What is long term pre-existing?

Asked by: Raegan Wunsch  |  Last update: December 13, 2023
Score: 4.8/5 (20 votes)

A long-term care insurance policy usually defines a pre-existing condition as one for which you received medical advice or treatment or had symptoms within a certain period before you applied for the policy. Some companies look further back in time than others.

What is a long-term 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, chronic obstructive pulmonary disease (COPD), cancer, and sleep apnea, may be examples of pre-existing health conditions. They tend to be chronic or long-term.

What is considered pre-existing?

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.

How long does pre-existing last?

The same goes for individual insurance purchased through a state or the federal health marketplace. Should a non-ACA-compliant plan still exclude pre-existing conditions, in most cases, it can only do so for a certain period—12 or 18 months, depending on when you enrolled.

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.

Long Term Care: Pre-Existing Conditions

45 related questions found

What happens if you have pre-existing conditions?

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. They also can't charge women more than men.

How do you know if a condition is pre-existing?

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.

Can you be denied insurance for pre-existing condition?

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.

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 the look back period for pre-existing conditions?

What is a pre-existing medical condition? These 60 to 180 days prior to purchase are known as a lookback period and indicate the number of days an insurance company is allowed to look back at your medical records to determine if your claim is related to a pre-existing medical condition.

Is high blood pressure a pre-existing condition?

High blood pressure (also called hypertension) is a common pre-existing medical condition, and can be covered by your policy - but you need to meet the conditions below.

Is high cholesterol a pre-existing condition?

High cholesterol as diagnosed by a physician is considered to be a pre-existing medical condition by most - if not all - travel insurers. Ensure you tell your insurer about any pre-existing medical conditions before you take out the policy.

Is arthritis a pre-existing condition?

Rheumatoid Arthritis (RA) is a pre-existing medical condition defined as a chronic inflammatory disorder whereby one's own immune system actively attacks one's own tissues.

What are examples of long term condition?

Long term health conditions can include:
  • diabetes.
  • chronic obstructive pulmonary disease.
  • arthritis.
  • hypertension.
  • autism.
  • epilepsy.
  • autoimmune disorders (for example lupus, Sjögrens syndrome)
  • blood disorders.

What defines a long term condition?

Long-term conditions or chronic diseases are conditions for which there is currently no cure, and which are managed with drugs and other treatment, for example: diabetes, chronic obstructive pulmonary disease, arthritis and hypertension.

Does a pre-existing condition affect long term disability?

As a cost-savings mechanism, most long-term disability plans exclude pre-existing conditions. While the definition will vary from plan to plan, pre-existing conditions usually include any chronic physical, mental, or emotional condition that you have been treated for shortly before you obtained coverage.

Is pre existing redundant?

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.

How do you use pre-existing condition in a sentence?

Individual (non-group) health insurance plans could exclude maternity coverage for a pre-existing condition of pregnancy. An estimated 5 million of those without health insurance are considered uninsurable because of pre-existing conditions.

What is the longest period of time an insurer may exclude coverage for pre existing conditions in an LTC policy?

Policies covering long term care services may not contain a preexisting condition limitation of more than six months after the effective date of coverage.

Can insurance companies deny coverage?

A car insurance company can deny coverage for almost any reason. An insurer might deny coverage to a driver who it believes poses a higher risk and is more likely to file a claim.

Can insurance deny surgery because you smoke?

That's a fantastic question. Currently, insurance companies do not take smoking status into consideration when choosing to approve or deny joint replacement surgeries.

Can health insurance drop you?

Insurers can rescind your policy if you intentionally misrepresent material facts on your application. Insurers can cancel your policy if you do not pay your premium. However, you have a 30 day grace period before insurers can cancel your policy.

What does already existing mean?

also preexisting. adjective [ADJECTIVE noun] A pre-existing situation or thing exists already or existed before something else. ... the pre-existing tensions between the two countries.

Which policy covers pre-existing diseases from day 1?

List of Health Insurance Plans Covering Pre-existing Diseases from Day 1
  • Aditya Birla Activ Health Platinum Essential Plan. ...
  • Aditya Birla Activ Health Platinum Enhanced Plan. ...
  • Star Diabetes Safe Insurance Plan. ...
  • Care Supreme Plan with Instant Cover. ...
  • Niva Bupa ReAssure 2.0 Plan with Smart Health+ ...
  • Universal Sompo A Plus Plan.