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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:
  • Your medical condition makes you "uninsurable."
  • You have been offered coverage by an insurer with a conditional rider limiting coverage.
  • You have only been offered coverage at a premium rate that is higher than Inclusive Health's rate.
  • You have one of the Inclusive Health presumptive conditions which allows automatic enrollment.
  • You have had 18 months of continuous coverage and have exhausted COBRA coverage.
  • 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 Alzheimer's Disease
o Amyotrophic Lateral Sclerosis (Lou Gehrig's Disease)
o Aneurysm
o Angina Pectoris
o Angioplasty
o Ankylosing Spondylitis
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 Cirrhosis of the Liver
o Congestive Heart Failure
o Coronary Insufficiency
o Coronary Occlusion
o Crohn's Disease
o Cystic Fibrosis
o Emphysema
o Hemochromatosis
o Hemophilia
o Hepatitis C
o Hodgkin's Disease
o Huntington's Chorea
o Hydrocephalus
o Leukemia
o Lupus
o Major Organ Transplant
o Multiple or Disseminated Sclerosis
o Muscular Dystrophy
o Myasthenia Gravis
o Myocardial Infarction
o Paget's Disease
o Paraplegia or Quadriplegia
o Parkinson's Disease
o Polyarteritis (periarteritis nodosa)
o Psoriatic Arthritis
o Raynaud's Disease
o Rheumatoid Arthritis
o Schizophrenia
o Stroke (CVA)
o Suicide Attempt
o Tetralogy of Fallot
o Ulcerative Colitis


INFORMATION
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