Pre-existing Condition

  • A pre-existing condition is a medical condition that an individual has before he or she obtains health insurance
  • A question that often arises within the context of a pre-existing condition is: How is the condition like this going to affect my health care coverage?
  • There is no simple answer; a pre-existing condition may result in:
    • The denial of any health care insurance coverage for the individual by the insurance company
    • A refusal to provide coverage for that specific pre-existing medical condition for 9 - 12 months
    • No effect on an individual's coverage
  • Health care reforms currently being proposed will prohibit insurance companies from discriminating against individuals with pre-existing conditions