What is a pre-existing condition in pregnancy?
Asked by: Prof. Molly Goldner | Last update: April 14, 2025Score: 4.5/5 (5 votes)
What qualifies as a pre-existing condition?
Any condition (either physical or mental) including a disability for which medical advice, diagnosis, care, or treatment was recommended or received within the 6-month period ending on your enrollment date in a health insurance plan.
How long ago 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'.
What is the most common pregnancy complication?
- High Blood Pressure. ...
- Gestational Diabetes. ...
- Infections. ...
- Preeclampsia. ...
- Preterm Labor. ...
- Depression & Anxiety. ...
- Pregnancy Loss/Miscarriage. ...
- Stillbirth.
What is the 12 month waiting period for pre-existing conditions?
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.
High Risk Pregnancy Preexisting Conditions
Can pregnancy be a pre-existing condition?
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 counts as a pre-existing medical condition?
You may have gone for tests, scans or other investigations before you had health insurance and only received a diagnosis later. It applies to any medical condition that you saw your doctor about the five years before the start date on your health insurance.
What are 5 warning signs of a possible problem during pregnancy?
- Diarrhea, nausea, or vomiting.
- Severe belly pain.
- Severe back pain.
- Trouble urinating or changes in your urination.
- Vaginal discharge that smells bad.
What is the average weight gain during pregnancy?
Weight gain in pregnancy varies greatly. Most pregnant women gain between 10kg and 12.5kg (22lb to 28lb), putting on most of the weight after week 20. Much of the extra weight is due to your baby growing, but your body will also be storing fat, ready to make breast milk after your baby is born.
What counts as pregnancy-related illness?
Pregnancy related sickness is any medical condition or illness that is directly related to being pregnant, for instance morning sickness, extreme exhaustion, sciatica and pre-eclampsia.
What does 12 months for pre-existing mean?
What does this mean for me? If your condition has been deemed as pre-existing by our medical practitioner, you'll need to serve the 12-month waiting period (or the remaining part of the period if you have served some of it with your previous fund) before you can claim for the service or treatment.
How far back does pre-existing condition last?
A group health plan can count as pre-existing conditions only those conditions for which you actually received (or were recommended to receive) a diagnosis, treatment or medical advice within the 6 months immediately before you joined that plan. This period is known as the “look back” period.
Can preexisting conditions be denied?
Coverage for pre-existing conditions
No insurance plan can reject you, charge you more, or refuse to pay for essential health benefits for any condition you had before your coverage started. Once you're enrolled, the plan can't deny you coverage or raise your rates based only on your health.
Can you switch insurance while pregnant?
You're generally not allowed to change plans until the Open Enrollment Period. No matter when your child is born, report their birth to the Marketplace by updating your application as soon as possible. Your coverage options and potential savings may change as a result.
Is pregnancy a pre-existing condition for hospital indemnity?
Is pregnancy a pre-existing condition? Hospital indemnity plans pay benefits based on admission and days hospitalized, even during pregnancy and childbirth. Some hospital indemnity insurance policies may consider pregnancy a pre-existing condition with waiting periods.
Is pregnancy a medical condition for insurance?
Again, pregnancy isn't considered a separate medical condition, so you will be covered while you're expecting.
Which trimester do you gain the most weight?
Studies suggest an average gain of approximately 0.45 kg (1 lb) per week during the second trimester and a slightly lower gain of about 0.40 kg (0.9 lb) per week during the third trimester. These ranges pertain to normal pregnancies of women with various maternal ages, heights, and prepregnancy weights for height.
How much weight do you lose immediately after giving birth?
Weight loss right after you give birth – Once your baby has been delivered (along with the placenta and amniotic fluid), most women lose an average of 10-13 pounds. First week after delivery – You'll probably continue losing weight as your body gets rid of retained fluids.
What are the signs of an unhealthy fetus?
- Protein levels from a blood test that are higher or lower than expected.
- Extra fluid behind a fetus' neck during an ultrasound.
- Structural abnormalities of a fetus' internal organs, like the heart, during a fetal echocardiogram.
What makes a baby beautiful in the womb?
Certain nutrients, such as vitamins A, C, and E, folic acid tablets, omega-3 fatty acids, and antioxidants, are particularly beneficial for promoting healthy skin development and fair complexion for the baby during pregnancy.
Does belly dropping mean labor soon?
As their due date approaches, many pregnant people start to wonder when their baby will "drop," settling lower into the pelvis. This process, sometimes called “lightening,” is an important milestone that signals labor is near. It typically happens in the last few weeks of pregnancy, though not everyone will notice it.
What is an example of a pre-existing condition?
Insurers generally define what constitutes a pre-existing condition. Some are obvious, like currently having heart disease or cancer. Others are less so – such has having asthma or high blood pressure.
How long is something considered a pre-existing condition?
The length of time before the start date of coverage during which a condition would be considered pre-existing varies, and can be anywhere from 30 days to 6 months or longer.
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.