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Pre-existing condition exclusions were prohibited for HIPAA-eligible individuals (those with 18 months continuous coverage unbroken for no more than 63 days and coming from a group health insurance plan). Individual (non-group) health insurance plans could exclude maternity coverage for a pre-existing condition of pregnancy. [2]
The Pre-existing Condition Insurance Plan (PCIP) was a form of health insurance coverage offered to uninsured Americans who were unable to obtain coverage because of a pre-existing condition. These provided coverage to as many as 350,000 people to fill the gap until the Affordable Care Act went into effect in 2014.
Critics of medical underwriting believe that it unfairly prevents people with relatively minor and treatable pre-existing conditions from obtaining health insurance. [45] One large industry survey found that 13% of applicants for individual health insurance who went through medical underwriting were denied coverage in 2004.
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Consider treatment costs for the pre-existing condition, policy coverage, potential future health issues and alternative financing. Assess expenses vs. premiums and how these relate to your budget.
However, an insurance company could deny you a Medigap policy after the initial enrollment period because of a prior medical condition, such as diabetes or asthma. If you sign up for Original ...
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