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More Questions Regarding Nevada Conversion Health Insurance Policies

What Does a Conversion Policy Cover?

It depends on the plan you select. You must be offered a choice of two conversion plans. Insurers must offer a basic and a standard health benefit plan for the conversion plan. Some of the benefits include hospital, skilled nursing, rehabilitation, hospice, emergency care, physician services, laboratory and X-ray services, and prescription drugs.

Coverage under a conversion plan probably will not be the same as under your prior group health plan, and will probably offer fewer benefits.

Contact the Nevada Division of Insurance for more information about covered benefits or visit the Division's website at http://doi.state.nv.us/ for the summary of benefits for conversion basic and standard health benefit plans.

What About Coverage For My Pre-Existing Condition?

Your conversion policy cannot impose a new pre-existing condition exclusion period. However, if you were in the middle of an exclusion period under your former group health plan coverage, you may have to finish it.

How Much Can I Be Charged For Conversion Coverage?

Conversion policy premiums may be much more expensive than your former group plan premiums. There are limits on what you can be charged for a conversion policy, but your health status, age, and other factors will be taken into account in figuring your premiums. Contact the Nevada Division of Insurance if you have questions about conversion policy premiums.

Can My Policy Be Cancelled?

Your conversion coverage cannot be cancelled because you get sick. This is called guaranteed renewability. You have this protection provided that you pay the premiums, do not defraud the company, and, in the case of managed care plans, continue to live in the plan service area.

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