TechnicalJones.com

Author

Leroy Jones, Jr. is the creator of Talking Technology with Leroy Jones, Jr.

HEALTH TERM - PRE-EXISTING CONDITION

| No Comments


Thumbnail image for Thumbnail image for Thumbnail image for HealthCareTerm.jpgDefinition: A medical condition developed prior to issuance of a health insurance policy that may result in the limitation in the contract on coverage or benefits.

Normally this is defined as a health problem for which the new enrollee received health care services before the date that the new health plan benefit begins.


PreExisting_Aug 2009.jpeg
Some policies exclude coverage of such conditions and the exclusion may continue for a specific period of time or indefinitely. Federally qualified HMOs cannot limit coverage for pre-existing conditions.

New statutes in 1997 and 1998 altered the freedom other health plans have enjoyed in setting preexisting time limits.

Certification of prior coverage may mean new insurers would need to waive preexisting clauses for some subscribers.

Leave a comment



 

Recent Posts