Preexisting condition

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Preexisting Condition

In insurance, a medical condition that existed before one applied for and/or received a health insurance policy. Most private health insurance companies refuse to cover preexisting conditions, at least for a certain period of time. Depending on the severity of the preexisting condition, a provider may refuse to provide health insurance at all. However, employer-provided health insurance must cover preexisting conditions if an employee switches insurance plans as the result of a job change.

Preexisting condition.

A preexisting condition is a health problem that you already have when you apply for insurance.

If you have a preexisting condition, an insurer can refuse to cover treatment connected to that problem for a period of time. That period is often the first six months, but may be for the entire term of your policy.

Insurers can also deny you coverage entirely because of a preexisting condition. And they can end a policy if they discover a preexisting condition that you did not report, provided you knew it existed when you applied for your policy.

However, if you're insured through your employer's plan and switch to a job that also provides health insurance, the new plan must cover you regardless of a preexisting condition.

References in periodicals archive ?
Importantly, this protects older adults and those with pre-existing conditions from facing higher costs or seeing their current tax credits reduced.
Fred Crespo, D-Hoffman Estates, which prevents health insurance companies from denying care to Illinoisans with pre-existing conditions has gone into effect as of Jan.
Nationally, 40 percent of Americans age 50 to 64 have a pre-existing condition.
An International Business Times review of federal records shows that America's Health Insurance Plans (AHIP) listed the pre-existing condition issue on disclosure forms documenting nearly $81 million worth of lobbying since the passage of the ACA.
Before enactment of the Affordable Care Act (ACA), also known as ObamaCare, insurance companies could deny healthcare coverage to people who had pre-existing conditions.
However, if you think about it, liking the part of Obamacare that eliminates pre-existing conditions, but being opposed to the mandate does not make any sense.
8220;Seduction is another aspect present in the anatomical imagery from Pre-Existing Condition,” suggests Curator Robert P.
When it comes to the number of people who are uninsurable owing to pre-existing conditions, the numbers range from two million to 50 million.
Those with pre-existing conditions are seen by insurance companies as customers who would pose a greater risk of claiming, resulting in them paying higher premiums and having fewer insurers to choose from.
Launched in July 2010 under the Affordable Care Act (ACA), the Pre-Existing Condition Insurance Plan (PCIP) provides an insurance option for people with preexisting conditions who have been denied coverage and have been without insurance for 6 months or more.
The goal is to provide an insurance option to people who may be barred from coverage or who have to pay huge surcharges because of a pre-existing condition such as hypercholesterolemia or cancer.
That is the amount of money allocated in the Affordable Care Act (ACA) to serve as bridge funding for persons who have been denied healthcare insurance due to a PRE-EXISTING CONDITION.