Is an individual eligible for MCHA if he/she has group insurance, but the coverage is too expensive?
A. An individual is not eligible for MCHA if he/she is an employee of a company that offers employer group coverage regardless of the cost of the group plan coverage. Q. What is the difference between eligibility under the Health Insurance Portability and Accountability Act (HIPAA) and qualifying under the medical/health-related condition? How do we decide which one to pick? A. The Instructions for Application “Section H. Eligibility” address the difference between HIPAA eligibility and the other eligibility options. Whenever an application is received, it is first reviewed to see if the person is HIPAA eligible. The Federal government requires MCHA, as the Minnesota state HIPAA administrator, to first review applications for HIPAA eligibility. If an applicant is HIPAA eligible he/she needs to be a Minnesota resident on the date of application and the no pre-existing condition limitation applies. The effective date of coverage is the date MCHA receives all necessary information to proc
Related Questions
- If a child has access to a parent’s employer-sponsored insurance, but the family declined the coverage because it was too expensive, is the child eligible for CoverKids?
- I have Disability Insurance at work. What s the difference between individual and group coverage?
- Can an individual apply for MCHA if he/she has access to employer group coverage?
