Frequently Asked Questions
What is "Basic Health Insurance" all about?
This is a low cost, limited benefit health insurance that is meant as a
supplement in addition to regular health insurance. It provides a
pre-defined cash reimbursement directly to the policy owner for common medical
expenses like doctors visits, lab tests and surgical procedures. The
amount the insurance pays is less than the amount that a medical provider will
charge. It is not meant to cover every medical expense and it will not
cover catastrophic medical expenses. In a few unfortunate situations, this
may be the only health insurance that is available or affordable. In these
cases Basic Health Insurance is better than having no health insurance at all,
but this insurance is not meant to replace regular health insurance. See
www.MedSave.com for a listing of other
regular low cost health insurance plans.
How are you
similar/dissimilar to AFLAC?
The insurance companies do not
make any comparison or contrast to any other health insurance since this would
not be permitted under some state laws. This question is included with a
generic response simply because it is asked so often.
Both AFLAC and Basic Health
Insurance are supplemental health insurance policies, meant to provide cash
benefits separately from other health insurance.
AFLAC is offered though
employer-sponsored plans. Basic Health Insurance is available either
through employer-sponsored plans or directly to individuals and families.
Basic Health Insurance covers only medical expenses, whereas AFLAC may provide
optional "loss of work time" benefits.
Who is eligible?
Eligibility requirements for Basic Health Insurance are more liberal than
most health insurance plans. Everyone who is 1) not disabled, 2) has not
been hospital confined in the 12 months prior to enrolling, 3) is under age 65*
at the time of application, and 4) is living in a state where this insurance
is approved by the state insurance department is eligible for this insurance.
*There is no age limitation
if the coverage is provided through an employer plan in compliance with the Age
Discrimination in Employment Act. Those who enroll for coverage when under
the age 65 may keep the insurance in force until age 70 even if the insurance is
not provided through an employer.
The list of approved states
is included on the right hand side of this page.
link to see the complete product availability list. This insurance is called
"guarantee issue" because everyone in the eligible category who applies is
approved for coverage regardless of medical history or other factors.
What if I live in a state not listed?
This type of insurance is not approved by your state insurance
department. In many states insurance laws that may be outdated
are designed to prohibit innovative types of insurance like this with the
original intention of protecting the public. We believe that citizens
should be free to make their own choices about health care, free from government
over-regulation. You may wish to contact your local state government
representative to voice your concern about the restriction of this type of
What is covered?
A specific list of medical items are covered.
Click this link to see a
summary chart of benefits. This list
does not include all medical costs. To see the list of covered items and
the dollar amount covered, use the "Get a free quote and apply online" button on
Are pre-existing medical conditions covered?
Yes, after you have been enrolled in the insurance for 6
What is a pre-existing condition?
This term is specifically defined in the policy and you should
refer to that definition that is specific to your state. For sake of
discussion and understanding at this point you should consider any medical
history that is recorded in any of you medical records to be "pre-existing".
For example, a prescription drug that you took in the past was based on a
doctor's diagnosis of some previous medical condition and therefore is a
"pre-existing condition". Some conditions may also be pre-existing if you
were aware of the symptoms but did not seek medical treatment.
How much does it cost?
Use the "Get a free quote and apply online" link on the right
to get pricing for your age and location.
When does coverage start and how do I know I am
Coverage starts on the first day of the month after you enroll and pay the
first premium. Online enrollments are confirmed by e-mail but this is not
a "proof of coverage". Mail-in
enrollments are not confirmed until the policy is delivered. Policies and ID cards are
usually mailed on the first day of the month that coverage starts. ID cards are not available online.
What doctors or hospitals are covered?
Any doctor or hospital in the United States.
Is there a list of doctors or hospitals?
No. You may use any doctor or hospital in the U.S. without
Is this product available to groups?
Yes, see the "Groups" forms from the home
Who is best-suited to use this insurance?
