What can you do when your medical insurance has maxed out?

UPDATED: Mar 8, 2011

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UPDATED: Mar 8, 2011Fact Checked

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Asked March 8, 2011

1 Answer

Many experts will offer advice on ways to max out the benefits offered by your health insurance provider, but few are willing to offer advice on what to do when you have exhausted the limits of the insurance and still require medical attention. The reason for this is simple, but not very encouraging.

If your health insurance is maxed out, you may be able to qualify for government sponsored coverage to continue with necessary treatments. These programs are designed for people who may not be able to afford or qualify for other insurance coverage, and are usually the last resort for people have maxed out their health insurance or who cannot get coverage through other means.

You could also contact your insurance company and ask them what provisions they may have to get around the limitations. You will probably find out that your situation is not unique and that there are procedures in place to assist you. You may have to pay higher copays or forgo all but the necessary treatments, but it may still be possible to continue using your health coverage.

Another idea is to consider supplemental health insurance coverage. This type of insurance is generally in addition to your regular health insurance, and some types of supplemental coverage will not become effective until your regular group coverage has been maxed out. Be aware that supplemental plans are in addition to the costs of your current health plan, and they may have a waiting period which precludes waiting to get the supplemental coverage until your health coverage is exhausted. If you foresee problems with your health plan limitations, shop around for supplemental plans soob enough to prevent a lapse in coverage.

Answered March 8, 2011 by Anonymous

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