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Individual Health Insurance

One person or family is covered with an individual health insurance policy. You purchase this kind of plan directly from a health insurance company rather than through an employer intermediary.

Your individual health insurance policy is an agreement between you and the health insurance provider. You get the opportunity to customize your policy when you are getting an individual health insurance policy, for example, you may specify the deductible, coinsurance amount, and even include or exclude certain provisions of the policy. Any changes will, of course, affect your premiums, so be careful to balance risk with cost.

What to Expect with Individual Health Insurance

Individual health insurance applicants must be evaluated by the health insurance company, who will determine how much risk you present to the insurer. The price of your individual health insurance will be determined by the risk evaluation; some individuals will not be eligible at all.

The health insurance company will evaluate you using a series of questions and/or a physical exam. Your medical history will be documented thoroughly by the insurance company.

If you have a pre-existing condition, it may be excluded from your individual health insurance policy on an exclusion rider before you can get individual health insurance coverage. The term of exclusion and other rules regarding exclusion of pre-existing conditions vary state-by-state.

The Future of Individual Health Insurance

There are proposals working their way through the legal system today that will help make individual health insurance more affordable and offer better tax benefits to individuals purchasing their own health insurance.


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