you ask them to.

Can the insurance company cancel my long-term care insurance policy?

WI Commissioner of Insurance Frequently Asked Questions on H...
No, your policy is guaranteed renewable for life. The policy may terminate only when you cease paying your insurance premiums or if you use the maximum amount of benefits available under the policy.

What does "limited health insurance" mean?

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It means that this insurance plan does not cover hospitalization expenses. However, Mediclassic works together with Allstate to provide you with hospitalization and emergency coverage. To learn more about our plan, do not hesitate to contact us. One of our licensed agents will be happy to answer any questions you may have.

Will the Student Health Center bill the insurance company for services I receive?

Student Insurance-Frequently Asked Questions (FAQ's)
No. Every student has an LMU student account. The Student Health Center will bill this student account for services rendered, such as medicines, lab work and x-rays. At the end of the month, you will be billed by the Controller's office. The billing statement will state "Student Health Center charges," with the amount owed. No other information is divulged.

My health insurance company is not renewing my existing policy. Are they authorized to do so?

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check if your policy is guaranteed renewable, if it is not then the insurance company is authorized to deny renewal. Kindly refer to the terms and conditions in the policy document that you signed.

Will a new health insurance policy cover my pre-existing condition?

Frequently Asked Health Insurance Questions
Most individual and family health insurance policies limit coverage for pre-existing conditions during the first nine to twelve months of coverage. However, the pre-existing condition exclusion period is waived to the extent that the applicant has "qualifying" prior group coverage. This is a government-mandated requirement, though the health insurance company can still deny the application of someone whose health does not meet the insurance company's underwriting requirements.

Health Insurance: What about my health insurance?

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U.S. STUDENTS ONLY: All U.S. students should provide to our office evidence of medical insurance valid in England by sending us a photocopy of your insurance card showing the dates you are covered. We recommend the International Student ID Card, which costs about $25.00. It provides some medical and travel insurance and student discounts. International Student ID cards can be obtained from STA Travel or call 1-858-544-9632 or 1-800-226-8624 or at the USD UC Box Office.

How long does it take to enroll in a health insurance plan?

Frequently Asked Health Insurance Questions
It depends on the health status of the applicant and the health insurance company to which the applicant applies. Some health insurance companies may approve, within a few days, the application of a healthy young adult. However, for less healthy or older applicants, processing of an application can take several weeks or more. Each circumstance is different. You should consult your independent health insurance agent to get a realistic expectation.
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