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» LymeNet Flash » Questions and Discussion » Medical Questions » Unicare Insurance...anyone?

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Author Topic: Unicare Insurance...anyone?
ArtistDi
Frequent Contributor (1K+ posts)
Member # 2297

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My husband will be interviewing for a new
position and I am worried about being covered
by it--Unicare. It is a PPO...asked my cousin who works for the business, but she
said he should talk to human resources to
see if pre-existing conditions would be
covered.

Even with BC/BS PPO, I am scrambling for
cash and paying lots.


Anyone know anything about this insurance?


Posts: 1572 | From Hatfield, MA, USA | Registered: Mar 2002  |  IP: Logged | Report this post to a Moderator
ArtistDi
Frequent Contributor (1K+ posts)
Member # 2297

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Up
Posts: 1572 | From Hatfield, MA, USA | Registered: Mar 2002  |  IP: Logged | Report this post to a Moderator
Kira
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Member # 2676

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Hey Diane,

I have insomnia tonight/this morning, so came to check out Lymenet...and saw your post.

I don't have personal experience with Unicare, but I know my company (when I worked), every few years changed insurance providers, so the pre-exisiting condition thing came up rather frequently over the years...

Now this can possibly vary depending on state laws, but I "think" they have to cover you now under the newest laws...but they possibly may make you wait 90 days or something to get (full)coverage...but in the past 4+ years since Lyme, this has not been an issue for me anymore like it was in the past...which is why I think things have changed in our favor...I am prettu sure things have changed as I know they can't prevent or delay a diabetic at least from getting care/insulin that they must have...so not sure if this is for certain conditions, or all pre-exisiting conditions now...or what...I know, I am not much help here, am I...?

I just got switched from United Healthcare to BCBS last year and had no issues with pre-exisiting...

Even if this pre-existing thing is still an issue, you may be able to get around it since with Lyme our symptoms and conditions are so varied...If you have been mostly using Lyme diagnosis codes, docs can use more varied symptom related diagnosis codes...I mean, heck...even the docs can't all agree on what's what, right??

Hope all works out for your husband and his job, and that you are hanging in there ok...

Kira


Posts: 802 | From Chicago suburbs, Illinois | Registered: Jun 2002  |  IP: Logged | Report this post to a Moderator
ArtistDi
Frequent Contributor (1K+ posts)
Member # 2297

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Thanks, Kira. I hope that the new law is
in effect as someone else emailed me about
it.

I am hanging in and got through the spinal
OK. Took a good week to be up and about because I think I had headache pressure from
the procedure. Now I just have the regular
24/7 kind of headache.

Sorry you can't sleep and hope you are
doing OK too.


Posts: 1572 | From Hatfield, MA, USA | Registered: Mar 2002  |  IP: Logged | Report this post to a Moderator
duramater
LymeNet Contributor
Member # 6480

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Hi Diane:

I think you are going to be fine if your husband changes jobs/insurance. Here is the link to our state's laws:
http://www.ago.state.ma.us/sp.cfm?pageid=1145

I've copied and highlighted the part that is most relevant to your situation:

People with health insurance. Pre-existing condition exclusions and waiting periods cannot be imposed if you are simply changing coverage. Health coverage is "portable" as long as you enroll in a new plan within 63 days after your prior coverage ends. But, your new coverage may impose pre-existing condition exclusions or waiting periods on any benefits not covered by your prior coverage, and is not required to offer the same benefits as your prior plan.

Basically, anything that was covered by your old insurance will be covered by the new. If the new insurance offers additional benefits that your old did not, a waiting period for pre-existing conditions may apply for those new benefits ONLY.

Hope this helps allay your concerns. The law that passed a few years ago regarding pre-existing conditions has made a big difference!

~DM


Posts: 689 | From western MA (we say buttER and pizzA) | Registered: Nov 2004  |  IP: Logged | Report this post to a Moderator
   

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