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Georgia Insurance Policies

 Visit the Georgia Insurance Commission website

Guaranteed Health Insurance Plan

As a HIPAA eligible enrollee, you are:

  • Guaranteed the right to purchase an individual insurance policy
  • Given a choice of enhanced conversion policies from a private insurer that the state assigns to provide you individual health insurance coverage
  • Exempt from any pre-existing condition exclusion periods or elimination riders.

HIPAA Eligibility

To be HIPAA eligible in Georgia, you must:

  1. Have 18 months of continuous creditable coverage, with at least the last day under the Brethren Ministers Group; and
  2. Not be eligible for Medicare, Medicaid or a group plan; and
  3. Apply for health insurance for which you are HIPAA eligible within 63 days of losing your prior coverage; and
  4. Not have health insurance.

Note: If you know your group coverage is about to end, you can apply for coverage for which you will be HIPAA eligible.

What will guaranteed issue coverage cost?

Rates are based on the plan chosen, age, gender, and geographic area of residence. Georgia law limits individual health insurance premiums for HIPAA-eligible applicants to 150% of the rates typically charged for comparable individual health insurance sold in the individual market.

Who will provide my individual coverage?

As a HIPAA-eligible enrollee, you will be offered the choice of at least two enhanced conversion policies from an insurer that the state assigns to provide you coverage. One often assigned insurer is:

BlueCross BlueShield of Georgia
(800) 718-8831

Where can I obtain more information?

For more information visit the Georgia Insurance Commission website at http://www.inscomm.state.ga.us/ or call them at (800) 656-2298 or (404) 656-2085.

Special insurance for children: PeachCare for Kids

PeachCare, the children's health insurance program is now accepting new enrollees: