Are you eligible?
If you answer yes to all of these requirements you qualify.
- Are you a resident of Iowa and a U.S citizen or a person lawfully present in the U.S?
- Have you been uninsured for at least six months prior to applying?
- Do you have a qualifying pre-existing medical condition, or a denial letter from an insurance company or a letter of acceptance with reduction or exclusion of coverage for your pre-existing condition?
Eligible pre-existing conditions
If you have been diagnosed with one of the medical conditions listed below and you meet the other eligibility requirements, you automatically qualify for HIPIOWA-FED. A letter from your physician confirming your diagnosis with the physician's name and address must accompany your application. ( A denial letter from an insurance company or a letter of acceptance with a reduction or exclusion of coverage for your pre-existing condition will also satisfy the pre-existing condition eligibility requirement.)
Acquired Immune Deficiency Syndrome (AIDS)
Angina Pectoris
Arteriosclerosis Obliterans
Artificial Heart Valve
Ascites
Cardiomyopathy
Chemical Dependency
Cirrhosis of the Liver
Coronary Insufficiency
Coronary Occlusion
Cystic Fibrosis
Dermatomyositis
Friedreichs's Disease
Huntington's Disease
Hydrocephalus
Intermittent Claudication
Juvenile Diabetes
Kidney Failure requiring dialysis
Lead Poisoning with Cerebral Involvement
Leukemia
Lupus
Malignant Tumor ( treat within four years)
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Metastatic Cancer
Motor or Sensory Aphasia
Multiple or Disseminated Sclerosis
Muscular Atrophy or Dystrophy
Myasthenia Gravis
Myotonia
Open Heart Surgery
Paraplegia or Quadriplegia
Parkinson's Disease
Peripheral Arteriosclerosis (if treatment within last three years)
Polyarteritis (periarteritis nodosa)
Postero-lateral Sclerosis
Psychotic Disorders
Silicosis
Splenic Anemia (True Banti's Syndrome)
Still's Disease
Stroke (CVA)
Syringomyelia
Tabes Dorsalis (locomotor ataxia)
Topectomy and Lobotomy
Wilson's Disease
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How can a child who is under age 19 qualify for HIPIOWA-FED?
Provided that a child applying for HIPIOWA-FED coverage is a U.S. citizen or U.S. national or is otherwise lawfully present in the U.S. and has been without creditable coverage for at least 6 months, he or she is able to satisfy the pre-existing condition requirement for HIPIOWA-FED in one of two ways. First, HIPIOWA-FED will accept evidence that the child had been offered individual insurance coverage by a licensed health insurance company during the 12 months prior to applying for enrollment in HIPIOWA-FED for a premium that is at least twice as much as the premium for the HIPIOWA-FED Standard Option. Second, the child may qualify for HIPIOWA-FED on the basis of having a condition that was present before the date of enrollment for such coverage, whether or not any medical advice, diagnosis, care, or treatment was recommended or received before such date. “Pre-existing condition” is defined in the sameway for the purpose of the rules limiting pre-existing condition exclusions under the Public Health Service Act.
What eligibility documentation will HIPIOWA-FED require to determine whether a child has a pre-existing condition?
To document the presence of a pre-existing condition for a child under age 19, HIPIOWA-FED will accept a document dated within the past 12 months from a doctor of medicine, doctor of osteopathy, physician assistant, or nurse practitioner who is licensed to practice stating that such child used to have, or presently has a condition. The document will be reviewed to verify that: 1) it is dated within 12 months of the date of application; 2) it identifies the child and his or her condition; and 3) includes the name, license number, and signature of a doctor of medicine, doctor of osteopathy, physician assistant, or nurse practitioner for purposes of validating whether he or she is licensed to practice.
