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== == According to BCBS, if you are still under a doctor's care for a condition and have not been released, it counts as a pre-existing condition. That is what I have found out during my search. What insurance company do you go through? Most places won't cover pre-existing conditions for 12 months! More accurately, look at the definition of pre-existing conditions in the policy disclousures. Typical language will say some like: any condition for which you received care or treatment for the past (generally 6 or 12 months) will not be covered for the first (generally 6 or 12 months). So if you had cancer but have been treatment free for several years, in many cases it will not be considered a pre-ex. The language in most plans is pretty specific so please read it carefully.
Wiki User
∙ 15y ago
Wiki User
∙ 16y agoA preexisting condition refers to a medical condition that you had before you applied for new medical health care.
Let's say you got a new job that had health care benefits that you would receive after thirty days on the job. For example, if you had already been diagnosed with Diabetes, high blood pressure, back injuries, ulcers or Cancer and they didn't find these out during your pre-job physical (in which case, they probably wouldn't have hired you), these are considered preexisting illnesses, and the insurance company can refuse to treat these diseases or they can make you pay full price for you prescriptions and they can make you wait up to nine months before they will pay for the treatments of these illnesses. This is the case also if you are disabled and unemployed and you apply for health insurance and you don't qualify for SSI, they can make you wait for up to nine months before paying for the treatments for your major illnesses.
Wiki User
∙ 10y agoA pre-existing condition means a condition that has existed already. For example, you try to purchase life insurance and you have cancer. The insurance policy may deny coverage for medications or treatments as the cancer existed prior to the purchase of the policy.
Wiki User
∙ 14y agoFor example a claim for a doctor visit for hypertension would cause us to request the onset date ... a claim for a hospital stay for a heart attack would just pay.
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Is a dislocated shoulder a preexisting condition?
If your shoulder commonly comes out of its socket, then it is a preexisting condition. If it is the first time you have dislocated your shoulder or if you have never dislocated your shoulder, then it is not a preexisting condition.
Does there have to be a diagnosis to be considered a preexisting condition?
According to my insurance company if you have seen a doctor about the condition it is preexisting.
Is having a heart cathetor test considered pre existing condition?
Tests, of any kind, are not included in the definition of preexisting condition. You have to be given a definitive diagnosis from that testing in order to have a preexisting condition. If by having a heart cath test, it was determined that you did not need to have one placed, then you do not have a preexisting condition. For example, you may have an MRI/CAT Scan and then a PET Scan to determine if you have cancer, but if they find you do not have cancer, then you are not diagnosed with a condition, therefore cannot considered preexisting. I should add that, generally if a Dr. wants to evaluate for a heart cath, then you currently have or have had issues with your heart in the past. This may be something like a high percentage blockage, irregular heart beat, thickening of the lining around your heart, etc. This would be considered a preexisting condition and future insurance companies may determine that any intervention needed on your heart would be preexisting. However, insurance companies usually have a preexisting time frame (generally 12 or 24 months) in which a condition is no longer consider preexisting. For example, if you were diagnosed with a heart condition 13 months ago and the insurance company you are planning on joining policy is a 12-month limit on pre-existing conditions, then you are in the clear and the preexisting condition clause does not apply to you.
Is prematurity considered a preexisting condition?
yes
Coding a condition as primary when the majority of the treatment is for a preexisting condition?
illegal
Would a complete knee replacement be preexisting condition?
Yes. In order to have a knee replacement done you must first have a significant amount of damage to the knee joint. That is your preexisting condition. The knee replacement itself was done to replace the damaged joint and may or may not be considered a preexisting condition.
Is preexisting the correct spelling?
"Preexisting" : a condition or state which preceded another. (sometimes appears hyphenated as 'pre-existing') A "preexisting condition" : A status for medical afflictions that were already affecting a patient before the beginning of the current (or future) medical coverage or treatment.
Is prostate cancer considered a preexisting condition?
If you try to get health insurance and you have cancer, it is considered a preexisting condition.
What is the medical term meaning preexisting medical condition?
status preexista status praesens ( is the present state, condition)
Does a preexisting condition matter with no exam life insurance?
You will have to fill out a questioneer and disclose your condition. Your prexisting conditions do indeed matter.
What factors determine eligibility for workman's compensation after aggravating a preexisting condition?
I believe you can re-open the claim up to 17 years. For links and information on Worker's Comp in Calif see http://www.steveshorr.com/workers.comp.htm
If a patient is diagnosed with a disease before the effective date of the insurance plan is?
preexisting condition
