Q:
Where
are the Plus plans available?
A: We invite you to browse this website where we
maintain a current listing of approved states for Plus plans. Please
note that all plan designs may not be available in all states.
Q: What are the medical underwriting
requirements for this plan?
A:
All
Members (and eligible dependents) of Consumer Health Choice Association
are automatically accepted with no medical underwriting requirements
involved.
Q:
Who is eligible for SureHealth plan coverage?
A:
All new members of the Consumer Health Choice Association (CHCA)
are eligible for SureHealth plan coverage.
Q:
If I submit my application today, when does coverage begin? Coverage
is not immediately effective at the time of application.
A:
If you complete the application process from the 1st through the
15th of this month, your coverage is effective on the 1st of next
month. If you complete the application process on the 16th through
the last day of this month, your coverage is effective on the 15th
of next month.
Q:
When does my coverage end?
A:
Coverage ends when premiums are discontinued (subject to your grace
period), when your membership in Consumer Health Choice ends, or
when the policy terminates at age 70, whichever occurs first. Coverage
for your dependent(s) ends on the earliest date the dependant no
longer meets the definition of an eligible dependent or on the date
that your coverage terminates, whichever occurs first.
Q:
May I add / include my dependants on this plan? Who is eligible?
A:
YES! Eligible dependants may be added or included on the Single
+1 or Family plans. A lawful spouse is eligible from age 18 to 69
with coverage terminating at age 70. Unmarried, dependant children
who reside in the home for more than six months per year and rely
on our member for support and maintenance are eligible up to age
18 with extended eligibility up to age 24 for full-time students
of accredited colleges.
Q:
Are the restrictions involved with adding my dependents?
A:
If you are adding previously uncovered dependants as a result of
a life style change (marriage, birth or adoption), you must request
to add the dependant(s) with 31 days of the event.
Q:
What are the deductibles and co-pays with Plus plans?
A:
There are no co-pays with any SureHealth Plan benefit. There is a $100
deductible per accident with the Accidental Injury benefit and no
deductible for any other association insurance based benefit. All
other insurance based benefits pay the first dollar of covered expenses
and up to the plan maximum for our member AND all eligible dependents!
Q.
How are claims filed with my SureHealth Plan?
A. As shown on the back of your SureHealth Plan membership identification
card, you would file the claim with Health Plan Administrators and
all benefits are paid to you. For your convenience, we have also
provided a toll-free number in case you have any questions about
the claim process.
Q.
Can I continue to see my doctor and the hospital closest to me?
A:
YES! With Plus plans, “It’s your Health. It’s
your Choice.” means you may go to any licensed doctor or hospital
you choose and access every association insurance based benefit!
Q.
Will I be denied benefits
or Consumer Health Choice Association
membership if I have a Pre-Existing Condition?
A:
No! New applicants are not denied membership because of a pre-existing
condition. However, claims will not be paid related to a pre-existing
injury or illness until the end of a continuous period of 12 months
beginning on or after your effective date of coverage. Pre –existing
Condition is defined as: (1) Medical advice, consultation, care
or treatment that was recommended by, or received from, a doctor
within 6 months immediately prior to the effective date of coverage
or (2) When symptoms existed within 6 months immediately prior to
effective date of coverage that would cause any reasonable person
to seek consultation, care, or treatment from a doctor.
Q.
What if I was a previous member? May I become a member again
at any time?
A:
Yes. This would require a new application and Association Enrollment Fee. Your
membership would require not only the same waiting periods (30 days
for injury, and 12 months with no claims paid related to an injury
or illness if there were symptoms or treatment or advice in the
12 months prior to the effective date of the policy) but previous
plan maximums are reviewed as well. If you had been paid the lifetime
maximum on the previous SureHealth Plan, there would be no insurance
based benefit claims paid on the new SureHealth plan. If you had been
paid the annual maximum on the previous SureHealth plan, there would
be no insurance based benefit claims paid during that same policy
year – even with the new plan.