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GENERAL ELIGIBILITY REQUIREMENTS

Coverage is available to persons who meet the following general requirements:

You are a "resident" of the State of Alaska;

"Resident is defined as the following:

  • A person who is physically present in the state;
  • has lived in the state for at least the 12 months preceding application or since birth if less than 12 months;
  • and, intends to remain permanently in the state.
"Resident" is also defined as a person who is not physically in the state if:
  • The person lived in the state for at least 9 of the 12 months immediately preceding application;
  • and the person's absence from the state is for medical treatment or education.

You must also meet one of the Eligibility categories listed below.

MEDICAL ELIGIBILITY

At least one of the following must apply in addition to meeting all of the General Eligibility Guidelines as outlined above to be considered under Medical Eligibility guidelines.

  • You have received from at least one health insurer a notice of rejection for health insurance dated within the last six months; or,
  • You have received restrictive riders that substantially reduce coverage.

MEDICAL CONDITION

If you meet all of the General Eligibility Guidelines as outlined above, if you are under age 65, were covered by Medicare and were eligible due to disability or ESRD, or if you suffer from one of the following, you are eligible under the Medical Condition.

Acquired Immune Deficiency Syndrome (AIDS)
Alzheimers
Angina Pectoris
Anorexia Nervosa
Arteriosclerosis Obliterans
Artificial Heart Valve
Ascites
Brain Tumors
Cardiomyopathy
Cerebral Palsy
Chronic Pancreatitis
Cirrhosis of the Liver
Coronary Insufficiency
Coronary Occlusion
Crohn's Disease
Cystic Fibrosis
Dermatomyositis
Diabetes
Epilepsy
Friedreichs's Disease
Heart Disorders
Hemophilia
Hepatitis C (Active)
HIV+
Hodgkin's Disease
Huntington's Chorea
Hydrocephalus
Intermittent Claudication
Kidney Failure
Lead Poisoning with Cerebral Involvement
Leukemia
Lupus Erythematosus Disseminate
Malignant Tumor (if treated or has occurred within last four years)
Mental Retardation
Metastatic Cancer
Motor or Sensory Aphasia
Multiple or Disseminated Sclerosis
Muscular Atrophy or Dystrophy
Myasthenia Gravis
Myotonia
Obesity - Morbid
Open Heart Surgery
Paraplegia or Quadriplegia
Parkinson's Disease
Peripheral Arteriosclerosis (if treatment within last three years)
Poliomyelitis
Polycystic Kidney
Polyarteritis (periarteritis nodosa)
Postero-lateral Sclerosis
Psychotic Disorders
Rheumatoid Arthritis
Sickle Cell Anemia
Silicosis
Splenic Anemia (True Banti's Syndrome)
Still's Disease
Stroke (CVA)
Syringomyelia
Tabes Dorsalis (locomotor ataxia)
Thalassemia (Cooley's or Mediterranean Anemia)
Topectomy and Lobotomy
Ulcerative Colitis
Wilson's Disease

FEDERAL DEFINED ELIGIBILITY

If you meet the criteria outlined below, you are eligible as a Federally Defined Individual.
  • You are domiciled in the State of Alaska;
  • You have at least 18 months of prior health insurance coverage without a 90 day or more break in such coverage;
  • Your most recent health insurance coverage was under a group plan;
  • You are not eligible for other group health insurance coverage including Medicare, Veteran's benefits, Native Health Care or Medicaid;
  • Your most recent health insurance coverage was not terminated due to nonpayment of premium or fraud;
  • You have elected and exhausted any COBRA or similar coverage;
  • You do not have other health insurance coverage

Confused about whether you are eligible? Don’t hesitate to call us - or an insurance broker in your own community. We are all available to help you determine the best program for your situation.

customer care

ACHIA (888) 290-0616
Hours: Monday - Friday 8 AM to 5 PM Alaska Time

Alaska Association of Health Underwriters 907-644-1466 or visit http://www.nahu.org/consumer/findagent3.cfm?State=AK


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