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flynt029 | What happens if you continue to use your health insurance after being downsized from an employer? |
My position ended with a company in Oct., they have yet to cancel my benefits, or offered to continue them under COBRA. I need a simple surgical procedure performed should I use? |
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maddog
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You're taking a chance. I had the same experience a few years ago. I take a couple of prescription drugs regularly. When I got the ax, I phoned my drugstore for refills as soon as I walked out of my job. They were filled and there wasn't any problem. Several months later, the insurance company began writing me, about every 2 weeks, telling me that I was responsible for the full cost of the drugs. I wrote back after their 2nd or 3rd attempt, and stated that they were writing the wrong person. If my former employer failed to cancel my insurance in a timely manner, and they felt they were due any money, they should contact my former employer for reimbursement, because after all, my insurance was provided by him. They wrote one more time, then went away!
However, I wouldn't try the surgical procedure, no matter how simple. If you've been gone since October, your act would be deliberate and I'm sure you couldn't get out of paying for the cost of the procedure when you're caught, even if you're able to have the claim put in to your former insurance company initially.
Regarding, COBRA ... that's a federal issue, your former employer has 30 days to get paperwork to you ... period! What happens most often though, is that if you are currently unemployed, you're not going to be able to afford the COBRA costs. COBRA allows the full cost of the insurance and a 2% 'administrative' fee to be charged. You wind up having to pay 102% of the cost of the insurance your former employer provided at whatever cost to you. Can you afford that? Most unemployed people can't! |
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spot
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There should have been some kind of agreement you signed that specifies how long they would carry you on their insurance plan. Look over the separation agreement. Since this is the beginning of Dec. my guess is you are probably still covered until the end of the month if they haven't canceled yet by now. Check with the HR manager and if they say you are still covered, by all means, schedule your procedure while you are still covered. It is totally legitimate to do so. |
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President, www.HSAInside.com
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I have heard of this happening, it is rare but on occasion the company forgets to drop coverage for the employee. I am presuming you were not a Sr. Executive, that was given coverage till the end of the year (a pre-negotiated buy out), either way contact your old employer and find out when your cobra will be offered, two types of cobra Federal and State, depends on the size of the company you worked for. If your employer does not want to answer these questions, just call the Department of Labor (local office) they are extremely helpful. Either way, the law is very clear within 14 days of the end of group coverage an employee must receive Cobra offering. Cobra is an extension of your current plan, the premium must be paid by "You" and the rate will be actual premium plus 2%, so be prepared not cheap. I would also recommend you call your health insurance co. to get pre-authorization. |
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Jordan K
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My question is how do you know that you are still covered? Have you had a claim paid that was incurred after you were downsized? |
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Kimberly M
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Ummm, that sounds a little too good to be true!! Check and triple check to make sure you are still covered and that there is a reason for it....you dont want to have the procedure and then the company renig on your insurance, that could cost you thousands! |
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deep5223
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If continuing your insurance was part of the agreement, by all means schedule the procedure. It is completely legitimate to do so. |
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stringhead3
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You might want to check before getting the surgery, sometimes you get your paperwork late, insurance companies stay pretty up to date. |
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mbrcatz
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Well, when the paperwork catches up, you could end up owing all the money back to the insurance company. |
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