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You Have Been Declined for Health Insurance in California, Now What?

If you are reading this, chances are your health insurance has been denied in the recent past. When health insurance is denied, it likely has something to do with your medical history. Since California is one of the insured states, health care companies have the right to turn people away from obtaining health insurance. Who could reject the health insurance company and who cannot depend on risk assessment using actuarial tables. As long as you complete an individual application for health coverage and answer yes to a medical question, your application can be manually reviewed by an insurance agent. He is responsible for reviewing the application using the actuarial tables. Actuarial tables are statistics produced by insurance companies, hospitals, doctors, and researchers that predict the cost of insuring a person with a specific medical history.

Some states like New York, New Jersey, and Washington require insurance companies to insure everyone. These three states do not have a medical underwriting and all are automatically approved for health coverage. To insure everyone who has medical history insurance companies, increase rates to the point where it becomes out of reach for most people. What makes average monthly payments low is low health care utilization. If more people are using high-end health insurance with a particular health insurance company, they have to raise prices for everyone to keep up with paying medical claims. It also causes people who don’t use health insurance to waive health insurance together, and still pay higher rates. This leaves insurers with no choice but to raise rates further. New York, New Jersey, and Washington have the highest premiums for health coverage, and many families find health care out of reach.

In California, if coverage is denied, you have options. If you are currently unemployed or low income, you may qualify for Medicare and if you have children, they may qualify for a program called Healthy Families. Most states, including California, have high-risk groups designed for people who have been denied individual health insurance. This California program is called MRMIP. A quick internet search will direct you to a government website. MRMIP is a state program that involves reputable health insurance providers. You can probably keep the same health insurance company if you actually use it. MRMIP has limits and may have a waiting period.


You Have Been Declined for Health Insurance in California, Now What


It can be one of the best options when it comes to getting the most coverage for your money with a group plan. In California, all group plans are required by law to be foolproof. This means that there is no medical subscription. These options require a bit more work on your part. Insurance companies will only allow you to set up a group plan if you are turned down for individual health insurance. Since insurers must have insurance, everyone in the group country requires insurance companies to have rules when it comes to preparing a group plan. Some basic requirements change from one insurance company to another.

The best way to find out is to talk to an insurance broker. The basic thing that insurance companies look for is that you must have a reason to start another group plan and then get health insurance. It is illegal to start a group plan just to have health insurance. This means you must have a business and it can be anything. To have a group plan, you clearly need to have more than just yourself. At least two people are needed to start a group plan. All people who will be in the group plan must be employers or be on the payroll. Some insurance companies require a DE-6 form or six weeks of payroll records. If everyone is if you are the owner, you will be asked to provide proof of ownership that includes everyone who will be on a group plan as owners. It may not be simple, but it sure is possible and definitely worth it if you don’t have any coverage and can’t get it on your own.

It’s always easier to blame your rejected insurance company for medical coverage. If you’re turned down and you’re looking for health insurance, you just have to be more proactive in getting your coverage. Once you work with a broker to qualify for a group plan, it is yours forever, and no one can take that coverage away from you unless you stop paying for it.

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