| Agency: |
 |
The Comprehensive Health Insurance Pool |
| Program name: |
|
Insurance for People with Serious Medical Conditions |
| Description : |
|
The Utah Comprehensive Health Insurance Pool (HIPUtah) helps people with serious medical conditions, such as cancer, diabetes, heart disease, and other chronic illnesses get access to health insurance. |
| Hours of Operation: |
|
8 am - 5 pm, M-F |
| Eligibility Requirements: |
|
A person is eligible for HIPUtah coverage if he or she meets the following criteria:
1. Has resided in Utah for 12 consecutive months immediately preceding the date of application for HIPUtah (the 12-month requirement can be waived if coming from another state's high risk pool);
2. Pays the established premium;
3. Meets the required health underwriting criteria established by the state of Utah
OR
1. Pays the established premium;
2. Is HIPAA eligible and has at least 18 months of prior coverage, the most recent prior coverage being under a group health plan, government plan, or church plan, and has elected and exhausted COBRA or a state continuation plan where available;
3. Applies for HIPUtah coverage within 63 days of termination from prior coverage
A person is NOT eligible for HIPUtah coverage if any one of the following is true:
1. The person is eligible for benefits under Medicaid or Medicare except as provided in Utah Code Ann. -31A-29-112;
2. HIPUtah coverage has been terminated within the last 12 months unless the person demonstrates that continuous other coverage has been involuntarily terminated for any reason other than non-payment of premium, unless the person is HIPAA eligible;
3. The person has exhausted the maximum lifetime benefits of HIPUtah;
4. The person is an inmate of a public institution;
5. The person is eligible for a public health plan through which medical care is provided;
6. The person is eligible for group health insurance through an employer plan;
7. The person has coverage substantially equivalent to HIPUtah coverage either as an insured or covered dependent or would be eligible for substantially equivalent coverage if the person elected to obtain such coverage;
8. The person's health condition does not meet the health underwriting criteria established by the state of Utah, unless the person is HIPAA eligible; or
9. The person has not resided in Utah for 12 consecutive months, unless HIPAA eligible.
10. The person’s employer pays any part of the individual’s health insurance premium, either as an insured or a dependent, for pool coverage. |
| Intake Procedure: |
|
To apply for HIPUtah coverage visit: http://selecthealth.org/Static/Files/hiputahapplication.pdf
and print out an application, or call 1-800-705-9173. |
| Insurance Information: |
|
none |
| Languages Spoken: |
|
English |
| Fees: |
|
Premiums and deductables vary. |
| Primary Contact: |
|
Select Health, (800) 705-9173
|
| Address: |
|
C/o SelectHealth, P.O. Box 30192
Salt Lake City, UT 84130
This location is NOT handicap accessible
(See a map) |
|
