How long are pre-existing conditions not covered by CaliforniaChoice?
For those employees or covered dependents, electing a PPO plan, and who did not have previous coverage prior to the effective date of the new CaliforniaChoice plan, a one-time exclusionary period of up to 6 months must be observed. An important item to note, however, is that all other contractually covered medical conditions other than the pre-existing condition will be covered. Employees electing an HMO plan are never subject to an exclusionary period even when previous qualifying coverage did not exist. Credit will be given for having qualifying coverage for part of the previous 6 months. The employee and/or dependent will be given partial or full credit for that period fulfilled under the previous qualifying coverage. For example, if the employee had fulfilled 4 months of a pre-existing condition limitation period, through the previous qualifying coverage, he/she would receive credit for those 4 months, thus leaving only a 2 month pre-existing condition exclusion period under the ne
