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Is My Health Insurance Transferable to Another State?

7 January, 2025

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Health insurance is a must for everyone in the modern world, regardless of where you live or the local conditions that are prevalent there. A health cover is a financial tool that offers protection in an emergency. It has many advantages that allow people to receive the best care possible without worrying about their financial situation.

 

Buyers must consider several crucial aspects when purchasing medical insurance, including age, premium, and current health condition. Location is one of the most overlooked aspects of health plans. The insured should keep an eye out for the new location and the area of the insurance's effectiveness and consider reevaluating the medical insurance depending on the new state or place.

 

This blog will discuss the factors you must consider before relocating and the factors affecting health insurance transfer.

 

Factors You Must Consider Before Relocating

Below are some factors you must consider before relocating to a new state regarding medical insurance.

 

The Facility of Network Hospitals

One of the most critical factors is the availability of network hospitals offering treatment under health coverage. While relocating to another city, they must check that the network hospital chosen should be on the list of hospitals.

 

Higher Sum Insured

If a person moves from a small city to a metro city, the cost of living and the possibilities of health risks will be higher. This will affect the cost of premiums; thus, it is advisable to opt for increased coverage in such cases.

 

Limitations to Avail Advanced Treatment

There may be circumstances where an insured person who needs advanced care and relocates to a different city is subject to limitations that vary between health insurers. Therefore, to avoid such problems, you must choose add-on covers.

 

Health insurance plans employers offer are typically portable and accepted in any state. Medical insurance policies, like individual insurance, might only be valid in the state where they were acquired and depend on the terms of the policies.

 

Factors That Affect Health Insurance Transfer

Here are a few factors that play a part when you transfer medical insurance:

 

Out-of-network Coverage

In a different state, health policy may not cover out-of-network physicians. This is so because your insurance network only includes out-of-network providers.

 

State Mandates

Even though the government does not mandate it, health insurance companies are required by law in some jurisdictions to cover specific treatments. Your health plans might cover services your home state would not have covered.

 

Balance Billing

Balance billing, which occurs when an out-of-network provider bills you more than the agreed-upon amount set by your insurance carrier, is illegal in some states.

 

Here are some examples of health policies that can be transferable to another state:

 

  • Government policies like PM-JAY cover secondary and tertiary care for poor and low-income families across India.
  • Employer-provided insurance may cover employees and their loved ones across India.
  • Private insurance may offer portability and cashless facilities across India, depending on the terms of the policy.

 

Things to Remember

Here are the few things that you must take care of if you are moving and considering health insurance transfer:

 

  • Carry your health policy card and ID proof.
  • Find the closest network hospital or provider in the new state and inform your insurance provider about your relocation.
  • Have access to your medical expenses and keep your bills and receipts handy.

 

Wrapping Up

Health plans are transferable and accepted in other states. Thus, you must know the factors affecting your health insurance coverage if you relocate to another state. Knowing the coverage limitations, selecting a healthcare practitioner from the insurance network, and obtaining prior authorisation for non-emergency care is recommended. You can get more information on how to transfer health policy by speaking with your insurance provider.

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