Texas Health Insurance For Pre-existing Conditions

A pre-existing condition is a medical issue that you’ve had previously prior to getting health insurance. One example of a pre-existing condition is diabetes. In the state of Texas, that would fall under the definition for pre-existing conditions. If you have health insurance in Texas, you may have to wait several months or years before the insurance will pay for claims in regard to that condition.

When you’re filling out the application for health insurance, it is required that you include the pre-existing condition. Not including it can subject you to not having additional claims paid or your policy may be cancelled. This stipulation holds true for those that have health insurance in Texas.

Your health insurance company in Texas may consider a pre-existing condition to be one where you have received treatment and care prior to having your current health insurance plan. With health insurance in Texas, pre-existing conditions can also be determined with an individual health plan. If you have an individual plan, they will look at your medical history from the past to the present, starting five years back. If you have an employer-sponsored plan, they go back to the last six months. Other health insurance plans use the last twelve months.

There are some health insurance companies that will refuse to cover you if you have a pre-existing condition. If they do cover you, then they can ask for a policy rider. A policy rider will not cover anything related to the treatment of that condition. For health care plans that are sponsored by your employer, there can be a waiting period of up to a year. The waiting period for individual health insurance plans in Texas is two years.

In the state of Texas, regardless of whether or not you have a pre-existing condition, you may still have to go through a waiting period. If that happens to you, the waiting period for pre-existing conditions begins on the first day of the waiting period. If you have health insurance in Texas that is an HMO plan, then you can have a waiting period of no more than three months.

If you already have health insurance in Texas and you’re switching plans, then you may not have to wait as long. If there is a gap before you get new health care coverage it has to be within two months. If there are any lapses after that, you may have to wait longer to get health insurance.

It’s very important to know the facts and details about pre-existing coverage with health insurance in Texas. If you have a pre-existing condition, there are still ways that you can get around the loophole. You will definitely need to let your health insurance carrier know that you have a pre-existing condition. Otherwise, you may find yourself without insurance. You will also be putting your health in danger if you’re not able to pay for the treatments yourself. Just because you have a pre-existing condition does not mean that you are in danger of not having insurance at all. However, you do need to know what you could be faced with if you don’t comply.

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This article about Texas Health Insurance is brought to you by Texas Health and Jordan FeRoss. You need to check out their website: Health Insurance in Texas for really good health care advice!


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Best Medical, Dental and Vision Insurance Package

Yes, there are insurance plan and policy that gives you a package deal on health, vision and dental coverage. Trying to find the right insurance companies is like finding a needle in a haystack.

Thousands of medical insurance companies are fighting for your business. Each of those thousands has hundreds of plans. It’s even more complex because each plan has different expenses, deductibles, and other large and small details that only lawyers can understand them.

There are many insurance companies that provide medical insurance with dental services.

These are the few points you want to consider before finding the right, cheap and affordable health, vision and dental insurance.

1) Can you afford the monthly premium?

As a customer you have to commit to a monthly premium payment, even if you do not use the insurance. It could be worst if you cannot afford the monthly payment and drop out of the plan, you loose all your previous payments.

2) Do you have to pay extra when you make a claim?

Some insurance plan make you pay extra at the time when you visit for medical treatment. These are the fixed amount out of your pocket every time you visit your doctor.

These costs differs according to what is stated in your policy and whether your doctor is in your insurance companies networks. Also based on what kind of medical treatment that you received and many more other factors.

When you were doing the insurance shopping, make sure these costs are clearly stated in your insurance quote.

3) What is your deductible?

Most of the insurance plan require you to pay a certain amounts from your pocket before they begin your coverage. Since this amount is deduct from your benefits that’s why it is called deductible.

Deductible amounts will determine your monthly premiums. The higher the deductible amount, the lower your premium will be and vice verse.

Make sure that you know what your deductible will be when you compare your insurance quote.

4) More money from your pocket.

Sometimes you are still required to pay a small percentage of amount even after the deductible. The percentage could be anywhere between 20% to 30% as stated in your policy.

Again be sure to understand these extra cost when you were doing your shopping.

Can you get treatment by doctors not listed by your insurance plan?

Most insurance plan have a list of doctors that they recommended. These list of doctors are referred to as the network

The insurance companies normally advised you to get your treatment from the doctors in the network, since you could only get maximum benefits from doctors in the network.

What happen when the doctors in the network are not accessible? Normally when you visit doctors that are not in your network you will receive less benefits from your plan and sometimes higher out of pocket expenses.

Be sure to be on the lookout when you study your insurance quote.

Regardless of whether you are buying the whole medical insurance with dental and vision services or just health, vision and dental benefits individually, the above points should be your rough guidelines in making your decisions.

Get different insurance quote from many different plan and companies, compare them and choose the best insurance and dental services for your family.

Zul Rahman is a freelance writer who writes and contribute on various topics of interest. For more resources on dental insurance plan and package for individual, family, business owner and self employed visit his website at

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