Indiana Health Insurance for Children under the health reform act will no longer allow the insurance carrier to Pre X or decline children under 19 years of age.
This is the first step in Health Care reform that is going to have a huge impact on Individual policy holders and carriers. Once this goes into effect children cannot be declined or pre x for coverage. Now all the claims on these children are going to be absorbed by the carriers. This is going to have a major impact on health carriers and major impact on individual premiums. There is some thought that we could see children’s premiums shoot up. The insurance industry is about to feel the impact of the health care reform and policy holders will also feel the impact.
In 6 months, insurers will be prohibited from placing lifetime limits on what they will pay for your medical care, and they can only apply restricted annual benefit limits. Insurers will no longer be able to arbitrarily cancel your insurance policy when you get sick, except in cases of fraud.
Insurance companies will be prohibited from denying coverage to children with pre-existing conditions. This applies to all new plans in the individual market.
In 6 months, all new individual market health plans must provide coverage for preventive services. Recommended prevention and vaccination services will be covered without any deductibles or copayments. They must also have a straightforward and independent appeals process so you can appeal decisions by your health insurance plan.
Beginning on January 1, 2011, insurance companies will be required to spend most of your premium dollars on your care, not on profits and overhead—75% in the individual market – and rebate any excessive overhead to enrollees.
Similarly, starting in plan year 2011, companies that sell insurance in the individual market that jack up rates will have to disclose requested premium increases publicly. If that rate increase is found to be unreasonable, the insurer may be prohibited competing for your business in the new state-based exchange that will begin operating in 20