Oregon Health Insurance Coverage... Information and Free Rate Quotes...
If you are searching for ways to lower your health insurance costs and you live in the State of Oregon...We, here at HealthInsureCoverage.com, work hard to supply you with the information you need to make an informed decision regarding your health insurance needs and requirements.
- A summary of your protections in the State of Oregon.
Numerous state and federal laws make it easier for people with pre-existing conditions to get or keep health insurance, or to change from one health plan to another. A federal law, known as the Health Insurance Portability and Accountability Act (HIPAA) sets national
standards for all health plans. In addition, states can pass different reforms for the health plans
they regulate (fully insured group health plans and individual health plans), so your
protections may vary if you leave Oregon. Oregon has expanded protections for certain kinds of
health insurance beyond what federal law requires. Neither federal nor state laws protect your
access to health insurance in all circumstances.
- How are you protected in Oregon.
TIn Oregon, as in many other states, your health insurance options are somewhat dependent
on your health status. Even if you are sick, however, the laws protect you in the following
ways.
- The principle of Nondiscrimination.
Coverage under your group health plan (if your employer offers one) cannot be denied or limited, nor can you be required to pay more, because of your health status.
- All health plans in Oregon must limit exclusion of pre-existing conditions.
There are rules about what counts as a pre-existing condition and how long you must wait before a new health plan will begin to pay for care for that condition. Generally, if you join a new plan your old coverage will be credited toward the pre-existing condition exclusion period, provided you did not have a long break in coverage.
- Your health insurance cannot be canceled because you get sick. Most health
insurance is guaranteed renewable.
- If you leave your job, you may be able to remain in your old group health plan for a
certain length of time.
This is called COBRA continuation coverage or state continuation coverage. It can help when you are between jobs or waiting for a new health plan to cover your pre-existing condition. There are limits on what you can be charged for this coverage.
- Portability Plans.
If you have had at least 6 months of coverage under a group health plan and then lose it, you are guaranteed the right to buy individual coverage, also known as a portability plan, for yourself and your family. Portability plans cannot impose pre-existing condition exclusion periods.
- Modified Community Rating.
Portability plan premiums cannot vary because of your health status, though they
can vary, within limits, due to age. This is called modified community rating.
- If you have been denied individual coverage because of your health status, you also
can buy individual coverage from the Oregon Medical Insurance Pool (OMIP).
In this case you will pay a premium surcharge and may have a pre-existing condition exclusion period.
- Individual health plans cannot charge higher premiums due to your health status.
Premiums for these plans can vary due to age, family size, and the type of plan you
seek. The amount of premium variation based upon age permitted for these plans greater than for portability plans.
- Guaranteed Issue.
If you are a small employer buying a group health plan for 50 or fewer employees,
you cannot be turned down because of the health status, age, or any factor that might
predict the use of health services of those in your group.
- If you are a small employer buying a group health plan for 25 or fewer employees,
you cannot be charged more due to the health status of those in your group.
You can, however, be charged higher premiums, within limits, because of the age of those in your group. This is called modified community rating.
- If you have low or modest household income, you may be eligible for free or
subsidized health insurance coverage through for yourself or members of your
family.
The Oregon Medicaid program offers free health coverage for pregnant women, families with children, medically needy, and elderly and disabled
individuals. The Oregon Child Health Insurance Program (OR CHIP) also offers
coverage for low-income children under the age of 19 who are not eligible for
Medicaid and who have limited or no health insurance. In addition, the Family
Health Insurance Assistance Program (FHIAP) subsidizes health insurance
premiums for qualified Oregonians.
- There are a number of limitations on your protections and you will need to consult with a knowledge health care insurance specialist in the State of Oregon to fully understand these.
HealthInsureCoverage.com offers our visitors information regarding their health insurance needs with state by state policy rates and info. We offer information from specific to general but you will ultimately need to consult with your health care provider or doctor for assistance.
If you are looking for some more information regarding policy rates and your rights under your state or federal health care laws, then you can continue your research by visiting the following convenient link.
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