3

I was recently terminated and my health insurance stopped working. I got the cobra option, but I didn't sign up to it yet as I have 60 days to do so.

My question is: Can I go to the doctor in this period? What health insurance do I present them?

Edit: The doctor already knows me and billed my now-canceled insurance in the past

4

Step 1: get the paperwork that you should have been given when you left the company. That should include information on who to contact with your old employer, or the old insurance company. They also may have included information beyond what is required by federal law. This additional information could be a FAQ or a series of scenarios. They should also send additional paperwork several weeks after you leave the company.

Step 2: contact the company contact or the insurance company, and ask them about your situation. You want to know if in the case of a small medical procedure what you should do. What about if there is a large procedure? You don't need the stress of getting a insurance card rejected in an emergency room.

Step 3: understand the deadlines for signing up. One deadline is related to being able to claim continuous coverage, another may be for signing up for COBRA. Also get the exact day that coverage ended. Some employers/insurers end coverage on the last day you work, others extend it to the last day of the month. In other cases it can extend even longer if they are covering you as part of a Reduction in force.

Step 4: contact your medical provider. For many medical bills the amount of out-of-pocket the insured pays is greatly reduced by the negotiated discount and the amount covered by the insurance policy. You will have to contact the medical provider to know the size of the bill if you don't have coverage.

You will be trying to understand what you are allowed to do during this limbo period. The general guidance we give on this site, is that the retroactive nature of the COBRA decision makes it useful when the gap in coverage is short. By the time you have to decide many have already bridged the gap.

I looked for information from the federal government though they didn't discuss what to do during the limbo period:

Q18: How do I file a COBRA claim for benefits?

Health plan rules must explain how to obtain benefits and must include written procedures for processing claims. You should submit a claim for benefits in accordance with these rules. Claims procedures must be described in the Summary Plan Description. Contact the plan administrator for more information on filing a claim for benefits.

You may be faced with having to pay the whole bill now, and then if that is your only bill during the gap, then deciding if COBRA make sense for you. If you do decide to select COBRA coverage then you would file for reimbursement after paying the premium.

| improve this answer | |
2

You asked two questions,

My question is: Can I go to the doctor in this period? What health insurance do I present them?

You can certainly go to the doctor whenever you want, insurance or not. Regarding your second question - if you were currently covered via COBRA, you would present that plan information. If you're not currently covered, you present no insurance and you are responsible for the costs out of pocket. Essentially, either you're insured, and you should present that insurance - or you're not insured, and you should present no insurance.

You did not list any specific timeframes in your post, but COBRA can be elected retroactively, up until a certain number of days after your coverage ended. If you're still within this period, and you've incurred medical expenses that the plan would cover, you can retroactively sign up, pay all the premiums, and then submit the claims to your plan (via the same process you normally would have). If you've paid out of pocket, you'd submit the claims yourself. If you haven't yet paid, you can ask your provider to submit the claims per their usual process.

| improve this answer | |

Your Answer

By clicking “Post Your Answer”, you agree to our terms of service, privacy policy and cookie policy

Not the answer you're looking for? Browse other questions tagged or ask your own question.