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Pre-Existing Condition - Health Insurance Definition

A Pre-existing Condition is any recurring illness or ailment that you’ve been treated for over a specific period of time. The timeframe varies from one insurance provider to the next, so be certain that you know the policy before you commit to a particular insurance policy.

The significance is that an insurance company may decline to pay claims made on any illness or medical care related to a pre-existing condition. As the consumer, it may seem unfair. As the insurance company, it’s a necessary protection. Consider the person who has not felt they could afford health insurance over the course of his adult life. Doctor’s visits have been rare and check-ups even more so. Then the person begins having headaches and discovers that he has a rare - but highly treatable - brain tumor. It wouldn’t be fair for that person to being paying premiums a month before the insurance company is forced to pay for an expensive operation.

The typical pre-existing conditions are much less dramatic and may include anything from cancer to pneumonia. Having a pre-existing illness doesn’t necessarily mean that you can’t get insurance at all, only that your insurance won’t pay for things that have been ongoing in the months or years prior to taking out the policy. Ask your broker about the pre-existing policy for any insurance package you’re considering.
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