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Having a pre-existing condition can make getting health insurance in Texas very complicated. Unfortunately, some companies will not give you insurance at all if you have a pre-existing condition. Even if you are lucky enough to get the insurance, you will get it at a much higher rate and with a higher deductible because you are considered to be high risk.
But, people with pre-existing conditions can still get the insurance they need. They can choose the Texas Health Insurance Risk Pool, or Texas Health Pool, which provides health insurance in Texas to anyone who cannot get it through a traditional carrier. This can be a great resource for anyone with a pre-existing condition.
There is, unfortunately, a downside to this type of health insurance alternative and that is that it costs twice as much as normal insurance for a couple of reasons. The first is due to the limited number of resources of this type that are available. And the second reason is that people with pre-existing conditions are otherwise uninsurable so the Texas Health Pool has a corner on this market. For people without any other viable alternative for health insurance in Texas this is the best and sometimes their only available option.
The Texas Health pool insurance coverage is used for inpatient hospital admissions, doctor visits and prescription drugs. In addition to that, this health insurance in Texas will pay for mental illness situations (serious ones); However, one exclusion of this state coverage is the pool will not provide coverage for chemical dependency issues.
There are guidelines issued by the federal government that dictate who is eligible for this type health insurance coverage in Texas. Another requirement is that your application for health insurance with another insurance company must have been denied due to your pre-existing condition and you will have to produce documentation to prove this when you apply.
You can be eligible by being a dependent of someone that already has health insurance in Texas through the Texas health pool. You can also be eligible if you have a medical issue that will guarantee your eligibility of health insurance coverage into the health pool. A health insurance agent would have to certify that you are not able to get health care coverage through one of the traditional health insurance companies because of your medical issues.
A person with a pre-existing condition needs health insurance in Texas more than anyone else and not being able to get it can be frustrating. Fortunately, there is something that can be done. Everyone needs and deserves to have proper health care for a reasonable cost. It is essential that states, like Texas, have programs like the Texas insurance pool in place to allow people with pre-existing conditions to get the quality health care they need and deserve. The implementation of the Texas Health Insurance Risk Pool is likely one of the most significant improvements in Texas, at least as far as health insurance for people with serious needs is concerned.
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