Step 2. Find out if your plan is fully insured or self-funded
Do you get health insurance through your work or school?
- Si no, you have a fully insured plan and can skip ahead to Step 3.
- En caso afirmativo, you may have a self-funded plan. Lee mas
If you get insurance through your (or your parents') work or school—including if you are a government employee—you may have a self-funded plan.
This is important because if your plan is self-funded and has an exclusion or limitation on coverage, it might be more effective to talk to your employer about removing the exclusion, and not to the health insurance company that administers the plan.
"How do I figure out if my plan is self-funded?"
La forma más sencilla de averiguar si su plan de empleados es autofinanciado o totalmente asegurado es preguntar a su departamento de recursos humanos. Otra forma es tratar de encontrar la información en el folleto de su plan.
Ver: How to determine if your plan is self-funded or fully insured (video source: Transcend Legal)
“My plan is self-funded, what now?”
Get help navigating self-funded insurance plans and transition-related health care, including:
- More information and resources about self-funded plans.
- A template letter to your employer or school asking them to remove an exclusion from a self-funded plan.
- A template letter to a health plan administrator applying for preauthorization.
Access our self-funded plan guide.
If your plan isn’t self-funded, move forward to Step 3.
