FAQ: Answers
If you're in the market for affordable health insurance, you've come to the right place! Join the conversation now: click on a topic below to find answers to your most pressing health insurance questions.


Ask Questions

A pre-existing condition is a medical condition you have had in the past. With group plans you have little choice in the specific benefits of the plan (these are determined by negotiations between the company and the insurance carrier) but you also cannot be denied coverage under the group plan no matter what prescriptions you may take or preexisting conditions you may have. By insuring a large group of employees together under one plan of the company’s choosing, individual employees are not medically underwritten, rather the entire group is underwritten as a whole to determine the premium level everyone will pay. Therefore, the amount you pay in premiums as well as the quality of the coverage you receive are dependent not on how healthy you are or what benefits you would like to have, but how healthy your group is as a whole and what benefits the company has chosen for you. However, with individual coverage each person who applies is medically underwritten and may be approved, denied, or rated-up by the carrier depending on their health history in recent months. It is important not to have a lapse in coverage of more than 63 days. If you do, your new insurance carrier may refuse to cover treatment for pre-existing conditions you may have such as asthma or acne for up to a year after your policy goes into effect. In some states, the lapse in coverage time allowed can be as little as 30 days. For this reason, having continuous health insurance coverage is particularly important.