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Medical Insurance in Minnesota: An Overview

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Medical Insurance in Minnesota

Medical Insurance in Minnesota

Introduction: Minnesota health insurance situation is much better than the situation in other states of the United States. In accordance to a survey, conducted between 2001 and 2003 by the Center for Disease Control, an average of only 8.5% of the total Minnesota population was uninsured for Minnesota medical insurance.

In the following article, we have discussed about some important aspects of Minnesota health insurance that include the Minnesota medical insurance regulations along with a brief description of Minnesota state health insurance alternative options. Being a Minnesota resident, you can completely depend on this article to know about the health insurance situation in your state.

Some Important Regulations for Minnesota Medical Insurance

To regulate the overall Minnesota medical insurance industry and control the activities of Minnesota medial insurance companies, the state government has introduced some rules and regulations, the regulations are as follows:

  • Minnesota health insurance companies can inflict a waiting period for a pre-existing health condition or even, can reject coverage for a pre-existing health condition.
  • A pre-existing health condition may be defined as an illness for which an individual has been treated or otherwise diagnosed within 6 months, before commencement of new Minnesota medical insurance plan.
  • Duration of a waiting period for any pre-existing condition can't last for over 1 year. An individual can't get coverage for his or her health condition during the course of a waiting period.
  • Previous Minnesota health insurance plan can be credited towards new Minnesota health insurance plan for pre-existing health condition; if and only if, there was no breakage in coverage.
  • As per state laws, Minnesota health insurance companies can not implement elimination riders. In other words, no individual can be denied coverage, permanently for his or her pre-existing health condition.
  • Every Minnesota medical insurance plan should have a guaranteed provision for renewal.
  • A guaranteed renewability provision lets an individual renew his or her existing medical insurance plan, provided all the premiums has been disbursed, in time and no fake information has been provided; during the term of respective medical insurance plan.
  • Although, there are certain limitations regarding what the Minnesota health insurance companies can charge for providing medical insurance coverage, but the rate of premiums can differ according to the age, health status, demographic and occupation of an individual. Nevertheless, the individual can not be charged more, depending on gender.
  • An individual seeking for individual Minnesota health insurance can be denied or refused, on the basis of his or her age or health status. Moreover, an individual can enjoy only limited coverage, for an approved Minnesota medical insurance plan.
  • No individual can be denied or refused by a Minnesota medical insurance company, while he or she is seeking for Minnesota medical insurance, through an employer. Moreover, individuals, covered under employer Minnesota medical insurance policy, can enjoy unlimited coverage.
  • Minnesota health insurance plans that offer dependant coverage have to cover newborns, automatically; for up to 31 days from the day of birth, under parent's Minnesota health insurance plan. Nevertheless, the policy should be adjusted, accordingly; after that period of time.
  • Minnesota health insurance companies that offer dependant coverage have to cover handicapped dependants, even if they exceed the pre-decided age limit.
  • Minnesota residents that are between Minnesota medical insurance plans or jobs can opt for conversion Minnesota medical insurance plans; provided they should meet other qualifying criteria, as well.
  • Minnesota Health Maintenance Organizations or HMOs should have a guaranteed open enrollment period per year, for a minimum of two years. Any Minnesota individual can have an access to individual Minnesota medical insurance, during that period of time.

Minnesota Medical Insurance Alternative Options

Minnesota state government operates some health insurance alternative programs to let the Minnesota residents, who are otherwise considered as “uninsurable” or unable to pay for individual Minnesota health insurance, get insurance coverage. The programs are as follows:

  • Minnesota Medicaid: This program is available to the Minnesota individuals who meet all the qualifying as well as income criteria.
  • General Assistance Medical Care or GAMC: The Minnesota individuals, who meet all the qualifying as well as income criteria, can avail this state-aided program.
  • Prescription Drug Program: This program is also available to the Minnesota individuals who meet the income as well as other qualifying criteria.
  • MinnesotaCare: This state-operated program is especially designed for the children, who are below or up to the age of 19. Children from the families, which are not able to purchase Minnesota medical insurance or ineligible for Minnesota Medicaid, qualify for this children's health program.
  • Minnesota Comprehensive Health Association or MCHA: This high risk pool allows individuals, who are otherwise considered as “uninsurable”, to avail group Minnesota health insurance. Pre-existing health condition may be applicable.

Minnesota Department of Commerce

For further enquiry on Minnesota medical insurance, you can contact at the following address:

Minnesota Department of Commerce

85 7th Place East, Suite 500
St. Paul, MN 55101
Telephone No: (651) 296-4026
(651) 296-2860 (TTY)
(651) 297-1959 (FAX)

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