Have you been previously denied for a pre-existing condition when applying for health insurance? Or, were you charged a higher premium (perhaps substantially higher) because of a current medical ailment or medication you took in the past? If you have, you understand the difficulty of finding and purchasing affordable healthcare in Ohio before the ACA legislation was passed.
The good news is that the practice of denying coverage, increasing prices or delaying benefits for specific conditions, ended several years ago. Effective with Open Enrollment, you are not required to answer medical questions, take a physical, or pay a higher cost for any medical treatment you ever received. However, “grandfathered” plans (typically issued in 2010 or earlier) are not required to pay for treatment of conditions that have been previously excluded.
The only variables effecting the cost of your coverage are your zip code, age and smoking status. You also may qualify for a huge federal subsidy to pay your premium. The credit is based on your individual (or family) projected income for the current year. We can review the calculation with you and explain how affordable your prices are.
List Of Medical Conditions Now Covered By Ohio Health Insurance Plans:
Adam’s Stroke’s Syndrome
Adrenocortical Hypofunction And Insufficiency
Amyotrophic Lateral Sclerosos
Congestive Heart Disease
Coronary Heart Disease
Irritable Bowel Syndrome (IBS)
Juvenile Rheumatoid Arthritis
Manic Depressive Psychosis
Systemic Lupus Erythematosis
Tetralagoy Of Fallot
Urinary Tract Infection (UTI)
Yes, that is quite an extensive list. It’s important to understand that although these conditions will not cause your application for coverage to be rejected, you may still incur out-of-pocket expenses for the treatment and/or any medications that are prescribed. The amount of your portion of the cost will depend on the type of plan you have.
Platinum plans have the least out-of-pocket costs (about 10% of estimated expenses) while Bronze plans, although the cheapest option, have the highest out-of-pocket costs (about 40%). If your medical bills are extensive and you take multiple medications (and at least one is non-generic), a Platinum or Gold option may be your best option. If you qualify for a subsidy, a Silver-tier plan may substantially reduce your out-of-pocket expenses because of “cost-sharing.”