While the range of eligible persons is wide, the following
groups are especially likely to find this insurance attractive:
- individuals and families covered by employer-provided insurance
- individuals and families with pre-existing medical conditions that lead to
out-of-pocket medical expenses
- those individuals who have been denied health insurance elsewhere due to
- self-employed individuals, partners, LLC members and S
corporation owners (because of the tax deductibility of health insurance vs.
uninsured health benefits)
- persons covered by consumer-driven or Health Savings Account type health insurance with deductibles and
- workers covered by an employer-sponsored flexible spending
account (FSA) or health reimbursement account (HRA).
Who should not use this insurance?
People in between jobs and those without major medical insurance should not use this insurance but should use
"short term medical insurance"
for more complete protection. These plicies are available at
leader in quality low cost health insurance plans, short term medical
insurance, and other money-saving benefit plans available nationwide.
See other plans available at
Individuals and Families:
This plan is currently available in
AK, AL, AZ, DC, DE, GA, HI, IA, IL, IN, KY, MI, MO, MS, MT, ND, NE, OK,
PA, RI, SC, TN, VA, WI
This plan is currently
AK, AL, AR, AZ, DC, DE, GA, HI, IA, IL, KY, MD, MI, MO, MS,
MT, NC, ND, NE, OK, OR, PA, RI, SC, TN, TX, VA, WI
. This plan is also available to firms with
more than 50 employees in
CO, FL, IN, MA and NV
. Download and print
Group Proposal and Rate
Group Member Enrollment Form
Who is Markel Insurance?
Markel Corporation (MKL-NYSE) is an international property and
casualty insurance holding company headquartered in Richmond, VA. that sells
specialty insurance products. Markel Insurance Company is a division of
Markel Corporation started in the 1990s to provide specialty health insurance.
What are Markel Insurance Company's financial
Financial stability and
strength are important purchase considerations of policyholders and insurance
agents and brokers. Because an insurance premium paid today purchases coverage
for losses that might not be paid for many years, the financial viability of the
insurer is of critical concern. Various independent rating agencies provide
information and assign ratings to assist buyers in their search for financially
sound insurers. Rating agencies periodically re-evaluate assigned ratings based
upon changes in the insurerís operating results, financial condition or other
significant factors influencing the insurerís business. Here is how Markel
Markel Insurance Company
A (Excellent) g, XI
Duff and Phelps
Is this affiliated with the Better
founder was a member of the BBB Online Reliability program that
is intended to hold online businesses to a high standard of service and
fair-play but the organization no longer maintains membership in the Better
Business Bureau. See
www.BBB.org for more information
about this program.
Can this insurance be combined with other
health insurance or Medicare?
Yes, it is recommended that you combine this
insurance with other low cost insurance plans like those listed at
If I have other health insurance that pays my
medical bills, does this insurance pay me in addition to the other insurance?
Yes. The benefits are always determined separately and in
addition to any other insurance you may have.
Is this insurance canceled if I change
No, this insurance is intended to continue uninterrupted from
job to job, regardless of other insurance.
How soon will I get payment after I
submit a claim?
All health insurers are required by law to respond in writing
within 10 days to a submitted claim. In some cases the response is a
reimbursement check. In other cases the response could be a request for
more information or a denial of claim, if appropriate. The claim
processing time for this policy is expected to be about the same as other health
insurance companies. See the policy itself for additional details on
How do I contact customer service?
For pre-enrollment support, contact
firstname.lastname@example.org . For billing issues at
enrollment: 800-279-2290. Other contact
information is provided in your benefits package. It may not be possible
to confirm a new enrollment by telephone prior to mailing of the actual policy.
Can this coverage be used in
conjunction with a health savings account?
Yes, this is "allowable coverage" under the law.
Note that this is not high deductible qualifying insurance, so Basic Health
Insurance must be used in conjunction with another insurance plan to qualify for
a health savings account.
Is this insurance tax-deductible?
Yes, health insurance premiums may be
tax-deductible to self-employed persons and to individuals with high
out-of-pocket medical costs.
What are the advantages of enrolling
through a group plan vs. as an individual insurance?
The rates are slightly lower and the premium can be paid through
salary deduction. A group plan can be started when three or more employees
at any company want to enroll in this insurance.
Is this affiliated with any other
No, this is an independent insurance program available without
regard for your coverage in any other insurance program.
Where can I find other low cost health plans?
Check the listing for your state at