Is a bad back a pre-existing medical condition?

Asked by: Edwina Mraz  |  Last update: August 15, 2023
Score: 4.7/5 (19 votes)

Whether it is a chronic back condition or a more acute issue, you can always add this to your policy at the time of submitting all of your details. Any condition that you have been formally diagnosed with prior to travel is considered to be a pre-existing medical condition.

Is back pain considered a pre-existing condition?

While the possibilities are almost limitless, some of the most common pre-existing injuries that might come into play in a personal injury claim include: previously broken bones. chronic back or neck issues. herniated disc.

What conditions are considered 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.

How far back is a pre-existing condition?

Most insurers count any condition you have had symptoms or treatment for in the past five years as pre-existing, even if it was diagnosed more than five years ago. But some insurers include any conditions you have had treatment for during the past three years or seven years.

What are pre-existing conditions exclusions?

Pre-existing Condition Exclusion. A limitation or exclusion of benefits for a condition based on the fact that you had the condition before your enrollment date in the group health plan.

Preexisting Degenerative Back Conditions in Personal Injury Claims

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What is a pre-existing condition in Canada?

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.

What is the 6 24 pre-existing condition exclusion?

A Pre-Existing Condition is excluded from coverage for period of [6-24] months following the Covered Person's Rider Effective Date. If the Covered Person is Diagnosed with a condition listed in this rider that is determined to be a Pre-Existing Condition, no benefit amount is payable for that listed condition.

What is a pre-existing condition if not diagnosed?

You don't need to have had a diagnosis for your symptoms to be considered pre-existing by your insurer. You may have gone for tests, scans or other investigations before you had health insurance and only received a diagnosis later.

Is a broken leg a pre-existing condition?

Pre-existing conditions can include serious illnesses, such as cancer. It can also include less serious conditions, such as a broken leg, and in some cases, even prescription drugs can count as a pre-existing condition. Pregnancy is considered a pre-existing condition.

Is pre-existing the same as already existing?

If something's preexisting, it was already there — it existed earlier. Someone might offer you a babysitting job, but if you have a preexisting agreement to watch your little brother that night, you'll have to turn it down.

What is an example of a pre-existing medical condition?

A health problem, like asthma, diabetes, or cancer, you had before the date that new health coverage starts. Insurance companies can't refuse to cover treatment for your pre-existing condition or charge you more.

What does 12 months for pre-existing conditions mean?

What is the Waiting Period for Pre-Existing Conditions? Under the Private Health Insurance Act 2007, a health insurer may impose a 12 month waiting period on benefits for hospital treatment for pre-existing conditions.

Does Canadian healthcare cover pre-existing conditions?

Many Canadians have some kind of pre-existing condition, such as diabetes, asthma or other manageable conditions that don't have a debilitating impact on their daily lives. Insurance is certainly available for anyone with this kind of condition.

Is back pain a physical disability?

The Social Security Administration has a section on 'Disorders of the Spine' in its Listing of Impairments, which is typically used to determine whether back pain is compensable. In order to be considered a 'disability,' your back pain must involve, among others, one of the following: Herniated discs. Compressed nerves.

Is back pain a long term health condition?

Back pain is considered chronic if it lasts three months or longer. It can come and go, often bringing temporary relief, followed by frustration. Dealing with chronic back pain can be especially trying if you don't know the cause.

Does back pain affect life insurance?

In most cases, chronic back pain does not significantly impact your eligibility for life insurance coverage. However, if the back pain is related to other medical conditions or complications, it may have more serious repercussions.

Is hip surgery a pre-existing condition?

Hip & Knee Replacement And Travel Insurance. Unless you meet the criteria below, hip & knee replacement is considered a pre-existing medical condition. This doesn't necessarily mean you can't get travel insurance, but you'll need to disclose your condition when you're booking your travel insurance.

Is knee pain considered pre-existing condition?

Pre-existing medical conditions are injuries or illnesses that predate a workplace accident (and were not in turn related to workplace activity). Pre-existing conditions can be obvious existing injuries such as herniated discs, broken bones, torn ligaments, knee injuries, back injuries, neck injuries, etc.

Is a joint replacement a pre-existing condition?

There are a number of other common health conditions that also would have qualified as a pre-existing condition. Pregnancy is classified as a pre-existing condition. Eating disorders are also pre-existing conditions, as is arthritis and even having had a knee replacement.

Is anxiety disorder a pre-existing condition?

However, insurance companies may have a specific list of conditions they consider as pre-existing, especially if you purchase outside the open enrollment periods. These typically include anxiety and mood disorders, personality disorders, psychotic disorders and other mental and behavioral conditions.

When were pre-existing conditions eliminated?

Before 2014, some insurance policies would not cover expenses due to pre-existing conditions. These exclusions by the insurance industry were meant to cope with adverse selection by potential customers. Such exclusions have been prohibited since January 1, 2014, by the Patient Protection and Affordable Care Act.

What is a 3 6 pre-existing condition limitation?

Example: A 3/6 pre-existing clause means that any disabling condition which the Insured received treatment during the 3 months immediately prior to the effective date of coverage is excluded. Once the Insured has been covered for 6 months the pre-existing clause no longer applies.

How long can pre-existing conditions be excluded from coverage for a given certificate holder under a small employer group health insurance plan?

A group health plan can apply a preexisting condition exclusion for no more than 12 months (18 months for a late enrollee) after an individual's enrollment date. Any preexisting condition exclusion must be reduced day-for-day by an individual's prior creditable coverage.

What is a stable pre-existing medical condition?

Generally, a pre-existing medical condition is considered STABLE, if there has been no change in medication (increase, decrease, stopping, new medications), no new symptoms, no new treatment or tests, new medical consultation or referral to a specialist, no hospitalization, no test results showing deterioration, no new ...

What illnesses affect life insurance?

Due to the added risk health problems create for insurers, some pre-existing conditions can raise your premium or even disqualify you entirely from certain types of life insurance. A few common examples of pre-existing conditions include high blood pressure, diabetes, cancer, and asthma.