What is a pre-existing condition exclusion period?
What is a pre-existing condition exclusion period? Answer: Insurance companies try to discourage people from waiting until they get sick in order to purchase health insurance. One way in which they do this is to impose pre-existing condition exclusion periods. This means that if you have a medical problem which exists at the time you enroll in or purchase your health insurance, the insurance company will deny all claims pertaining to this medical problem for a certain period of time. If you have job-based coverage, the pre-existing condition exclusion period is limited to 12 months (18 months if you are a late enrollee) and only applies to conditions for which you sought treatment in the 6 months leading up to enrollment. You may be able to apply creditable coverage to offset your pre-existing condition exclusion period. For example, if you were on an individual policy before enrolling in your job-based coverage, you may be able to subtract the amount of time you were covered on your i
A pre-existing condition exclusionary period is a time when a pre-exisiting condition is not covered under your health plan. Under, AB 1672, a maximum pre-existing condition exclusionary period cannot exceed six months. The pre-existing condition will normally be covered once this period has passed.
Related Questions
- My employer has a "waiting period" for enrollment in the health plan. Does this change the pre-existing condition exclusion period under HIPAA?
- I had a pre-existing condition exclusion period at my prior employment. Can another exclusion period be applied by my new group health plan?
- What is a pre-existing condition exclusion period?
