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What are pre-existing conditions and how do they impact coverage?

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What are pre-existing conditions and how do they impact coverage?

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A Pre-existing condition is a health condition (other than pregnancy) or medical problem that was diagnosed or treated during a specific period of time before you enrolled in a new health plan. Some pre-existing conditions may not be covered during a certain amount of time after your new health plan goes into effect. Please see your plan documents for more information on pre-existing conditions. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) introduced protections for people who have pre-existing medical conditions or who might suffer discrimination in health coverage based on factors that relate to their health.

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A pre-existing condition is a condition for which medical advice, diagnosis, care or treatment was recommended or received within the previous 6 months preceding the effective date of the coverage of an individual member.

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Please reference your plan booklet for information on any applicable pre-existing condition limitations on coverage and/or other pre-existing condition provisions. 14.

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Neither UniCare Health Plans of the Midwest, Inc. nor UniCare Health Plans of Texas, Inc. have pre-existing restrictions.

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A13. Blue Cross POS plans do not contain pre-existing condition clauses.

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