Missouri Health Insurance Pool Home | Privacy Policy | Contact Us

Health Insurance Risk Pools - Resources and Information

Home > Resources > State High Risk Pool > Missouri Risk Pool - Health Insurance Provided for the Uninsurable

BBBOnLine Reliability Seal

Find Local Doctors & Health Plans : Enter Your Zip Code...

Zip Code

Types of Health Plan

Your E-mail ID

[Optional and Compliant to Federal Laws]

Missouri Health Insurance Pool

Missouri Risk Pool - Health Insurance Provided for the Uninsurable

Health Insurance Quotes

Health Insurance Plans

Health Plan State Specific

Medical Insurance Carriers

Self Employed Health Insurance

Health Insurance Resources

Latest Policy News

Senior Insurance Quotes

Dental Insurance

FAQ

Acronym or name of the risk pool: Missouri Health Insurance Pool or MHIP.

Regulation establishing risk pool: House Bill No. 437 (MO 92nd General Assembly).

Funding: It is funded by assessments on commercial insurance companies, HMOs and stop loss agencies. These funds are added on to those generated by premiums paid by members of the plans.

Plans offered: 4 medical plans are offered through the MHIP programmes. All of them are PPO plans. They offer deductibles between $500 and $5000.

Plan benefit: For all of the plans, a coinsurance of 20% is required when using providers from the network. For plans outside the network, a coinsurance of 50% is required. Plan 1 has an annual out of pocket limit of $2500 and a deductible of $500. Plan 2 has a deductible of $1000 and out of pocket limit of $5000 after deductibles. For plan 3, the annual deductible is $2500 and the maximum limit is $5000. Plan 4 has a deductible of $5000 and the maximum limit is 5000 after deductibles have been deducted.

MHIP summary: http://www.mhip.org/MHIP_brochure.pdf

Maximum benefit limits: Each of the PPO plans have a lifetime maximum benefit of $1000000.

Eligibility: (1) The person must be a resident of Missouri. (2) The person must have received a notice rejecting his application for insurance from an admitted company in the state within the last 6 months. (3) The person must have been offered coverage or HMO covers in the last 6 months but at a rate that is more than 300% of the standard rate for individual covers. (4) The person was receiving covers from another state risk pool and is applying within 30 days of becoming a resident of Missouri. (5) The person was receiving cover under a group insurance plan under COBRA and as completed his coverage under it. (6) The person was terminated involuntarily from an early cover.

Enrollment periods: Applications for MHIP may be made at any time. The covers take effect on the first day of the following month. The applicant can make it effective immediately after the termination of your previous cover.

Premium payments: Premiums are dependent on the health plan you select. It is also determined by your age, sex and whether you are a smoker. The bills are made either on a monthly or quarterly basis. They can also be automatically deducted from the bank account of the person.

Premium calculations: The rates for MHIP coverage varies according to the standard rate charged by five of the largest health insurers in Missouri. The minimum rate assigned is 150% of the standard and the maximum rate is 200% of the basic rate.

Pre existing condition waiting period: For all policies under MHIP, benefits are not payable for the first 6 months of coverage under a preexisting condition. Exceptions apply under waivers. An MHIP representative can guide you on these clauses.

Contact information: MHIP, Penntower building. 3100 Broadway, suite 210. Kansas city, Missouri 64111 2553. Phone-800 821 2231. MHIP Website.

Missouri Health Insurance Pool Click here for instant free health insurance quotes

Home     Contact Us     Privacy Policy     Our Edge     Disclaimer     Health Insurance Blogs     Missouri Health Insurance Pool

Copyright 2000-2008 QuickHealthInsurance.Com Group, Inc.
[Protected under U.S. Copyright TX5-874-987 & Several Pending Patents]

Page copy protected against web site content infringement by Copyscape - Missouri Health Insurance Pool.