Individual Health Insurance In Texas – Texas Health Insurance Pool

The Texas Medical health insurance Pool provides individual medical health insurance in Texas for individuals who can't buy private insurance due to health conditions. Any Texan that has been denied coverage due to his health has brought a certificate from a real estate agent stating that his health can make him not able to find coverage or continues to be offered coverage that's more expensive of computer would be if purchased with the Pool is eligible.  Dislocated workers and early retirees in a few trades who entitled to the Federal Coverage of health Tax Credit will also be eligible to buy coverage with the Pool on their own and their dependents.

 

Individual medical health insurance in Texas with the Pool covers physician care, hospital care, maternity care, mental health services and prescription medications.  There are five different plans available with the Pool, including one high-deductible HSA option that provides a lower premium and tax advantages.  Premiums offered with the Pool can't be sold in excess of twice the price of a plan a proper person of the identical age would pay a personal insurer for the similar coverage.  Coverage is guaranteed renewable, meaning it wouldn't be canceled as long as premiums are paid and also the policy holder is constantly on the reside in Texas.

 

A individual who has been identified as having a serious health such as AIDS, epilepsy or cancer rarely is in able to find individual medical health insurance in Texas at an inexpensive rate, and many policies will probably include an elimination rider that excludes coverage for management of that illness.  The Pool is made to provide these Texans with coverage. To become eligible, an individual must reside in Texas, don't have any other current coverage and exhausted other sources, including COBRA or another state continuation coverage.  He can't be eligible for another group health care insurance option, including Medicare or Medicaid.

 

There aren't any exclusions for pre-existing conditions for all those eligible for HCTC or underneath the Health Insurance Portability and Accountability Act (HIPAA) and can't include riders to exclude coverage unconditionally.  However, those not included in HCTC or HIPAA might be subject to a 12-month waiting period for pre-existing conditions.  By January 2010, over 26,000 people had individual medical health insurance in Texas through enrollment within the Pool, which operates like a PPO through the BlueChoice® Network through BlueCross and BlueShield of Texas. Services by in-network providers are covered in a higher co-insurance rate meaning lower out-of-pocket costs towards the Pool member.