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REV. MAY 3, 2018 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY MANUAL LETTER #43-2018 HEALTH AND HUMAN SERVICES 477-000-026

Examples: Not Considered Health Insurance

The following examples are NOT considered health insurance. These are income replacement or accident policies and should NOT be entered on N-FOCUS/TPL. These policies can NOT be allowed as a medical deduction on a medical budget.

Example 4: GEM (University of Nebraska); school accident policy; pays for accidents related to school activities.

Example 5: Combined Insurance Co of America; accidental dismemberment policy; pays $5,000 for loss of any limb.

Example 6: Bankers Life and Casualty; accidental injury policy; pays $50 per day for any day unable to work due to injury while riding any public conveyance.

Example 7: Physicians Mutual Insurance; disability policy; pays $50 per day for any day of disability.

NOTE: If the health insurance premium verification submitted by the client has an amount specified for one of these, then do not allow that portion of the premium as a deduction. Do not send for additional verification requesting the premium break-out for health insurance.

The health insurance policy should be submitted to Central Office for consideration when it is questionable whether it meets the definition of creditable coverage.