Is diabetes considered pre-existing condition?

Asked by: Cruz Hill  |  Last update: July 7, 2023
Score: 4.3/5 (60 votes)

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.

Does diabetes count as a pre-existing condition?

A medical illness or injury that you have before you start a new health care plan may be considered a “pre-existing condition.” Conditions like diabetes, COPD, cancer, and sleep apnea, may be examples of pre-existing health conditions.

What is considered a preexisting condition?

As defined most simply, a pre-existing condition is any health condition that a person has prior to enrolling in health coverage. A pre-existing condition could be known to the person – for example, if she knows she is pregnant already.

What defines a pre-existing condition for health insurance?

Health insurance companies cannot refuse coverage 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.

What are pre-existing conditions exclusions?

The pre-existing condition exclusion period is a health insurance provision that limits or excludes benefits for a period of time. The determination is based on the policyholder having a medical condition prior to enrolling in a health plan.

What is a Pre existing Condition ?

32 related questions found

What is a 12 month pre-existing condition limitation?

The time period during which a health plan won't pay for care relating to a pre-existing condition. Under a job-based plan, this cannot exceed 12 months for a regular enrollee or 18 months for a late-enrollee.

Is High Cholesterol a pre-existing condition?

High cholesterol as diagnosed by a physician is considered to be a pre-existing condition by most - if not all - travel insurers.

What is the difference between existing and pre-existing?

A. You can use pre- in ways that are redundant, but it's a valid prefix, and preexisting has its own meaning. For instance, if you want to describe dinosaurs in relation to humans, existing doesn't work, but preexisting does.

Is high blood pressure considered a preexisting condition for travel insurance?

The quick answer to this question is: yes! You should always tell your insurer about your high blood pressure, even if it's being well-managed through medication. High blood pressure is considered to be a 'pre-existing medical condition' by insurers.

Is arthritis a pre-existing condition?

Arthritis is generally considered pre-existing medical condition. This doesn't necessarily mean you can't get travel insurance, but you do need to disclose your condition before you book your cover. With arthritis, you'll need to declare your specific type of arthritis whether it's osteo, rheumatoid, or psoriatic.

Are Kidney Stones considered a pre-existing condition?

Usually, kidney stones take approximately 3-4 months to form. This means that it would be considered a pre-existing condition for your plan since your coverage started only 2 days ago. Even if you didn't feel any pain before, the kidney stones have been forming for 3-4 months already.

Does the Affordable Care Act cover diabetes?

Thanks to the Affordable Care Act (ACA), health insurance companies in the United States cannot deny you health insurance coverage or discriminate against you in any way if you have a pre-existing condition, including type 1 diabetes, type 2 diabetes, and other chronic diseases.

What's another word for pre existing?

Pre-existing synonyms

Existing previously. Already in existence before (something else).

Can you be denied life insurance for high cholesterol?

Because high cholesterol can put you at risk for heart attacks and strokes, two of the leading causes of death in the U.S., insurance companies consider it a risk factor. If your cholesterol is particularly high, not well controlled with medication or if you have other health issues, you might even be denied coverage.

Is blood pressure covered in health insurance?

Regular health insurance may cover hospitalisation from hypertension subject to terms and conditions.

How far back does pre-existing condition last?

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'.

Can I get private health insurance with a pre-existing condition?

If you have pre-existing medical conditions, you can still get private health insurance. Please bear in mind that most policies restrict when they can pay to treat pre-existing conditions.

What is a 3/12 pre-existing condition?

* Coverage is written with a 3/12 pre-existing condition clause. This means that if an insured was treated for a medical condition 3 months prior to their effective date, it will not be covered unless the insured has been insured and still actively at work for 12 months.

Which diseases are covered in health insurance?

The following diseases are usually covered under major health insurance plans in India:
  • High Blood Pressure. ...
  • Cataract. ...
  • Heart Diseases. ...
  • Cancer. ...
  • Diabetes. ...
  • COVID-19. ...
  • HIV AIDS. ...
  • Critical Illnesses.

What is slow growing disease list in health insurance?

Waiting Periods for Specific Ailments/Procedures: There are certain listed ailments & procedures, such as ENT disorders, hernia, osteoporosis, joint replacement surgery, cataract, etc., for which health policies normally have a one or two years of waiting period.

How does diabetes affect health insurance?

Adults with diabetes cannot be kept from enrolling in a health plan because of their condition. The same is true for people with other chronic conditions. Health plans cannot charge premiums based on your health. This means plans can't increase your monthly premium simply because you have diabetes.

Is diabetes medication covered by insurance?

Federal Action

The ACA established that all insurance carriers selling federally Qualified Health Plans (QHP) must provide coverage for certain prescription drugs, prescription medical devices and medical examinations related to diabetes or diabetes prevention.