What If I Have a Serious Preexisting Condition?
39 million Americans receive Medicaid (low income), 47 million Americans receive Medicare (seniority), and now all states have state-guaranteed coverage for people with preexisting medical conditions—regardless of their level of income.
State-guaranteed coverage is typically the same BlueCross BlueShield type coverage you'd purchase yourself, except the state pays your carrier for any losses.
How Do I Qualify?
In 40 states, the only qualification is having been rejected or uprated (charged more) by a private insurance carrier, or in some states just having a letter from a licensed agent stating that this would occur if you applied.
State-guaranteed coverage is not for poor people—it typically costs per person 100%-150% more than regular coverage, but only for the family member with the illness—so a typical family pays only 25%-40% more for all family members combined.
State-guaranteed health insurance can be the bargain of a lifetime if you are very ill—an annual premium of $3,600 a year can get you $100,000 a year or more in health benefits.
Why Do I Have To Pay More?
If you had purchased an individual/family policy before your family member developed their preexisting condition, you wouldn't need expensive state-guaranteed coverage. Get your other healthy family members their own policy now before something happens to their health—individual high-deductible policies cost less than $90/month in most states.
Do not wait if you need state-guaranteed coverage—virtually all states have a 12-month waiting period before covering preexisting conditions, unless you are HIPAA-eligible (i.e. less than 63 days since COBRA expiration or your existing plan was terminated through no fault of your own).
Where Can I Learn More?
Learn more about state-guaranteed coverage in your state, and who to contact in your state if you have a preexisting medical condition from New York Times bestselling author Paul Zane Pilzer's book, The New Health Insurance Solution. You can also search the online State By State Guide.



