Yes, the lapse must be less than 63 days. For CA Small Group Reform at see
Preexisting medical conditions.
Tests, of any kind, are not included in the definition of preexisting condition. You have to be given a definitive diagnosis from that testing in order to have a preexisting condition. If by having a heart cath test, it was determined that you did not need to have one placed, then you do not have a preexisting condition. For example, you may have an MRI/CAT Scan and then a PET Scan to determine if you have cancer, but if they find you do not have cancer, then you are not diagnosed with a condition, therefore cannot considered preexisting. I should add that, generally if a Dr. wants to evaluate for a heart cath, then you currently have or have had issues with your heart in the past. This may be something like a high percentage blockage, irregular heart beat, thickening of the lining around your heart, etc. This would be considered a preexisting condition and future insurance companies may determine that any intervention needed on your heart would be preexisting. However, insurance companies usually have a preexisting time frame (generally 12 or 24 months) in which a condition is no longer consider preexisting. For example, if you were diagnosed with a heart condition 13 months ago and the insurance company you are planning on joining policy is a 12-month limit on pre-existing conditions, then you are in the clear and the preexisting condition clause does not apply to you.
I think most insurance companies would consider this a pre-ex. It is still a required procedure for treatment of a medical condition. What they extend the pre-ex clause to in terms of what they will or will not pay for is likely unique to the individual carrier and their guidelines.
For individual insurance, yes. You may be subject to exclusion of that condition, uprating, or even denial of coverage. For group coverage you have 63 days to obtain new coverage. For more details use this link. http://mtnhealthinsurance.com/index.php?pageName=sec300gg Don http://mtnhealthinsurance.com
Yes, it will be pre-existing. Probably what will happen is the insurance comapny will place a "rider" on your back. The rider will exclude coverage for any condition related to your back, and may even list specific areas of the back that would not be covered for any future complications. Some companies will still pay for the medication (if any).
A pre existing limitation is a medical condition that prevents you from receiving health benefits or insurance benefits. Insurance companies consider this before granting insurance or benefits.
Yes, unless your health condition is expected to be fatal in the next few years. However, if the condition shortens life span, your insurance rate will be higher. You could also consider life insurance through work or a mortgage payoff life insurance, which you can qualify for even if term life insurance is out of reach.
Yes. It's a pre-existing condition. But it can be conditional. If for example you have hyperhtyroidism but was treated and it never reoccurred (you were not treated for it) for at least 6 months prior to enrolling for a health insurance, then the insurer won't consider it a pre-existing condition.
Very good question! Unfortunately, if the Settlement is already executed and money paid, there is nothing you can do. The only time you can possibly do anything is while the vehicle is being repaired and more damage (s) is discovered. Then you gat a Suplemental estimate, which the Insurance co. may consider.
NO! If you are having any trouble with group insurance and a pregnancy not being covered, contact your insurance commissioner's office IMMEDIATELY! Here's the deal: Under HIPAA (Health Insurance Portability & Accountability Act of 1996) GROUP insurance plans CANNOT by law consider pregnancy pre-existing. For example, if your husband is working at a job for several years, and has never added you to their group insurance plan and then you find out you are pregnant, the plan MUST allow you to be covered during their open enrollment. If they do not, CALL THE INSURANCE COMMISSIONER! REFERENCE: "Moreover, under HIPAA, preexisting condition exclusions cannot be applied to pregnancy, regardless of whether the woman had previous health coverage." from http://www.dol.gov/ebsa/faqs/faq_consumer_hipaa.html However, if you are on an individual health plan, this is all out the window. Be prepared for the insurance company to fight like mad if you've bought the plan within the last 12 months, they will attempt to get out of covering everything. Don't be afraid to contact your insurance commissioner and file complaints, it will lead to you getting what you deserve via the law, you are protected by it, so take advantage!
Yes it is, still pre-existing, even if it wasnt to your knowledge. HIPAA is the law. Best chances for HIPAA to apply are if you go from a group plan to a group plan. Evidentally, individual to group and nothing to group are loop holes, so they can probably get out of it, or make you wait a certain amount of time. According to a Federal law that I found on the internet, GROUP health insurance cannot consider pregnancy a pre-existing condition if they currently have maternity coverage. However, this law does not apply to INDIVIDUAL health insurance. So, if you've changed jobs, and you now have a GROUP health insurance plan, then there is a good chance that you may be covered. I just recently got individual insurance through BCBS and I was pregnant and did not know when I requested maternity coverage. BCBS policy says that pregnancy can not be considered a pre-existing condition and their definition of a pre-exisiting condition is a condition that you can been receiving treatment and/or professional advice and help for for 6 months or more before opting for coverage. Also, they say that except for pregnancy all pre-exisiting conditions require a 180 day waiting period.
Though many consider it necessary to have all types of insurance, it can be costly, and most likely you will never need it. When thinking about buying accidental death insurance, consider the need for it.