Increasingly it is becoming more and more complex to find and arrange a suitable Health Insurance policy to avoid any problems at a later stage. The American market is a classic example with so many states having differing rules and legislation.

 However for US citizens looking to travel, live or work overseas, there is a little known trap-door that could create large gaps in your healthcare cover, which could quickly spiral out of control and ultimately form some serious financial risk.

The following details have been provided courtesy of HTH Worldwide, a US based world leader in travel medical plans for both expatriates and US travellers:

Travelling or residing outside the U.S. for six months or more often means that one of the key benefits of a health insurance plan-coverage of pre-existing conditions-is in jeopardy when you return home. How so? If you’re not hip to HIPAA , you wouldn’t know - the catch is in the fine print of the Health Insurance Portability and Accountability Act of 1996.

Unless you are enrolled in a well-designed international health insurance program, you can be caught up in technicalities that subject you to a 12-month waiting period for a pre-existing condition when you return home and re-join a domestic group health plan. Even if you purchased another plan to fill the gap, HIPAA rules permit the group plan to institute the waiting period. That’s bad news if you have developed a serious medical condition in the meantime.

Doesn’t sound fair? Well, it’s all perfectly legal. The waiting period can be reduced or eliminated if the time you spent in your alternative health plan is viewed as “creditable coverage” and applied as an offset. But that decision is made unilaterally by the health plan.

If you are employed and posted abroad, ask your employer to enrol you in an international plan that provides seamless eligibility no matter how much time you spend abroad. If group coverage is not an option, choosing the right individual plan can help you avoid similar, even larger gaps in coverage.
Most individual international plans on the market are constructed and administered to minimize coverage for pre-existing conditions. They typically feature exclusions or very low benefit limits for conditions that were treated over the past two years. To your peril, they also define pre-existing conditions much more broadly than U.S. plans, and they don’t recognize the group plan you may be leaving as “creditable coverage.” Check to see if the individual plan you are considering is filed with U.S. state insurance regulators as an “admitted” plan (HTH products are).

Lastly, ask about what happens to your eligibility when you return home. Will the plan continue to offer benefits after your assignment ends? Many plans discontinue benefits after six months at home; others will cover you all the way up to age 84. This is a critical issue: you clearly don’t want to be left out in the cold as uninsurable.

The last thing you need when going abroad or coming home is to trip over technicalities and fall through a trap-door. Be a savvy health insurance buyer. Ask the right questions and don’t leave anything to chance.

This article was based upon an article originally produced by HTH Worldwide. 26th March 2009.

URL: http://www.healthytravelblog.com/2009/03/26/get-hip-to-hipaa-before-heading-overseas/