Is it legit for insurance companies not to cover you if you have a medical condition?

Question

I am so confused! I have several medical conditions; which means I NEED Health Insurance. I am unemployed and looking for work, so am trying to get temporary HI. The Insurance person told me I have to wait so they can check me because if you have any underlying condition, or need to take medications, you might not be covered.
What am I paying for then? If I am healthy; why do I need HI.
Should this really be legit? Can't the Government, who is supposed to protect us, do anything about it?
This just does not make any sense at all; as do many other things nowadays.
Does anyone agree with me that the world is backwords and really going completely insane.

Answer 1

It's the insurance companies responsibility to balance their risks - and that is why most have an admitting process. If you live in
California, Kaiser is probably the best choice for you. Their are other programs out there to help the uninsured but they are very limited. Good Luck.

Answer 2

To get coverage by an individual plan, they don't have to take you on, and probably won't if you have pre-existing conditions, or won't cover those conditions. Why would anyone get health insurance otherwise until they had a problem - then the whole underlying spreading of risk that is the basis of insurance would pretty much collapse - the charges would have to be huge if healthy people weren't also contributing.

When you find a job, if you're eligible for group coverage, there might still be a waiting period for coverage for pre-existing conditions.

If your conditions are severe enough, can you get medicaid?

Basically, unfortunately, there's not enough money in the world to pay for every possible medical procedure for everyone who has some level of need for it. So it gets rationed somehow. In countries with national health insurance, it's not uncommon for there to be very long waits for care - on Commons Question Time on TV the other night, Tony Blair was very proud that the wait to see specialists had been cut from two years to six months. And in many of the "national health care" countries, if you're over a certain age like 65 or so, you aren't eligible for treatment for some diseases like some types of cancer.

The government's job includes protection for the country overall, but unfortunately not each individual - that would be a somewhat impossible job.

Good luck.

Answer 3

I agree the world is going backwards and it's always been insane..and I sympathize with your situation becasue I have been there...However, the insurance company is not a social welfare organization. Why would any insurance company insure you if they know you have an existing medical condition which would require them to pay your medical bills. It's makes no sense for them financially to do that.

You will be paying them a premium, lets say $900 per month. You have an illness, require treatment and the doctor's fees are $20,000 for surgery and whatever else you need. Let say you pay your premiums for 2 months and then you need care. The insurance company will lose $$$. So because of that, they will probably not insure you because of the pre-exisiting medical condition. Some companies might not cover a pre-existing condition but will cover any other illness you might have. It depends on the policy and the company.

I hope you find a job which offers health insurance because "many" of the group helath plans thru employers do not care about your past medical history. If you are an employee, they cover you.

Best of luck to you!

Answer 4

Yes, it's legit.

The insurance company is only in business to make a profit. It can't make a profit if it exchanges a small amount of premium for a KNOWN amount much larger of payouts. That's why the ONLY chance you have of getting preexisting conditions covered, is through a large group plan with an employer.

It's kind of like trying to place a bet on a horserace after the race has finished.

Insurance is betting, and agents and companies are professional bookies. If they ran things your way, they'd be out of business, then NO ONE would have any insurance.

Answer 5

Insurance companies are businesses. Their business is to charge you what they believe is a fair charge each month in return for taking the risks of having to treat you IF and only IF you happen to get sick. They are betting that you and the hundreds of thousands of other people they insure will be more healthy than sick over the time that they insure these people ..and so they make a profit. They will NOT take on a bunch of sick people and pay for their care...that will put them out of business VERY quickly!! If you have a pre-existing condition that precludes you from getting insurance there are government programs to cater for people in that predicament, including Medicare/Medicaid, disability and other state and federal programs

Answer 6

You did not specify what kind of medical problems you have and the extent so it is difficult to say if you would be eligible for health insurance.

The whole point of insurance is to financially-protect healthy people, in the event that one day they are stricken with an unexpected illness, they would be able to get some assistance with bills and will not be financially devasted.

If everybody sick were to buy insurance and claim, then this would not be fair to those healthy people who are in fact paying for you.

Answer 7

Unfortunately thats how health insurance works. If the US had national health care like Canada, Japan, England, and every other industrialized country in the world, you would be covered. Your chances of getting coverage in the free enterprise market are not very good. They need to cover people who won't be costing them money. Sorry.

Answer 8

in case you have a surgical technique presently after a sparkling coverage starts, the insurer will in all risk question notwithstanding if the situation existed ahead of you signing up for the coverage. they're entitled to request medical information, and if some thing seems fishy to them they in all risk will. i does no longer advise mendacity on your insurance application. notwithstanding in the event that they locate out a year or 2 from now, they could flow returned and rescind your coverage returned to the beginning up date. this potential which you would be completely responsible for any claims incurred, by way of fact it may be like your coverage had on no account existed. (it quite is once you're employing for somebody coverage. once you're turning out to be insurance by your corporation, they gained't rescind your finished coverage, yet they are going to take returned money for something with reference to the pre-modern-day situation.) Like I pronounced...a surgical technique presently after beginning up a sparkling coverage is a huge purple flag to the insurer and is in all risk to set off extra study.