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9. Terms of coverage for medical expense plans What's in and what's out? When shopping for a health insurance plan, find out about different plans'
9. Terms of coverage for medical expense plans What's in and what's out? When shopping for a health insurance plan, find out about different plans' contract provisions, in case they would restrict or even exclude coverage that's important to you Persons and places covered The most recent health reform act allows young adults to You have a named-insured policy. You are most likely single with no dependents remain on their parents' insurance until they are 26 years old. Cancellation The most protective plan is one that does not allow an insurer to cancel your coverage as long as you pay the premiums Preexisting conditions If you need a new insurance plan and have a chronic condition, continued coverage for that condition is more likely under an individual plan. For individuals, one of the benefits of the Affordable Care Act is that it prevents exclusion from coverage for preexisting conditions. This new provision could cause higher premiums. Pregnancy and abortion The A plan that covers all medical expenses related to pregnancy and abortion, including sick-leave pay is considered restrictive most restrictive policy covers medical costs arising from pregnancy or an abortion but not the routine procedural expenses Mental illness Mental illness is at the bottom of the list of sicknesses requiring long-term hospitalization. Many health insurance policies provide less coverage for mental illness than other sicknesses. Rehabilitation coverage After a serious injury, a plan that includes rehabilitation coverage would be most helpful for a patient who is disabled as a result Continuation of group coverage (COBRA) Except in the case of dismissal from a job for gross misconduct, this provision allows former employees to remain covered under their group plans from work for up to months after termination as long as they After COBRA expires, most insureds the opportunity to convert the group policy to an individual policy
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