What is a pre-existing condition and how does it affect medical insurance coverage?
A pre-existing condition is one that was known or treated for some specific period of time prior to the person’s effective date of coverage. Most major medical plans have a preexisting condition clause enabling the carrier to exclude coverage for a period of time, sometimes as long as 24 months, after the effective date of coverage. As the definition of a preexisting condition and the clauses pertaining to them differ between policies, it is important that individuals be aware of their policy’s provisions.
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