Health Insurance Frequently Asked Questions

Many Georgia health insurance providers are nationally established carriers who either are licensed to do business in Georgia, or who have divisions that are locally licensed. They have Georgia health insurance plans specifically designed to meet Georgia state regulations and requirements. However, as of a few years back, the Georgia congress passed laws that allow Georgia residents to purchase their Georgia health insurance from companies who are outside of the state also. The Georgia health insurance policy purchased outside the state must meet Georgia’s requirements and regulations, but otherwise, it is a perfectly acceptable legal method of purchasing Georgia health insurance.

How am I protected from Georgia health insurance fraud and scams?

If you have questions about the legitimacy of a Georgia health insurance plan offer you have been advertised or offered, you can contact the Georgia insurance commissioner’s office. The Georgia insurance commissioner is in charge of overseeing and regulating insurance products of all kinds. They keep a list of companies that have had complaints filed against them, and may be able to inform you of new scams. Please remember that if a Georgia health insurance plan proposal sounds too good to be true, it probably is. It is virtually impossible to find family Georgia health insurance policies that have monthly premiums in the $30/month range. If this is what you are offered, it is probably not a legitimate insurance company.

What if I can’t afford Georgia health insurance?

There are currently several government-subsidized programs to provide georgia health insurance to children. These Georgia health insurance companies are Amerigroup, Wellcare, and Peach State for Children. They work alongside Georgia health insurance Medicaid and Peachcare to provide medical and behavioral health services to children. Families must meet financial need criteria, and be American citizens. These Georgia health insurance providers also offer vision and dental benefits on some of their policies.

I have a pre-existing medical condition. Will this prevent me from getting Georgia health insurance?

A pre-existing medical condition could possibly lead to not getting approved for purchasing an individual or family Georgia health insurance policy. Once you complete your application, it will be sent to the medical underwriting department for review. They may determine that your pre-existing condition results in your being too high risk for the health plan. However, they may approve your policy with higher premiums, or a waiting period for treatment of that pre-existing condition. It is still worth filling out an application. Another option is to receive benefits through a group health plan through your employer. Group health plans cannot deny coverage to any qualified member of the group or organization, regardless of pre-existing medical conditions. In the future, the health care reform acts will not allow georgia health insurance carriers to demand a waiting period or exclusions on pre-existing conditions. Also, at this time, if you have had continuous coverage through Georgia health insurance, or insurance in another state, without a gap in coverage, your pre-existing medical condition cannot be excluded. There are many rules and regulations regarding pre-existing medical conditions, so you will want to check with your particular Georgia health insurance provider to determine how yours affects your coverage

Comments are closed.