Pennsylvania Health Insurance

Written by Norene Anderson
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Pennsylvania health insurance is regulated more stringently than many of the other states. One provision that is the same with most states is the option to renew the policy at the end of the term. The plan cannot be canceled due to increased health issues or costs. This is a guaranteed renewable policy.

The limit on determining pre-existing conditions can cover the previous five years. Anything that you were diagnosed with or sought medical treatment for during that time is considered to be pre-existing. There is also a limit on the length of exclusion for coverage of pre-existing conditions. Pennsylvania health insurance providers can only exclude coverage for one year.

Rules for Pennsylvania Health Insurance Carriers

If you are changing from one health insurance to another, the time covered with the old policy counts toward the exclusion period. If the policy has dependent coverage included, all adopted children and newborns are automatically added for at least 31 days. It is important to get the additional insured on the policy as soon as possible.

Rules are different for the various Pennsylvania health insurance carriers. Some premiums are based on gender, type of plan, age, and size of family with no affect by health conditions. Other companies are allowed to consider the health status for the initial premium but cannot increase the premium due to declining health. Still other companies may require up to 30 days before initiating coverage. With all the regulation variations from the different companies, it is important to read the policy carefully to know you are getting exactly what you desire.


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