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ELIGIBILITY
Who Can Get Coverage?


You are eligible of Inclusive Health Coverage if…

You can answer YES to AT LEAST ONE of the following questions:
  1. Your medical condition makes you "uninsurable."
  2. You have been offered coverage by an insurer with a conditional rider limiting coverage.
  3. You have only been offered coverage at a premium rate that is higher than Inclusive Health's rate.
  4. You have one of the Inclusive Health presumptive conditions which allows automatic enrollment.
  5. You are eligible for or are on COBRA or state continuation and have an individual premium rate that is higher than Inclusive Health and answer "Yes" to at least one of numbers 1-4.
  6. You have had 18 months of continuous coverage and have exhausted COBRA coverage.
  7. You are eligible for the Health Coverage Tax Credit (HCTC) for trade displaced workers under the TAA, ATAA or PBGC programs.
2. You are eligible if you can answer YES to ALL of the following questions:
  • You are not Medicare eligible.
  • You are not Medicaid eligible.
  • You are a U.S. resident.
  • You are a North Carolina resident.
  • You or your spouse are not eligible for insurance at work.
  • You are not covered as a dependent.


Presumptive Conditions:
You are automatically eligible for Inclusive Health coverage and you have been diagnosed with any of the following conditions:
o AIDS/HIV
o Alcohol Addiction
o Alzheimer's Disease
o Amyotrophic Lateral Sclerosis (Lou Gehrig's Disease)
o Aneurysm
o Angina Pectoris
o Angioplasty
o Ankylosing Spondylitis
o Anorexia or Bulimia
o Aplastic Anemia
o Cancer(except skin) treated or diagnosed in past 5 years
o Cardiomyopathy
o Cerebral Palsy
o Chronic Obstructive Pulmonary Disease
o Chronic Renal Failure
o Chronic Pancreatitis
o Cirrhosis of the Liver
o Congestive Heart Failure
o Coronary Insufficiency
o Coronary Occlusion
o Crohn's Disease
o Cystic Fibrosis
o Dementia
o Diabetes - Type I or Type II
o Emphysema
o Friedreich's Ataxia
o Hemochromatosis
o Hemophilia
o Hepatitis C
o Hodgkin's Disease
o Huntington's Chorea
o Hydrocephalus
o Kidney Disease requiring dialysis
o Leukemia
o Lupus Erythematosus Disseminate
o Major Organ Transplant
o Malignant Lymphoma
o Malignant Tumors
o Melanoma
o Motor/ Sensory Aphasia
o Multiple or Disseminated Sclerosis
o Muscular Dystrophy
o Myasthenia Gravis
o Myocardial Infarction
o Myotonia
o Open Heart Surgery
o Paget's Disease
o Paraplegia or Quadriplegia
o Parkinson's Disease
o Polyarteritis (periarteritis nodosa)
o Polycystic kidney
o Primary Cardiomyopathy
o Progressive Systemic Sclerosis (Scleroderma)
o Psoriatic Arthritis
o Psychotic Disease
o Psychotic Disorder
o Raynaud's Disease
o Rheumatoid Arthritis
o Schizophrenia
o Sickle Cell
o Stroke(CVA)
o Suicide Attempt
o Syringomyelia
o Tetralogy of Fallot
o Ulcerative Colitis
o Wilson's Disease


INFORMATION
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