A new Indiana private health insurance plan may be right for you if:
We can help you compare Indiana individual and family health insurance products and select the plan best suited to your health care needs.
If both you and your spouse or domestic partner are looking for a new Indiana health insurance plan, we recommend you review health insurance quotes both together and separately to find the solution that is most affordable.
Though it varies by health insurance company, Indiana health insurance rates for couples can significantly differ from the cost of buying separate policies. Sometimes it costs more. Sometimes it costs less. Different insurance companies use different rating methods.
Couples with greater age differences are more likely to see meaningful rate variations. In summary, couples sometimes benefit by evaluating both combined and separate coverage.
Indiana residents have legal protection when they purchase individual and family health insurance.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Those needing individual health insurance when leaving an employer-sponsored plan are protected under the HIPAA federal law, which limits Indiana health insurance companies in imposing a waiting period for pre-existing health conditions. However, this law is often misunderstood.
HIPPA Limitations and Misconceptions
We get frequent calls from folks who believe HIPAA entitles them to affordable private health insurance, but it does not work that way. If you have disqualifying health conditions an Indiana health insurance company can still decline to insure you under an individual or family policy. HIPAA does not change that.
If necessary continuity of coverage conditions are met, HIPAA requires the insurance company not apply the pre-existing condition exclusion -- but only if they agree to insure you in the first place. In addition, HIPAA does not prevent an Indiana health insurance company from placing exclusionary coverage waivers (distinct from the pre-existing condition exclusion) or from assessing additional premium charges on an individual or family health insurance policy involving pre-existing conditions.
COBRA (Consolidated Omnibus Budget Reconciliation Act)
Under the COBRA federal law Indiana residents can continue, subject to duration limits, health coverage from a prior employer. If you would like to learn more about how COBRA could impact you, visit:
Indiana Prohibition against Unwarranted Rescissions
After an Indiana resident is accepted into a private health plan, Indiana state law prohibits (in absence of fraud or material misrepresentation) insurers from canceling coverage if the person becomes sick or is injured.
Indiana mandates certain benefits in individual/family health insurance policies. Some noteworthy Indiana private health insurance benefit requirements include:
National Health Insurance Reform (ObamaCare)
The Patient Protection and Affordable Care Act and the Health Care and Education Affordability Reconciliation Act of 2010 will overhaul the whole system. Some facets have already gone into effect, though the most meaningful provisions do not begin until 2014. Review our health care reform implementation summary.
We are in the business of marketing private health insurance to Indiana residents who can afford to buy it. It is no secret that health insurance can be expensive, though we do our best to help our customers find the most affordable quality coverage.
Indiana residents who cannot afford private coverage or who are unable to qualify due to pre-existing medical conditions should explore the following:
Enrollees are required to pay a premium and out-of-pocket costs. PCIP eligibility criteria for Indiana residents includes:
For a full details about eligibility and required enrollment documentation, go to https://pcip.gov/Who's_Eligible.html.
People who enroll in PCIP are not charged a higher premium because of their medical condition. Program participants pay comparable premium rates to healthy people in the Indiana individual insurance market.
ICHIA is a "last option" plan. You will not be able to enroll in ICHIA unless all your other health insurance options have been exhausted. That includes Medicaid and the Pre-Existing Condition Insurance Plan (PCIP).
Indiana Department of Insurance
311 West Washington Street
Indianapolis IN 46204
Indiana State Department of Health
2 North Meridian Street
Indianapolis, IN 46204