Guaranteed Issue Health Insurance

“Guaranteed issue” means that the health insurance coverage is guaranteed to be issued to applicants, regardless of their medical history, their age, their gender, or any other factors that might increase their likelihood of using health services. In most states, guaranteed issue doesn’t limit what you can be charged when you enroll in a plan.

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The Affordable Care Act and Guaranteed Issue Health Insurance

Prior to 2014, individual market health insurance companies determined an applicant’s eligibility largely based on their medical history. Applicants could be denied coverage, either altogether or for certain conditions, if the health insurance company decided that they were more likely to use their coverage than the average member.

What Does Guaranteed Issue Health Insurance Mean?

In other words, the individual market health insurance was not guaranteed issue. Many pre-existing conditions were an automatic decline, and that person could not ever get coverage through that insurance company. The only exception was through an employer, either a small or large group of employees. If the employer offered the coverage, the employee and family could get covered.

This changed in 2014 when most of the Affordable Care Act’s provisions took effect. The ACA required that all individual market major medical plans be guaranteed issue, meaning that they could not turn applicants away based on any factors including pre-existing medical conditions. You were no longer pushed into a corner to try and find an employer that offered group coverage.

To ensure individuals and families that did not have employer provided health care wouldn’t simply wait until they needed coverage to purchase coverage, the enrollment period was limited to a single “open enrollment period”. To make provision for those who had a “life change” (marriage, birth of baby, move, etc.) that affected their insurance needs, there were special enrollment periods were instituted.

What’s Changed in 2021 For Health Insurance

Among the biggest changes that health insurance has seen in 2021 is an increase in the number of health insurance carriers that have come to Nevada. We have added 3 new insurance companies to Nevada this year! That is significant, because in the last several years, we had very few insurance company options. Also, with the passage of Biden’s American Rescue Plan Act, more Nevadan’s are now eligible for government subsidies, and the subsidies are higher than they were in the past.

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Your Nevada Insurance Enrollment Health Insurance Agent Is Here to Help

Health insurance is a necessity; for most people, the medical bills that result from a single injury or illness could wipe out their savings and seriously jeopardize their financial future. At Nevada Insurance Enrollment, our health insurance agents are here to help you get the coverage you need, regardless of your medical history.

Related Articles:

Buying Health Insurance With A Pre-existing Condition

Added Benefits Of The American Rescue Plan Act

President Biden Signs the American Rescue Plan Act

Health Insurance, Vision Insurance or Both?

 

Read More: Health Insurance in Las Vegas, Nevada

 

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