Hipaa Requires That
hipaa requires that
Are state administered medicaid programs considered “prior insurance” when dealing with HIPAA?
My fiance’ is pregnant with my child and due to a job loss, we were uninsured when we got pregnant. We are not married, but we live together and are jointly responsible for the bills. She was approved for Medicaid and Medicaid is covering the pregnancy. I just got a job with great benefits that will take effect March 1st. She is due March 28th and I would prefer not to spend anymore tax payer money so I am wanting my insurance to cover the delivery and other costs. Obviously no insurance company in their right mind is going to pay for a delivery of a brand new client witha a pre-existing condition, however I know that HIPAA law requires that they do, assuming they were insuredd in the 60something days prior. So in THIS instance, is medicaid (idaho) considered prior insurance thus allowing me to switch her over to my insurance for the delivery and whatnot?
(she is my domestic partner and definitely insurable for the sake of this discussion)
This article will explain that Medicare and Medicaid are not considered insurers.~
Overview
Federal law gives you and your family members some valuable – though limited – protections when you need to buy, change, or continue your health insurance. These important laws can affect the health benefits of millions of Americans and their families. Understanding these protections, as well as laws in your State, can help you make a more informed choice if you need to make a change in health coverage. It also can help you better understand the health coverage protections you have under the law.
The purpose of this on-line information is to give you an overview of how you may be affected by health insurance coverage changes that may apply to four different types of coverage:
1) Self-funded group health plans (CMS has jurisdiction over self-funded public sector (non federal governmental) plans while the Department of Labor (866-444-3272) has jurisdiction over private sector self-funded group health plans.);
2) Fully insured group health plans;
3) Individual (non-employment based) health insurance policies; and
4) Comparable coverage through State high risk pools, if applicable in your State.
Contact your state’s insurance department to find out about whether additional protections apply to your coverage if you are in a fully insured group health plan or have individual market (non-employment based) health coverage.
Medicare and Medicaid are not issuers of health insurance. They are public health plans through which individuals obtain health coverage. Contact your specific Medicare or Medicaid contractor to discuss your level of benefits.
HIPAA and FileSure – Protecting ePHI from unauthorized transmission using FileSure
