WHAT IS A PRE-EXISTING CONDITION?
A pre-existing condition is defined as any medical condition: • which was diagnosed and documented no less than three months ago and no more than two years ago • for which you have previously received documented treatment while under the supervision of a physician • for which you have substantial medical documentation, not including medical bills As it is impossible for HMC physicians to diagnose new medical conditions via telemedicine, you can only receive treatment for a condition which has been previously diagnosed by a physician. If your condition was diagnosed within the past three months, you must have accompanying records to substantiate that the condition is chronic. All medical records must be written by a Doctor of Chiropractic (D.C.), Medical Doctor (M.D.), Doctor of Osteopathic Medicine (D.O.), or a Nurse-Practitioner under the direct supervision of a physician. back to top 15.
A pre-existing condition is any physical or mental condition or illness for which medical treatment was given, or a diagnosis was made, on or before the effective date of coverage. If you have received medical attention for any physical or mental illness or condition before entering AmeriCorps, treatment of that illness or condition is your responsibility; treatment for that illness or condition is not a covered benefit. • Is there coverage for dental care? Coverage is limited and only for emergencies. Routine dental visits are not covered. • How are my medical bills paid? If you receive service for an approved benefit your claim will go to Seven Corners, Inc., the contractor administering the health benefits plan. Seven Corners pays those claims that are for approved benefits. When a claim is submitted by your doctor, Seven Corners pays the claim according to the guidelines established by CNCS in the Member Health Care Guide. Seven Corners is responsible for: • determination if the cl
Pre-existing condition means a condition for which medical treatment was rendered or recommended by a Physician within 12 months prior to the effective date of insurance as to be insured. A condition shall no longer be considered a pre-existing condition after the insurance has been in force as to the insured person for 12 consecutive months.
It is any condition (illness or injury) or symptoms or signs of that condition occurring or existing in any form prior to the Commencement Date of your policy or during the policy waiting period. Simply put, we offer cover to protect pets for conditions that arise after insurance has been taken out.
