How many Americans have pre-existing health conditions?

Asked by: Audie Friesen  |  Last update: September 10, 2025
Score: 4.3/5 (69 votes)

A pre-existing condition is a health diagnosis that exists before someone tries to enroll in a new health insurance policy. Previous research estimated that nearly 27% of US adults aged 18 to 64 years had a declinable (ie, pre-existing) condition.

What percentage of Americans have a pre-existing condition?

Introduction. According to a new analysis by the Department of Health and Human Services, 50 to 129 million (19 to 50 percent of) non-elderly Americans have some type of pre-existing health condition. Up to one in five non-elderly Americans with a pre-existing condition – 25 million individuals – is uninsured.

Are pre-existing conditions a thing anymore?

Health insurers can no longer charge more or deny coverage to you or your child because of a pre-existing health condition like asthma, diabetes, or cancer, as well as pregnancy. They cannot limit benefits for that condition either.

What are the most common pre-existing conditions?

What are some examples of pre-existing health conditions? Chronic illnesses and medical conditions, including many forms of cancer, diabetes, lupus, epilepsy, and depression may be considered pre-existing conditions. Pregnancy before enrollment is also considered pre-existing and chronic.

What percentage of US population has no health insurance?

The Share of Americans Without Health Insurance in 2023 Remained Low. In 2023, 26 million people — or 8 percent of the population — were uninsured, according to a report in September 2024 from the Census Bureau.

These common medical conditions are considered 'preexisting'

42 related questions found

What happens in America if you can't afford healthcare?

Americans are no longer taxed for not carrying health insurance. Medical debt contributes to a large number of bankruptcies in America. Access to quality primary care is critical, but doctors have the right to refuse patients without insurance or who are able to pay out-of-pocket expenses.

Does over 90% of the United States population have health insurance coverage?

In 2022, most people (92.1 percent) had health insurance coverage at some point during the calendar year (Table 1 and Figure 1).

How far back is a pre-existing condition?

A pre-existing medical condition is a disease, illness or injury for which you have received medication, advice or treatment or had any symptoms (whether the condition has been diagnosed or not) in the five years before your joining date. Health insurance doesn't usually cover 'pre-existing conditions'.

Is GERD a pre-existing condition?

It may, as GERD is considered a pre-existing condition and could potentially lead to higher premiums or difficulty finding coverage. However, each insurance company has their own underwriting guidelines and some may not consider GERD to be a significant risk factor.

Can I get life insurance with a pre-existing condition?

Pre-existing conditions don't automatically disqualify you from life insurance. Specialized life insurance policies cater to individuals with health concerns. Honesty about your health history in the application process is crucial. The severity of your condition significantly impacts policy options and costs.

How far back do insurance companies look for pre-existing conditions?

To determine if a condition is pre-existing, insurers examine medical history, treatment records, and diagnosis reports. They may use “look-back periods,” which are specific timeframes—typically six months to a year before coverage begins—to review medical history.

Is anxiety a pre-existing condition?

In the health insurance world, a pre-existing condition is any injury, sickness or condition that exists before the date an insurance policy takes effect. Examples include asthma, diabetes, anxiety, depression, high blood pressure, high cholesterol and so on.

Is high blood pressure considered a pre-existing condition?

A pre-existing condition can be something as common as high blood pressure or allergies, or as serious as cancer, type 2 diabetes, or asthma—chronic health problems that affect a large portion of the population.

Can Medicare deny coverage for preexisting conditions?

Does Medicare Advantage cover preexisting conditions? Yes. Medicare Advantage (MA) plans won't reject your enrollment if you have a preexisting condition. But since MA plans are offered by private insurance companies, coverage levels and costs can vary from company to company.

What percentage of Americans have underlying health conditions?

Overall, 56.0% (95% CI 55.7%–56.4%) of respondents had >1 underlying conditions using the updated definition, compared with 45.4% using the previous definition, an increase of 23% over the previous rate.

What percentage of Americans have life insurance?

In 2023, 52 percent of Americans owned life insurance, up from 50 percent in 2022.

How long does it take for GERD to turn into Barrett's esophagus?

Scientists don't completely understand why Barrett's esophagus occurs, but it seems to relate to chronic irritation or injury inside your esophagus. It may be a result of constant cellular repair. Most people who develop Barrett's esophagus have had gastroesophageal reflux disease (GERD) for at least 10 years.

How do you flush acid out of your stomach?

Foods That Neutralize Stomach Acid
  1. Ginger. Research has shown that ginger contains compounds, such as gingerol and shogaol, which have anti-inflammatory effects. ...
  2. Gum. Chewing gum in moderation can ease heartburn. ...
  3. High-Fiber Foods. ...
  4. Honey. ...
  5. Lean Protein. ...
  6. Low-Fat and Nonfat Dairy Products. ...
  7. Non-Citrus Fruits. ...
  8. Vegetables.

Is GERD overdiagnosed?

Gastroesophageal reflux disease (GERD) is commonly managed in both primary and secondary care settings, as this condition occurs in patients of all ages and has a wide variety of clinical presentations. However, evidence suggests that GERD is commonly overdiagnosed and overtreated.

Do insurance companies still consider pre-existing conditions?

Yes. Under the Affordable Care Act, health insurance companies can't refuse to cover you or charge you more just because you have a “pre-existing condition” — that is, a health problem you had before the date that new health coverage starts.

Is high cholesterol a pre-existing condition?

Does high cholesterol count as a pre-existing medical condition? Yes. High cholesterol is considered a pre-existing medical condition by insurance companies, along with similar conditions like high blood pressure.

Does life cover pre-existing conditions?

Yes, you can still get life insurance with existing medical conditions. It may cost more, depending on the health issues you have. Insurers are likely to view people with pre-existing conditions as higher risk when providing cover.

What percentage of people get health insurance through their employer?

In small firms, the nine states whose share was above the national average were: California (55%); Hawaii (90.6%); Illinois (55.8%); Maryland (57.3%); New Jersey (56.8%); New York (56.1%); Oklahoma (58.5%); Pennsylvania (56.3%); and Rhode Island (57.2%).

How many Americans have medical debt?

According to the CFPB, 100 million Americans owe $220 billion in medical debt. George told me that medical debt has had several devastating impacts on his life: Inability to borrow money for a mortgage or a car.