If you answer yes to all of these requirements you qualify.
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.)
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.