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Joining Your Spouse's Healthcare Plan

By Steve Thompson, published Nov 07, 2006
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Ever since 1996, when the Health Insurance Portability and Accountability Act (HIPAA) was passed, couples who are joined together by marriage are legally entitled to join one another’s health plans. That is why, when presented with the various options for healthcare coverage by your employer, you will see options that include family plans. So how do you go about joining your spouse’s healthcare plan?

Joining Your Spouse’s Healthcare Plan: Compatibility

Healthcare plans are as diverse as anything else, and each one fits a specific type of person. The types of medical care that you will require will depend on the type of healthcare plan you require. Make a list of the classes of physician that you will need to see, and compare that to your spouse’s healthcare plan. Will your needs be met?

Joining Your Spouse’s Healthcare Plan: Compare

Request healthcare insurance plan brochures or pamphlets from your employer’s insurance provider and that of your spouse. Compare the benefits and drawbacks to each plan, including the costs involved. Co-pays, prescription medications and alternative healthcare are all factors that should be compared in order to make an informed decision.

Joining Your Spouse’s Healthcare Plan: Deductibles

The deductible is a set amount of money – five-hundred dollars, for example – below which you are responsible for all costs of treatment. For example, you might have a $200 deductible surgery, which means that you must pay the first $200.00 for a surgical procedure and the insurance company will cover the rest. The deductibles for various services should be a large factor in determining whether or not to join your spouse’s healthcare plan.

Joining Your Spouse’s Healthcare Plan: Time Frame

Takeaways
  • Make sure that your needs are compatible with your spouse's healthcare plan.
  • Compare your current healthcare plan with that of your spouse.
  • Make sure to submit your request in writing with all pertinent information.
Did You Know?
Pre-existing conditions are not a factor in infants who are less than thirty days old or who have been adopted within the month.
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