Step 1: Please Complete a General Medical Profile   Gender Date of Birth MM/DD/YYYY Height Weight Smoker? Applicant* --MF / / Ft3456 In01234567891011 Spouse --MF Please select your gender. / / Ft3456 In01234567891011 Children 0123456   Child 1: --MF Please select your gender. / / Ft123456 In01234567891011 Child 2: --MF Please select your gender. / / Ft123456 In01234567891011 Child 3: --MF Please select your gender. / / Ft123456 In01234567891011 Child 4: --MF Please select your gender. / / Ft123456 In01234567891011 Child 5: --MF Please select your gender. / / Ft123456 In01234567891011 Child 6: --MF Please select your gender. / / Ft123456 In01234567891011 Are you currently insured?* Yes   No Who is your current insurance company?* --AetnaAssurant HealthBlue CrossBlue ShieldCeltic Insurance CompanyCIGNAGolden Rule InsuranceGroup Health CooperativeGroup Health Incorporated (GHI)Health NetHealthPartnersHumanaIntermountain Health Care (IHC)Kaiser PermanenteLifeWise Health PlanMedicaMedical Mutual of OhioMidwest SecurityOxford Health PlansPacifiCareTufts Health PlanUNICAREUnited HealthCareUnited Wisconsin Life/AMSVista Health PlanOther When would you like coverage to begin?* 3456 / 12345678910111213141516171819202122232425262728293031 / 2010 Do you currently take any medications?* Yes   No Please specify* Do any of the people applying for health insurance have any pre-existing conditions?* Yes   No Please check all pre-existing health conditions that apply to any of the people listed above: Aneurysm Cancer Clinical Depression Diabetes Drug/Alcohol Abuse Emphysema Heart Disease HIV/AIDS Hypertension Kidney Disease Liver Disease MS Paralysis Stroke Other Major Illness Step 2: Provide Your Contact Information First Name* Last Name* Address* City* State* --Select--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code* Daytime Phone* - - Evening Phone* - - Contact Time* AnytimeMorningAfternoonEvening Email Address* I have read and agree to the Privacy Policy and Site Terms of Use. I also agree to be contacted by telephone by up to 4 health insurance professionals.

 

Alternatives to Catastrophic Health Plans

A catastrophic health insurance plan may be attractive to anyone seeking low cost health care, but there are limitations to consider. Be aware of the following:

• There is no coverage for maternity care.
• Routine office visits and prescription drug fees are not covered.
• You may not qualify due to illness or a pre-existing condition.

There are other affordable solutions available, depending on your particular needs. The following are low cost alternatives:

Long-Term Care Insurance

The costs of long-term care can really add up, so if you are entering an assisted living facility, nursing home or receiving in-home care, long-term care insurance is a solid plan to help with the costs. Medicare and health insurance plans don't cover these costs, but long-term care insurance provides an affordable option to pay for these services.

Maternity Health Insurance

With the expenses of prenatal care and delivery, insurance coverage is a necessity. If you have started a new job and are pregnant, be aware that some insurance plans take 30 days to become effective. MaternityCard is one product that provides coverage to pregnant women for their maternity expenses, reducing costs up to 60%.

Cancer Health Insurance

In the event that you are diagnosed with cancer and are uninsured, securing a health insurance policy can become an impossible task. There is cancer-specific health insurance, but this type of insurance must be purchased prior to any cancer diagnosis and should be considered as supplemental coverage. Always review these types of policies carefully to understand the coverage for cancer treatment, hospital stays, physician services, prescription drugs, and other care.

COBRA

When you lose or leave your job, you can choose to extend your former employer's health care insurance through a federal law called COBRA. This continuation will be at your own expense and can be carried for as much as 18 months. If you are married or have children, your dependents will also receive COBRA coverage.