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Nevada Health Insurance Regulations

The best way to protect yourself and cover your foreseen or potential medical expenses is to obtain health insurance and stay with that company. Nevada has a state law called the Guaranteed Renewability Provision, which promises that you can always renew your health insurance, regardless of your state of health at the time. Transferring from one health insurance company to another or starting up a new insurance policy may be difficult if you or your dependent has sought treatment for an illness in the past that may be ongoing.

Nevada health insurance companies are allowed to enforce an exclusion period, which means that they will not pay expenses for treatment of a pre-existing condition that you already had treated in the past. The reason for this is that if you know that you have an illness or health problem that will continue to require treatment, the insurance company does not want to be responsible for those inevitable ongoing costs that have already been paid for by another provider or someone else in the past. The health insurance providers have the right to use the exclusion period whenever and however they please, and this may be a permanent or short-term status. The best way to find an insurance provider that will cover you the best is to look around and call some of them with inquiries. Some companies are stricter with exclusion periods, but staying with one company is the best option.

Nevada health insurance laws are fairly laid back in relation to the accessibility and costs. You will be more able to find health insurance and find affordable health insurance, but where the laws are lenient in one area, they may be tighter in another. For this reason you will want to look into your health insurance provider’s own regulations and policies.

Health insurance companies do have the right to deny you insurance based on your health, as mentioned above. Nevada laws do require premiums to be within a certain range, so they can only vary a certain amount. Your health insurance can be cancelled if you provide false or incorrect information or if you do not pay your premiums, but the good news is that they cannot cancel your insurance on the basis of your health.

The distinction between this rule and the allowance for denial of insurance or exclusion period for pre-existing conditions is that if you become ill while insured, you have the right to continuous coverage by your current provider. However, if you are ill when you apply with a provider, they have the right to reject you or set rules such as the exclusion period.

In the unfortunate event that you lose your job or spouse, or the person that you are insured under dies or loses the insurance, you are guaranteed the option of a conversion policy. The conversion policy allows you to have temporary Nevada health insurance with limited premium costs and set benefits.

With the conversion policies you will not be considered for an exclusion period, so you will not be turned away or have consequences for a pre-existing condition. Applications for conversion policies must be turned in within 31 days of the end of the previous plan, or they may be denied.