subject: Regulations for Texas Health Insurance [print this page] There are various kinds of laws in Texas that are related to the issue of insurance. In fact, with Texas health insurance, coverage alternatives are also available. There are no specific health insurance laws governing the availability or expenses that health insurance policies
are likely to incur. This is the reason as to why the providers of Texas health insurance should abide by a few rules and regulations that are imperative for the policies.
Medical Conditions related to Disability: The rules of Texas do not allow using the disability of a person to be the sole reason for disagreeing to or charging a greater premium for insurance coverage. It is not applicable in case the insurer happens to show that their disability is likely to increase the chances of filing claims. In case a previously existing exclusion applies in the Texas insurance, it should be equally applied to those who belong to the group insurance plan, including the medical plans that are offered by the employer.
Coverage Plans for Senior Citizens: According to the insurance laws in Texas, there are not too many laws addressing coverage for senior citizens. Those who are aged between 50 and 64 may find it hard to get insurance in the state, although your employer might cover you. In case there's a group or family based insurance policy, the rules are equally applicable for all members of the group, irrespective of their medical status or health. The rules are also applicable for other group plans like that of a professional organization or trade union.
Are Children Covered? The CHIP or Children's Insurance Program is a insurance plan available not only in Texas but in other states too. As a federal and state based initiative, for families and individuals who are not eligible for Medicaid as they are way above the federal poverty level. If a family is a participant in the federal program, they are required to pay a small amount for kids' coverage if the children have to be included in the plan. Moreover, every year, you need to re-enroll for the plan.
Unemployed Individuals Coverage: As an unemployed individual, you can carry on with your previous employer's group health insurance plan in Texas. According to the laws of the state as well as the parameters of the COBRA continuation plan, as a lately unemployed individual, you can carry on with the coverage plan. The laws of the state as well as that of the nation necessitate that an employer is liable to provide required information regarding the right of the individual to continue the coverage plan, a decision that needs to be made within 60 days of unemployment.
Texas Risk Pool: A health pool program is available for residents who cannot obtain an individual insurance on account of their health condition. They are required to meet certain criteria for qualifying for the pool, like rejection from other kinds of health insurance programs. They are also unable to locate insurance due to a preexisting health condition.
Regulations for Texas Health Insurance
By: jentha
welcome to Insurances.net (https://www.insurances.net)
