Thursday, December 31, 2009

Basic Michigan Health Insurance Questions and Answers


By Mike Novelli

Selecting Michigan health insurance calls for a basic understanding of the legislative guidelines, preexisting medical guidelines, as well as any underwriting stipulations. Review these questions and answers about health insurance coverage.

Are there any rate restrictions? Insurance carriers do not have any rate restrictions; however, Blue Cross Blue Shield of Michigan is required to community rate products for individual plans.

What are the underwriting guidelines for Michigan health insurance? In Michigan, all insurance agencies have the authority to medically underwrite services with the exceptions of Blue Cross Blue Shield of Michigan and health maintenance organizations (HMOs).

Are elimination riders legal during open-enrollment period? Although elimination riders are not permissible, Blue Cross Blue Shield of Michigan is required to guarantee coverage, which includes HIPAA (Health Insurance Portability and Accountability Act) eligible individuals, as well.

What are the guidelines of Michigan's Patient Bill of Rights? Mandated on October 1, 1997, the Michigan Patient Bill of Rights warrants that patients have the right to medical information, as well as health coverage sooner for conditions, which were in existence prior to enrollment of the current Michigan health insurance. Self-funded health care plans are not applicable to the policy.

In Michigan, what are the preexisting condition requirements? Michigan health insurance mandates a 6-month look-back, as well as an exclusionary period limit for preexisting medical conditions, applicable to HMOs and for Blue Cross Blue Shield of Michigan. Other Michigan health insurance carriers are required to adhere to a 6-month look-back and a 12-month exclusionary period limit for preexisting medical conditions on individual plans.

Where can individuals in need of health insurance obtain hassle free medical quotes? It is illegal for any insurance representative to charge for medical quotes.

For no obligation whatsoever, licensed insurance agent, Michael Novelli offers instant, free medical quotes at MichiganHealthandLife.com.

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