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What Is Considered A Pre-existing Medical Condition?

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A health problem, like asthma, diabetes, or cancer, you had before the date that new health coverage starts. Insurance companies can’t refuse to cover treatment for your pre-existing condition or charge you more.

What is a pre-existing condition period?

What Does Pre-Existing Condition Exclusion Period Mean? The pre-existing condition exclusion period is a health insurance benefit provision that places limits on benefits or excludes benefits for a period of time due to a medical condition that the policyholder had prior to enrolling in a health plan.

Can I be denied health insurance because of a pre-existing condition?

Yes. Under the Affordable Care Act, health insurance companies can’t refuse to cover you or charge you more just because you have a “pre-existing condition” — that is, a health problem you had before the date that new health coverage starts. They don’t have to cover pre-existing conditions.

Can I get medical insurance with a pre-existing condition?

Yes, you can get health insurance even if you have a pre-existing medical condition. But most policies restrict when they can pay out to treat pre-existing conditions.

How long does a pre-existing condition last?

A health condition could be considered pre-existing if you received treatment or medical advice for that issue from six months to five years before the insurance coverage took effect. The time varied by state.

How do insurance companies determine pre-existing conditions?

Insurers then use your permission to snoop through old records to look for anything that they might be able to use against you. If you have a pre-existing condition, they’ll try to deny your claim on the grounds that you were already injured and their insured had nothing to do with it.

What is waiting period for pre-existing medical conditions?

Waiting period of 4 years for pre-existing diseases is a standard clause in almost all health policies. This is helpful to the policy holder because an insurance company cannot deny a claim after 4 years, i.e., once the waiting period is over.

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Is Trumpcare a law?

The American Health Care Act of 2017 (often shortened to the AHCA or nicknamed Trumpcare) was a bill in the 115th United States Congress. With the support of President Donald Trump, House Republicans introduced the AHCA in early 2017, and the bill passed the House in a close vote on May 4, 2017.

How does pre-existing conditions work?

How are pre-existing conditions determined? A pre-existing condition is typically one for which you have received treatment or diagnosis before you enrolled in a new health plan. The ACA made it illegal for health insurance companies to deny you medical coverage or raise rates due to a pre-existing condition.

Does Blue Cross Blue Shield cover pre-existing conditions?

Any condition which may have existed or occurred under the prior contract will be a pre-existing condition under the subsequent contract and will not be covered.

Which insurance company covers pre-existing diseases?

One can buy health insurance for his/her parents with pre-existing illnesses. Some of these plans include Bajaj Allianz Silver Health, Oriental Insurance Hope, New India Assurance Senior Citizen Mediclaim Policy, etc.

Is back pain a pre-existing medical condition?

In essence, they’re medical conditions that existed before your policy started. Some of the commonly understandable “pre-existing conditions” can be chronic illnesses like diabetes, high blood pressure, asthma etc. The “pre-existing conditions” can include chronic injuries like back pain too.

Does private health cover pre-existing conditions?

You do not pay more for private health insurance because of pre-existing conditions. A condition doesn’t have to be previously diagnosed to be considered ‘pre-existing’. You can seek private treatment for your pre-existing condition and claim under your policy for such treatment following the waiting period.


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