Category: 
February 2, 2008
The “Pre-Existing Condition” limitation or exclusion of a health insurance policy is probably the most misunderstood. In health insurance, a “Pre-Existing Condition” is not necessarily a disease or illness for which you have received medical treatment.
A “Pre-Existing” Condition In Health Insurance May Not Be What You ThinkTo better understand “Pre-Existing Condition”, here is the statement taken directly from a health insurance company’s health insurance sales brochure: “A pre-existing condition is a sickness or injury which was diagnosed or treated, or which produced signs or symptoms that would cause an ordinarily prudent person to seek treatment, during the five-year period before the covered person’s effective date of coverage.” |
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This “Pre-Existing Condition” limitation will differ from company to company, so make sure you know your health insurance company’s terms and conditions.
Health insurance companies handle “Pre-Existing Conditions” in different ways. Some companies may:
- Decline to issue the health insurance policy
- Not pay benefits for pre-existing conditions for a period of time, like 12 months
- May issue the insurance policy with a rider, which states that they will not cover that condition for a specified period of time, or never
- Cover pre-existing conditions as long as they are disclosed on the health insurance application and accepted by the insurance company
When you complete an application for health insurance, be as honest and as accurate as you possibly can. It will save a lot of hard feelings and misunderstandings later on.
- Do you understand how a health insurance “co-payment” works?
- Do you know your health insurance plan’s “lifetime maximum”?
- Does your health insurance plan have adequate “co-insurance” provisions?
- Do you understand that your health insurance premium could be lowered by increasing your “deductible”?
Glossary Insurance Terms: |A-C|D-H |I-M|N-P|R-T|U-W|
Other Insurance Maze Articles of Interest
- Do You Have The Insurance Coverage You Think You Have?
- Is Your Commercial Vehicle Insured On Your Personal Auto Policy?
- Medicare Supplement Insurance & Medicare
- Home Insurance/Home Inventory-A Good Combination
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Discount Dental Plans Under $20 |
Discont Health Plans Under $60 |
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