Insurance and a new job
I have recently moved and started a new job, and have picked up their insurance. I currently still have my husbands insurance as well - and was planning on dropping his as soon as my insurance kicked in.
I received a letter from my insurance stating that if i have been treated for a condition in the past 180 days it is considered a preexisting condition. My plan was to drop my husbands insurance so he could quit his job and move.
I had read that because I have existing insurance that the new insurance I picked up would have to take me and my preexisting conditions, but according to my new insurance this does not go into effect until 2014.
Heres my question. Do I call new insurance and see exactly they will cover? Do I just go to a doctor and see if the reject it? Any other suggestions on what to do? When would be the best time for my husband to drop his insurance?
Any information provided is much appreciated.
Comments
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I'm not an expert, but logic tells me your husband will need to keep his insurance as long as you are still receiving treatments for cancer. But yes, do call your "new" insurance and have a talk with them about what they DO cover in the way of OTHER health issues, like can you still get copays to visit a doc for yearly checkups, will you still be fully covered after deductible if you wind up in the hospital from a car wreck, whatever questions concern you. It could be if they just won't touch cancer treatments, and you have been released as no longer having cancer in your body, then you have to weigh the possibility of recurrence against your husband quitting his job and moving and losing his insurance. I'm not a gambling person, so being so close to whenever your treatment ended would make me want to revise life plans for the next year or so, putting off husband quitting work.
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Aimee4,
Under the existing HIPAA rules you should not be subject to Pre-existing condition exlclusion as long as you have a certificate of creditiable coverage from your previous job. There needs to be no gap of coverage, so you may need to take the COBRA from the previous job to cover any gap period.
Here's the FAQ sheet form department of labor:
http://www.dol.gov/ebsa/faqs/faq_consumer_hipaa.html
Hope this helps,
Meg
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Aimee,
The letter you get is always difficult to understand. But unless you have a laspe in coverage you don't have to worry about pre-existing condition. As long as you don't have a laspe of more than 63 days you should be fine. If you scroll down in the link to the above document to the third section you will see the reference I am referring to. This is current law, I don't know how things will change in 2014. Hope this helps. NJ
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Hi again,
I just realized that you said that you are currently on your husband's insurance. All you need is the certificate of creditiable insurance from his in company, for him too if you're going to add him to yours so he can quit his job.
Good Luck,
Meg
P.S.. HIPAA stands for Health Insurance Portability and Accountability Act
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Thanks for all the help. I spoke with insurance, and the prexisting condition is waived. I have the proof of insurance from his company, and (hopefully) everything runs smoothly from here on out.
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This is really good news. I had no idea the insurance companies had to cover you for preexisting if you already had insurance. Is this in all states?
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I believe HIPAA is a federal rule or law so it should be effective nationwide.
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Yes, HIPAA is a federal law (went into effect in 1996).
Here's the link to the FAQ about health insurance portability:
http://www.dol.gov/ebsa/faqs/faq_consumer_hipaa.html
Ther's another part about privacy that folks have been hearing more about.
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mrsnjband: You posted that as long as the lapse in coverage is less than 63 days, we would be considered to have continuous coverage. This is great news for me since my DH just started a new job and we will have a 2 month lapse in coverage unless we opt for Cobra. In New York, Cobra costs are around $1000/mo. for just the 2 of us, an amount we cannot afford.
Where did you find out this information? I would just like to confirm this before I make any decisions. Thanks for the info!
One love, Jackie
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jdootoo and clyn, both those issues are addressed in the document megadotz listed.
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Um, Jackie
I hate to tell you this - but beg, borrow, or steal the money you need for that COBRA.
Otherwise, you will have no insurance coverage until the 2014, when the new Health Care kicks in.
Honest.
Sue
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Clyn ... but Mini COBRA is available in most states for employees working for a small company.
Here's a link with some info:
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I agree with Sue, and that's assuming "they" don't kill the 2014 plan by then. Keep in mind, too, that we can still be fired if we get sick again. They won't use that as the reason, of course, but you can still get canned.
My friend started a new job and his wife got sick. As soon as they got wind, he lost his job. He eventually mortgaged his house to pay for her treatment.
There is always more security with a larger (i.e. more than 50 employees) company. It's still not a guarantee, but more secure.
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Keep your husbands, do not mention anything to the insurance or employment, there is still discrimination against cancer survivors for promotions, scholarships,etc.
In the next enrollment date, if you are over the 180 days, you sign up. There is the no precondition clause, but in reality an Insurance has the right to do as they please.
I have done it this way, and not disclosed at work I had cancer. I am a private person that keeps my professional and personal life apart.
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Dreaming is right! Trust me on this, I've seen it so many times - people fired when they (or their spouse) gets a cancer diagnosis - of course, the employers won't give that as the reason, they aren't stupid.
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Thanks so much for this thread! Just came on to ask a similar question. My husband is getting very stressed and has to work 12 hour days on his good days through chemo to make up for time lost and I am presuming to keep his job. He is double stressed thinking he hads to stay there forever because of pre-existing. We are hoping after chemo treatments are through he can start to look for a new job. So if he goes under my plan or cobra for the interim there will be no pre-existing condition issue? Also . . . When interviewing at new jobs do you have to disclose your condition? I mean it's pretty obvious because he is a large man and didn't get reconstruction, he's got an unbalanced chest.
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When interviewing for a job you do not have to disclose any condition, unless it is relevant to your ability to perform the job. In addtion, it is ILLEGAL for any prospective employer to ask any questions about any medical conditions that are not relevant to job performance.
That being said, does your husband have any sort of prosthetic he can use to disguise his unbalanced shape? It seems to me it might be good to have something for certain situations, just to keep from having to deal with looks or questions. Maybe just some stuffing sew into an old undershirt, something like that.
Chest shape isn't as important to men as it is to women, but men have their pride as well.
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I just wanted to chime in, I was laid off from my job last week even though I am on short term disibility. I did not think that they could do this but they did. Of course they did my use my cancer as a reason. My husband just started a new job and I carried the insurance. the only good thing is they have to keep me on disibility until my doc says I can work and that should carry me untill my DH has been on his job 90 to add us to his insurance. I start rads next week and the disability should carry me till I finish hopefully.
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