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Individual medical insurance cover those people who are not able to
take benefit of the business organizations, private insurance providers or government
programs. The aim of individual medical insurance is to enable every American
to have access to health care benefits.
Before the 1992 legislation came into affect, many people had to remain outside
the insurance net because of several reasons. There were no adequate insurance
plans to cover people who were self-employed or not employed by a firm. Private
insurance providers were not willing to cover people with chronic illnesses.
Even if they provided insurance, the coverage was not adequate to take care
of all aspects of the ailment. The individual medical insurance initiative of
the government ushered in a wide range of medical insurance schemes.
Non-coverage of Medicare is the third factor that influences eligibility for
Individual Health Coverage (IHC) program. To avail individual medical insurance,
one needs to remain outside Medicare-coverage. Whether or not you take benefits
of the Medicare coverage is of no concern. If you simply qualify for Medicare
coverage, you would disqualify for individual insurance.
Availability of individual medical insurance benefits depends on three basic
factors. Residency is the first factor. One needs to be a resident of New Jersey
to avail insurance under the Individual Health Coverage (IHC) program of New
Jersey. A person staying in New Jersey for a minimum of 6 months in one calendar
year qualifies as a resident. All family members of the person buying the insurance
have to comply with the residency policy for insurance plans provided by HMOs.
The residency policy applies only to the insurance buyer for non-HMO insurance
plans.
Non-coverage under group health plans is the second factor that influences
eligibility for Individual Health Coverage (IHC) program. One needs to remain
outside the coverage of any group health insurance plan to avail individual
medical insurance.
New Jersey has passed legislation for individual medical insurance program
in 1992. It paved ways for individuals to avail healthcare benefits from various
insurance providers. This legislation is an important step towards realizing
the healthcare goals of the government.
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