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Asked: Apr 27, 2010

HIV+ laid off continuing my insurance coverage via COBRA…

I was laid off 8 months ago, but I'm continuing my insurance coverage via COBRA. I am HIV+ but healthy and asymptomatic for 22+ years. Ecept for my medications (which are VERY epensive...probably close to $24,000 per year if I had to pay for them out of my own pocket), I really don't have many health epenses ( 2 or 3 office visits per year). I was recently offered a sales position with an insurance company which provide benefit packages for businesses (including group and individual plans). If I accept the position, I will be a 1099 Independent Contractor and will have to purchase my own insurance. I have always been covered by a group policy through my previous employers. My concern is whether I will be able to obtain coverage on my own considering my health issue, and if so, what should I epect to pay? Someone advised me that a low premium/high deductible policy combined with a \gap\' policy to cover the deductibles and copays and medication would be the best option. I've never heard of a gap policy for a regular medical plan. Do they eist? What would you advise? I live in N.C. if that has any impact on your answer. Thanks!'

Categories: In Illinois
Plan Types: In Other

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Answers

Purchasing an Individuals policy in North Carolina may prove to be an impossible challenge for you, give the fact that you are HIV+. The insurance laws in your state allow for medical underwriting for new applicants for Individuals. These means that they can deny your application due to a pre-eisting medical condition. You will need to remain on your COBRA coverage until it epires. At that time, you will be able to apply for a guaranteed issue individual health plan through your state’s high-risk pool, called Inclusive Health. We advise that you review the plan benefits well in advance of the epiration date of your COBRA so that you may be prepared for a reduction in benefits from your current coverage. These plans often have maimum benefit limits, including annual caps for medications. Your other option would be to obtain employment with a company that offers group health benefits for which you would be eligible. The “gap” coverage you are referencing applies to Medicare, and is not applicable to your situation. — June 22, 2009 @ 11:12 am

Answered: Apr 28, 2010

 

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