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NHS - Creditable Coverage

NHS - Creditable Coverage

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Old May 26th 2008, 2:59 pm
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Default NHS - Creditable Coverage

We've had a lot of debate on here over whether or not health insurance companies will consider the NHS creditable coverage for HIPAA (covering pre-existing conditions). Here's a link to Humana, a major company - they specifically include foreign cover now - see page 6

http://apps.humana.com/marketing/doc...sp?file=678054

This is the version for Illinois, but it certainly looks like at least some insurance companies are doing it...
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Old May 26th 2008, 4:00 pm
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Default Re: NHS - Creditable Coverage

Here's another one - Blue Cross/Blue Shield

http://www.bcbsil.com/PDF/legislative_update_405.pdf

Creditable Coverage
Definition Broadens
...
Creditable coverage now includes
...
2) coverage under plans established or maintained by a foreign country (e.g. Canada's or Great Britain's national health system)

I know it has been posted on here that people have had trouble making this stick in the past, but there are two major carriers saying they will count it. Good news I'd think.
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Old May 26th 2008, 6:51 pm
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Default Re: NHS - Creditable Coverage

Originally Posted by Tracym
We've had a lot of debate on here over whether or not health insurance companies will consider the NHS creditable coverage for HIPAA (covering pre-existing conditions). Here's a link to Humana, a major company - they specifically include foreign cover now - see page 6

http://apps.humana.com/marketing/doc...sp?file=678054

This is the version for Illinois, but it certainly looks like at least some insurance companies are doing it...
Sorry, don't have much time to post, but two notes -

1. "Group Health Products" offered are in that doc not the individual market where there is a lot more difficulty in obtaining coverage,
2. A Certificate of Creditable Coverage (COCC) required, or the Ins Co. can contact previous plan for such information. (page 7). Any one who can get the NHS provide that please follow up.

Last edited by farmerwife; May 26th 2008 at 6:52 pm. Reason: sp.
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Old May 26th 2008, 6:54 pm
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Default Re: NHS - Creditable Coverage

Originally Posted by Tracym
Here's another one - Blue Cross/Blue Shield

http://www.bcbsil.com/PDF/legislative_update_405.pdf

Creditable Coverage
Definition Broadens
...
Creditable coverage now includes
...
2) coverage under plans established or maintained by a foreign country (e.g. Canada's or Great Britain's national health system)

I know it has been posted on here that people have had trouble making this stick in the past, but there are two major carriers saying they will count it. Good news I'd think.
I see the date on the document you link to is 2005. We had Blue Cross/Blue Shield of Oregon refuse to accept NHS as creditable coverage in November 2006.
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Old May 26th 2008, 7:00 pm
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Default Re: NHS - Creditable Coverage

Originally Posted by Tracym
Here's another one - Blue Cross/Blue Shield

http://www.bcbsil.com/PDF/legislative_update_405.pdf

Creditable Coverage
Definition Broadens
...
Creditable coverage now includes
...
2) coverage under plans established or maintained by a foreign country (e.g. Canada's or Great Britain's national health system)

I know it has been posted on here that people have had trouble making this stick in the past, but there are two major carriers saying they will count it. Good news I'd think.
In that doc. the "(e.g. Great Britain's National Health system)" IMO is only a memo writers interpretation.
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Old May 26th 2008, 8:57 pm
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Default Re: NHS - Creditable Coverage

Originally Posted by farmerwife
Sorry, don't have much time to post, but two notes -

1. "Group Health Products" offered are in that doc not the individual market where there is a lot more difficulty in obtaining coverage,
2. A Certificate of Creditable Coverage (COCC) required, or the Ins Co. can contact previous plan for such information. (page 7). Any one who can get the NHS provide that please follow up.
Does not help for individual stuff, just group - I agree.

The insurance plans we've seen say if you can't get a certificate, contact them and they'll help finding an alternate way. I haven't found out yet putting it to the test, but it appears the intent is to consider it. We have a letter from a NHS doctor saying he's been covered since birth.

Originally Posted by lansbury
I see the date on the document you link to is 2005. We had Blue Cross/Blue Shield of Oregon refuse to accept NHS as creditable coverage in November 2006.
I think they were wrong then. Big company - I can well imagine the information didn't get around the entire (stupid) company.
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