Information on Credible and Continuous Nevada Health Insurance Coverage
What is creditable coverage?
Most health insurance counts as creditable coverage, including:
- Federal Employees Health Benefits (FEHBP)
- Group health insurance (including COBRA)
- Indian Health Service
- Individual health insurance
- Medicaid
- Medicare
- Military health coverage
- (TRICARE)
- State health insurance high risk pools
In most cases, you should get a certificate of creditable coverage when you leave a health plan. You also can request certificates at other times. If you cannot get one, you can submit other proof, such as old health plan ID cards or statements from your doctor showing bills paid by your health insurance plan.
In determining continuous coverage, employer-imposed waiting periods and HMO affiliation periods do not count as a break in coverage. If your new plan imposes a pre-existing condition exclusion period, you can credit time under your prior continuous coverage toward it. If your employer requires a waiting period, the pre-existing condition exclusion period begins on the first day of the waiting period. HMOs that require an affiliation period cannot exclude coverage for pre-existing conditions.
What is continuous coverage?
You can get continuous coverage under one plan, or under several plans as long as you don't have a lapse of 63 or more consecutive days.
Take Art, who has diabetes. Ajax Company covered him under its group health plan for 9 months, but he lost his job and health coverage. Then, 45 days later, Art found a new job at Beta Corporation and had health coverage for 9 more months. Art changed jobs again. His new company, Charter, has a health plan that covers care for diabetes but excludes pre-existing conditions for 12 months. Charter must cover Art's diabetes care immediately, because his 18 months of prior continuous coverage are credited against the 12-month exclusion.
Now consider a slightly different situation. Assume Art was uninsured for 90 days between his jobs at Ajax and Beta. In this case, Charter will credit coverage only under Beta's plan toward the 12-month pre-existing condition exclusion period. Charter's plan will begin paying for Art's diabetes care in 3 months (1 year minus 9 months). Art does not get credit for his coverage at Ajax since he had a break of more than 63 consecutive days.
Resources:
- » Reviewing Health Insurance Policy Rules
- » Looking over Health Insurance Contract Terms
- » Problems with the Yearly Health Insurance Deductible
- » Problems Related to Health Insurance Procedure Codes
- » Problems Related to The Usual and Customary Rate (UCR)
Articles:
- » Health Insurance After a Layoff
- » A Variety of Health Insurance News Pieces
- » The Health of Health Insurance, Reform, and The Worst Places to be Uninsured
Nevada Consumers Guide to Health Insurance:
- » Introduction to A Consumer's Guide to Getting and Keeping Health Insurance in Nevada
- » A Summary of Your Protections Regarding Nevada Health Insurance
- » More Information on How You Are Protected under Nevada Health Insurance Laws
- » How Nevada Health Insurance Laws Do Not Protect You
- » Protections Under Nevada Group Health Plans
- » Retaining Parents Nevada Health Insurance Coverage
- » Limiting Nevada Health Insurance Coverage Due To Pre-Existing Conditions
- » Information on Credible and Continuous Nevada Health Insurance Coverage
- » More Information on Continuous Nevada Health Insurance Protection
- » Protection Limits and Leaving Nevada Group Health Insurance Coverage
- » Your Protections When Buying Individual Nevada Health Insurance
- » Being HIPAA Eligible to Buy Individual Nevada Health Insurance
- » What Individual Nevada Health Insurance Covers
- » Individual Nevada Health Insurance Pre-Existing Condition Coverage
- » More Questions About Individual Nevada Health Insurance
- » Continuing Nevada Health Insurance Through COBRA
- » Qualifying for COBRA Health Insurance Coverage in Nevada
- » More Questions Regarding COBRA Individual Health Insurance in Nevada
- » The Length of Cobra Health Insurance Coverage in Nevada
- » Information on Nevada Continuation Health Insurance Coverage
- » Nevada Health Insurance Conversion Policies
- » More Questions Regarding Nevada Conversion Health Insurance Policies
- » Nevada Health Insurance Protection for The Self-Employed or Small Employers
- » More Information on Nevada Health Insurance for Small Employers and The Self-Employed
- » Financial Assistance for Getting Nevada Health Insurance Coverage
- » Information About Nevada Medicaid Health Insurance Eligibility
- » Nevada Check Up Low-Income Health Insurance Program
- » Information About Nevada's Women's Health Connection Program
- » Information on The Federal Health Coverage Tax Credit
- » More Information on The Federal Health Coverage Tax Credit
- » Where To Obtain More Nevada Health Insurance Information
- » Helpful Terms Regarding Nevada Health Insurance
- » More Helpful Nevada Health Insurance Terms
- » More Useful Terms Regarding Nevada Health Insurance
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