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What Are Pre-Existing Conditions?

By Trisha Torrey, About.com

Updated October 13, 2008

Question: What Are Pre-Existing Conditions?
Answer:

A pre-existing condition is a health or medical problem an individual has before applying to be accepted into a health insurance plan.

Most insurance plans will deny insurance to someone who already has a track record of health challenges because they don't want to pay for known problems. Even if someone fails to mention a previous health problem on an application for health insurance, the insurer may uncover previous problems through the Medical Information Bureau.

Some insurers will conditionally accept a new customer by providing an exclusion period. You may be accepted, and pay for the insurance, but no care related to your pre-existing condition will be covered for a period of time which may range from six months to 18 months, depending on the policy and state regulations.

Pre-existing conditions are considered part of the conversation about healthcare reform since people who have health problems are excluded from access to a payment system.

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