Georgia opted not to have state involvement in administering this program, but there are still funds available for people in Georgia, and the Federal Government (via HHS) will distribute them. The purpose of high risk pools is to provide affordable health benefits coverage for those individuals rendered otherwise uninsurable by pre-existing conditions. $5 Billion has been allocated by the Federal Government for this endeavor, $117 million of which is earmarked for Georgia. The non-partisan Congressional Business Office has given guidance that these funds will probably not completely bridge the gap to 2014 when the Health Reform Laws are implemented, but for those who need coverage ASAP, and have a Medicare "light at the end of the tunnel" waiting for them, this is a worthy option to consider.
All that is required is that an individual:
- Be a citizen or national of the United States or lawfully present in the United States;
- Not have been covered under creditable coverage (as defined in Section 2701(c)(1) of the Public Health Service Act) for the previous 6 months before applying for coverage; and
- Have a pre-existing condition, as determined in a manner consistent with guidance issued by the Secretary.
For information about disability and health benefits law, contact Thomas O'Brien.