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How long can a long term care policy exclude preexisting coverage?
Wiki User
∙ 12y ago
A long-term care policy can exclude coverage for pre-existing conditions for up to 6 months after the policy is issued, but this can vary depending on the policy terms and state regulations. After this waiting period, coverage for preexisting conditions should be included in the policy's benefits.
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How long does the extended term benefit option extend long term care coverage?
The extended term benefit option typically extends long-term care coverage beyond the original benefit period, usually for an additional specified number of years or until a specified lifetime maximum benefit is reached, depending on the terms of the policy.
How much do patients pay for one day in intensive care?
The cost for one day in an intensive care unit can vary greatly depending on location, hospital policy, and the patient's insurance coverage. On average, patients may expect to pay several thousand dollars per day for intensive care. It is important for patients to check with their insurance provider to understand their specific coverage and out-of-pocket costs.
What risks are there with long-term care insurance?
Some risks with long-term care insurance include premium increases over time, potential limitations on coverage, and the possibility that the policy may not fully cover all long-term care costs. It's important to carefully review the policy terms and understand the exclusions and limitations before purchasing long-term care insurance.
What document helps determine the suitablity for a new long-term care policy?
An individual's Medical Information Bureau report can help determine the suitability for a new long-term care policy. This report provides a summary of an individual's existing health conditions and any previous insurance applications or claims, which insurers use to assess the risk involved in providing coverage.
How can long term care insurance be evaluated?
When evaluating long term care insurance, consider the benefits covered, coverage limits, premiums, elimination periods, inflation protection, company reputation, and customer service. Compare multiple quotes and policies to ensure you select one that meets your needs and budget for potential long-term care needs. Review the policy language carefully, and seek guidance from a financial advisor if needed.
Would abnormal pap smear be a preexisting condition?
Check the definition in YOUR policy. West's Ann.Cal.Ins.Code ? 10700 q) "Preexisting condition provision" means a policy provision that excludes coverage for charges or expenses incurred during a specified period following the insured's effective date of coverage, as to a condition for which medical advice, diagnosis, care, or treatment was recommended or received during a specified period immediately preceding the effective date of coverage. The important thing is to list it on the application, if and where asked -
How much does home owners insurance pay for when their dog knocks you down and you need extensive oral care?
It just depends on the type of policy, the policy limits and whether or not the policy has coverage for a dog attack. Most companies in the USA automatically exclude coverage for damage and injuries resulting from our choice of pets. In this case the home insurance policy would pay nothing at all. If the homeowners insurance policy does provide coverage for pet related injuries and damages then they would pay up to the policy liability limits chosen by the homeowner at the time they purchased the policy.
Employer sponsored health plans may not exclude coverage for pregnancy related care under what act?
civil rights act
Does having a pacemaker make you uninsurable for long-term care insurance?
Many companies will consider you for coverage after 90 days to 6 months after recovery from implantation. Everything must be stable.I found this in a pamphlet from the Health Insurance Association of America: Preexisting conditions are health problems you had when you became insured. Insurance companies may require that a period of time pass before the policy pays for care related to these conditions. For example, a company may exclude coverage of preexisting conditions for six months. This means that if you need long term care within six months of the policy's issue date for that condition, you may be denied benefits. Companies do not generally exclude coverage for preexisting conditions for more than six months.I don't know if that really answers your question. Maybe someone else can elaborate specifically on your situation with a pacemaker.A pacemaker does not ordinarily disqualify you for LTCi. What LTC underwriters are primarily looking for are conditions that would make you a higher risk of needing extended care. Different companies have different underwriting requirements. Find an agent that your comfortable with and give it a shot. Worse thing that can happen is that you get declined and have to try somewhere else. You'll get any preliminary premium returned if your are declined.Also, LTC policies generally do not have a pre-existing condition clause. You will either be approved or not. For some conditions if you ARE declined you may re-apply after a designated period of recovery time.
Is a genetic condition considered a preexisting condition?
Yes, if it was known prior to coverage. If you have had continuous insurance since the genetic condition was known and there was no lapse in coverage (or the lapse was short enough), care for that condition will be covered by your new insurer, per HIPAA.
Is high blood pressure that is controlled by medication considered a pre-existing condition?
== == Yes. Check the policy definition. Here's the def. for Small Groups in CA (q) "Preexisting condition provision" means a policy provision that excludes coverage for charges or expenses incurred during a specified period following the insured's effective date of coverage, as to a condition for which medical advice, diagnosis, care, or treatment was recommended or received during a specified period immediately preceding the effective date of coverage. 10708. (a) Preexisting condition provisions of health benefit plans shall not exclude coverage for a period beyond six months following the individual's effective date of coverage and may only relate to conditions for which medical advice, diagnosis, care, or treatment, including the use of prescription medications, was recommended by or received from a licensed health practitioner during the six months immediately preceding the effective date of coverage. (c) In determining whether a preexisting condition provision or a waiting period applies to any person, a plan shall credit the time the person was covered under creditable coverage,
Does health care insurance have to cover preexisting illnesses?
Some Health insurances cover preexisting illness.
What is important to know about health coverage in insurance?
The most important thing to know about health coverage is the variety of options available. The Affordable Care Act (affectionately known as Obamacare) has increased options to some extent. The first tier of options to look at are where the health coverage comes from. It could be through work, a parent or as an individual policy. Next to consider are the options available for preexisting conditions as well as the premiums. It is claimed that premiums will go down starting in 2014.
What happens to your car insurance if your drivers license expires?
You need to know how your policy reads. A standard policy will continue your coverage, but will most likely cancel your coverage at the next renewal date if you don't take care of it soon.
How do you find the homeowners insurance carrier for someone whose animal injured you?
The easiest way is just to ask them. Bear in mind though that most homeowners insurance policies now exclude coverage for damage and injuries from pets. Fortunately though our mandated ACA compliant health care policy will cover the associated cost and it has no limit and it does not matter how or where the injury occurred. Some homeowners purchase property coverage but do not purchase liability coverage, So there may or may not be coverage for your injury under the homeowners insurance policy. You will have to start a lawsuit and when you do (providing you were bitten by their animal or injured some other way) the lawyer or judge will find out the insurance information during something called disclosure and discovery. In the discovery process your attorney will learn if they have a homeowners insurance policy, if that policy has liability coverage and if the policy provides liability coverage for owned pets. If they do have and the policy has liability coverage and pet injuries are covered under the policy then you may receive a judgement. It would be much easier to just ask them first rather than have to sue first. Also bear in mind that an ACA compliant health insurance policy already covers such injuries.
Can you purchase a secondary health policy on yourself when you have small group coverage through your work?
Yes, but it can create problems with the claims. The coverage through your work will probably want your secondary policy to cover the claims first, then they will pick up what is left over. The problem is if your secondary health care policy wants your work coverage to pick up the tab first.
Do most long-term care policies have an unlimited benefit period?
Depending on the benefit period you choose, long-term care insurance companies offers lifetime benefit period also known as unlimited coverage. However, a long-term care insurance policy with unlimited coverage can be very expensive.
