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Creditable Coverage

What is Creditable Coverage?

Health insurance coverage provided through various sources, including group health plans, individual health insurance, student health insurance, Medicare, Medicaid, CHAMPUS and TRICARE, the Federal Employees Health Benefits Program, Indian Health Service, the Peace Corps, Public Health Plans (government-established or foreign), Children’s Health Insurance Program (CHIP), or state health insurance high-risk pools. Having creditable coverage can reduce the duration of a pre-existing condition exclusion period when transitioning to new job-based coverage.

Key Points:

  • Creditable coverage includes health insurance from a wide range of sources, ensuring individuals have access to different options.
  • Having prior creditable coverage can help shorten the waiting period for coverage of pre-existing conditions under new job-based health insurance plans.
  • It is essential to maintain continuous health coverage to benefit from creditable coverage provisions.
References

“Glossary.” HealthCare.gov, www.healthcare.gov/glossary/.

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