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Creditable coverage is defined as coverage of the individual under any of the following types of plans:
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) ensures that qualified individuals are provided continuous coverage for ongoing medical treatment. This may reduce how much or how long a health plan can keep a person from getting coverage due to pre-existing conditions.
A Certificate of Creditable Coverage is a document that proves an individual had health coverage under AHCCCS Health Insurance or KidsCare for the period of time noted on the certificate.
A certificate may be needed if an individual:
To receive a Certificate of Creditable Coverage, a request must be made to AHCCCS Administration Member Services Unit:
The request must include the following:
Statement of HIPAA Portability Rights [PDF, 37 KB]
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