Ohio residents with pre-existing medical conditions planning to apply for coverage through the temporary Ohio High Risk Pool established by federal health reform legislation are encouraged to pay special attention to eligibility requirements. Medical Mutual of Ohio, the programs administrator, is now accepting enrollment applications at www.OhioHighRiskPool.com
with coverage for people who first enroll this month starting on September 1. Interested parties may also call 1-877-730-1117 to apply.
The Ohio High Risk Pool makes coverage for individuals with pre-existing conditions more affordable for people who cannot purchase health insurance in the private market because of their health status. In their proposal, Medical Mutual estimated that with the available funding they could cover more than 5,000 Ohioans through the duration of the program, with individuals paying a standard rate premium for their coverage. No state funds will be used to provide this coverage.
“We encourage all Ohioans with pre-existing conditions to apply as soon as possible due to the program’s limited funding,” said Mary Jo Hudson, Director of the Ohio Department of Insurance. “Insurance coverage with benefits including primary and specialty care, hospital care and prescription drug coverage begins Sept. 1 for August enrollees."
In order to enroll in Ohio’s temporary high risk pool, Ohioans must meet the following five criteria:
• Provide evidence of a pre-existing condition. Written certification by a licensed physician or nurse practitioner, issued within the past six months. Medical Records are not required. Or, a copy of letter or document verifying two carriers have refused to issue creditable coverage within the previous six months, or would issue coverage only with an exclusionary rider.
• Proof of Ohio Residence. (Valid Ohio drivers license, state government ID, payroll stub, Ohio voter registration card, utility bills, rental agreement, Ohio Income Tax Return).
• Proof of U.S. citizenship or a national of the United States or lawfully present in the United States. (Birth certificate, passport or visa).
• Must be uninsured for six months prior to the date of applying for coverage.
• Must be ineligible for coverage under the Medicare program, the Ohio
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