Ok Whats The Deal With Getting Insurance

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Pure
Pure Member Posts: 1,796

Currently I am cobra but that will run out in abou 12 months.

I own my own company. I hope to get private insurance through my company. Am I dreaming? Is there anyway I could get private unsurance through my company with my preexisting condition?

Comments

  • everyminute
    everyminute Member Posts: 1,805
    edited February 2011

    Self employed can get insurance through local chamber of commerce and you are, I think, ok unless you allow your insurance to skip- at least here in ny.  There are big changes on the horizon in health care reform as well - email me if you want me to help you look into it.

  • nowords
    nowords Member Posts: 423
    edited February 2011

    There are brokers who can shop it for you---just get the new insurance in place before hand...do not let COBRA lapse.

  • Claire_in_Seattle
    Claire_in_Seattle Member Posts: 4,570
    edited February 2011

    Hi Jen,

    I would go to an insurance agency that specializes in small businesses.  You don't have to mention anything about your treatment, at least not for this initial meeting.  I think you need to know about how to set this up first.  You also need to know if you can offer this to extended employees who do contract work for you.  So a lot more than just the Cobra/coverage question.

    I think before you make this call, scoping out your business needs and preparing for growth would be helpful.

    Good luck. - Claire

  • KerryMac
    KerryMac Member Posts: 3,529
    edited February 2011
    You could always move to Canada....Wink
  • jenn3
    jenn3 Member Posts: 3,316
    edited February 2011

    I think the "pre-existing" condition is already off the table or so I thought.  Claire's suggestion about talking to an agent is a good idea.

  • lago
    lago Member Posts: 17,186
    edited February 2011

    You can also check out the state high risk pools. I'm currently on this since my cobra ended. Not cheap but much better than no insurance. It's designed to be in place for those of us in between jobs or till Obama care kicks in (2013) that have pre existing conditions: http://www.cobrahealth.com/statehighriskpools.html

    You might also want to check out this thread:
    http://community.breastcancer.org/forum/113/topic/754874?page=1

    But I do believe if you are on a group plan you can not be denied coverage of a pre-existing conditon if your insurance coverage has no gaps.

  • Octobergirl
    Octobergirl Member Posts: 334
    edited February 2011

    Jen, I've been researching the NC high risk pool. The premiums are  reasonable...lower than my private insurance premiums and the plan has more preventative/screening benefits. There are also some premium subsidies available. The problem is the NC plan has a $1million lifetime cap which apparently doesn't fall under the new legislation prohibiting lifetime caps. I am really upset about this...what's the point in offering a stage 3 cancer patient insurance coverage with a $1mil. lifetime cap?  I plan to bring this to the attention of  our WNC Congressman Heath Shuler. It would be helpful if Congress and the NC legislature heard about this from all over the state.  Regarding the new federal high risk pool, rates are even more affordable and subsidies are available but you have to have been without insurance for 6 months to qualify. What a way to promote continuity of care!

    I wish you success in making the transition....manuvering through the insurance company hoops can be frustrating and discouraging.  Maybe we can learn from your experience. 

  • apple
    apple Member Posts: 7,799
    edited February 2011

    you need a good agent.. let him/her do the work for you.

     imho

  • Bugs
    Bugs Member Posts: 1,719
    edited February 2011

    I ended up having to join the MN high risk pool.  No individual medical insurance will take me because of the cancer.  One agent told me that stage 3 and 4 are permanantly declined.  So, I pay 235 a month for a $10,000 deductable.  It was a huge eye opener for me. 

    It's also why I threatened to move in with Kerry :)

  • lago
    lago Member Posts: 17,186
    edited February 2011

    There was no wait period for me in the IL high risk pool. I pay $700 a month for $1000 deductible. Did the math and we found that this was best but like I mentioned I'm only on it for 3-4 months. The month rate is based on how high/low your detectable is and your age. Someone 10 years older than me with no cancer would be paying more monthly.

    Octobergrace the high risk pool insurance wasn't supposed to be a long term solution. Ideally they expect people to eventually get employed or get on Obama care (2014) before they hit that life time $1mil.

  • Bugs
    Bugs Member Posts: 1,719
    edited February 2011

    Lago, do you still have rads to go through?  If so, I can certainly see why you would want the much lower deductable.  I went with the super high deducatable as $700 is not an option for me and I'm past the active treatment stage.  I'm also not planning on this being my insurance for longer than a few months.  So, I just need to keep DS and I healthy so we don't have to try to wittle away at $10,000 :)

  • Fearless_One
    Fearless_One Member Posts: 3,300
    edited February 2011

    If your Cobra does not lapse, I do believe they have to take you, per HIPPA law.   YOU CANNOT LET THERE BE A GAP IN COVERAGE!

  • lago
    lago Member Posts: 17,186
    edited February 2011

    I still have herceptin and phase 2 & 3 of reconstruction to do. I  also had 1 more chemo in Janurary and was doing physical therapy although that is done. Started this insurance in January and have already met the deductable. No Rads though.

    HIPPA/No gap only applies if you are going from one group plan to another. If you are trying to get individual insurance gap or no gap they can refuse you and/or your pre-existing condition. This will change in 2014 when (and if) Obama care is in place.

  • lago
    lago Member Posts: 17,186
    edited February 2011
    hillck I didn't have to wait  6 months. It was a straight transition from cobra to IL high risk pool. You need to call and talk to them about this.
  • gale1525
    gale1525 Member Posts: 232
    edited February 2011

    I am in the same boat I have my own company my Cobra will be out in six months so I am going to get a group coverage plan, but you have to have two or more people for that. I think for me it is cheaper than HIPPA or the high risk pool.

  • Bugs
    Bugs Member Posts: 1,719
    edited February 2011

    I didn't have a waiting period for the high risk pool, either.  I echo what Lago says about gap/no gap only applying to group insurances.  I was told by many agents and insurance companies the same thing.  THAT was the eye opener for me, since I believed the same thing (as long as I had no gap, I was good).

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