In order to drop employer group coverage, what is the MCHA effective date?
A. An individual is not eligible for MCHA if they are an employee of a company that offers employer group coverage. For eligible individuals (i.e. individual meeting an annual or life time max), the MCHA application must be reviewed to determine the MCHA effective date of coverage. An individual can apply for MCHA if he/she meets MCHA eligibility criteria via a health-related rejection or a presumptive condition(s). The effective date will be the date MCHA receives all necessary information to process the application. If an individual has met his/her lifetime or annual maximum benefits, that individual should request a pre-existing condition limitation waiver. The individual must provide proof the lifetime or annual maximum benefit was reached. If the pre-existing waiver is approved based on documentation provided, the effective date will be retroactive to the day after the maximum benefit was reached.
Related Questions
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