Most people in NH get their health insurance through their work. Some people, because their work does not offer insurance or if they are unemployed or self employed, buy their health insurance directly from health insurance companies who sell individual plans in the state of NH. The New Hampshire Insurance Department regulates these plans and keeps a list of licensed companies on their website. You can see the list on the right. An Individual plan can cover one person or a family.
There is a lot to consider when buying an individual plan. One big consideration is how much you have to pay per month to the insurance company for the health insurance policy ( the premium). It is also very important to look at what the benefits will be, how much you have to pay before insurance coverage begins (the deductible), what you have to pay for services and how much in total you might have to pay out of pocket. You might also consider that the state regulations for Individual plans are not the same as those for group plans. For more information about what to consider before buying an individual plan at the National Association of Insurance Commissioners website.
Because the individual market does not have a pre-set group of people who would be enrolled in a plan like a work place would, insurance companies with individual plans can be fairly picky about who they accept. Insurance companies rely on the fact that most people in any given group will be healthy and only a few will have special health care needs. This allows them to set a price to cover the group and feel confident that they will not be spending too much money to cover the group’s medical costs. The individual market does not have a limited group like this; they have to take applications from anyone who wishes to apply. They do not, however, have to accept adult individuals and provide coverage. If someone has a pre-existing condition, an insurance company can charge a higher amount per month to insure them or they can deny coverage to that person completely. Because of the new health law, as of September 2010, insurance companies who sell individual plans in NH have to accept children with pre-existing conditions. In 2014, they will have to accept adults.
When buying insurance from the individual market, insurance companies will set the premiums by considering the health history of the individual or family. The cost of the plan for a family will be higher even if it is just one person who has the pre-existing condition. Sometimes children with pre-existing conditions can have their own individual plan called a child only plan. The New Hampshire Insurance Department has made it clear that companies who sell insurance in the state of NH must accept applications from any resident, regardless of age. This is helps NH families with children who have pre-existing conditions keep the cost of insurance more affordable.
Individual Health Plans Licensed in NH
NH Rules for coverage of individuals under the age of 19 years (Child Only Plans)