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Georgia

Georgia Health Insurance

Georgia has moderate insurance regulations that protect both you and the insurance company. It's important to familiarize yourself with them, so you can exercise your rights if the need ever arises.

This guide:

  • Describes important Georgia health insurance policy regulations

  •not uncomon Lists rules Georgia health insurance companies must follow

Health insurance policies are regulated by each state's own health insurance laws. Georgia health insurance companies and policyholders alike must abide by established insurance laws.

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Do You Qualify For A Subsidy?


Find out if you qualify for a government subsidy under Obamacare. Millions of Americans will have their insurance rates reduced under the new health care law. Learn how much you could save with our simple calculator.

Georgia health insurance policy provisions

Some of the most important Georgia health insurance laws are the ones that influence the health insurance policy itself.

One Georgia health insurance policy regulation is called the guaranteed renewability provision. This provision states that no matter what the status of your health is, your Georgia health insurance policy is always renewable. If you are switching health insurance and have had continuous coverage, your old policy's exclusion period credits your new policy's required exclusion period.

This is an important reason to ensure you never have any lapses in coverage. Even one day's lapse in health coverage will allow health insurance companies to require you wait up to 12 months for your health insurance to pay for medical treatment you have been under doctor's orders to receive for many years already.

However, Georgia health insurance laws don't restrict pre-existing condition exclusion periods. Since there is no definition for what constitutes a pre-existing condition in Georgia nor is there a limit on how long a health insurance company can exclude a condition from coverage, Georgia health insurance companies have full freedom to decide what to exclude and for how long.

However, even though the duration of an exclusion period is not limited, most Georgia health insurance companies will not impose an exclusion period of more than two years, which is on the long side of the industry standard, but not uncommon.

Finally, for growing families, Georgia health insurance laws require that newborns and adopted children are automatically included under a parent's individual insurance policy for 31 days. This provision applies if your Georgia health insurance policy already provides coverage for dependents.

Regulating Georgia health insurance companies

Health insurance laws in some states strictly regulate the cost and availability of health insurance policies. Georgia health insurance laws are rather relaxed in this area, which means that you have to be aware of what liberties your health insurance company are allowed. You need to protect your interestes by becomming educated in health insurance and you have to compare health insurance companies.

For instance, initially, your health status can be used to determine the cost of your Georgia health insurance. Also, your health can be used as grounds for not selling you a Georgia health insurance policy.

Additionally, the cost of Georgia health insurance is also not regulated by Georgia health insurance laws. This means you may be subjected to a steep increase in premiums as you grow older or your health declines.

However, although it is legal for an insurance company to refuse to sell you a health insurance policy once you purchase a policy, your Georgia health insurance company cannot deny your request for continued coverage.

With this in mind, you can see how it is recommended that you purchase a policy when you are young and healthy. This way you are assured a comprehensive low costing Georgia health insurance policy.

Temporary Georgia health insurance

There are situations when you have a break in your Georgia health insurance coverage. During these breaks you will need temporary health insurance.

Temporary health insurance policies are offered by a few Georgia health insurance companies. However, as an alternative to temporary insurance, conversion policies are also available to individuals who have recently left a group health insurance policy.

The premiums for these policies can be more than your group policy premiums, but are limited enough by state laws that the premiums will still be affordable.

Like other Georgia health insurance, conversion policies can not be canceled because you become ill. Also if you purchase a conversion policy, you will not be required to meet a new pre-existing condition exclusion period.

More GA health insurance help

If you want more help getting the best health insurance policy to meet your needs, read our guide to small business health insurance.

Also see the guide to Georgia small business health insurance.


To find out more about GA health insurance laws and regulations, visit theofficial website of the Georgia Insurance and Safety Fire Commissioner.





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This internet site provides information of a general nature for educational purposes only and is not intended to be legal advice. We make no guarantees as to the validity of the information presented. Your particular facts and circumstances, and changes in the law, must be considered when applying insurance law. You should always consult with a competent insurance professional licensed in your state with respect to your particular situation.