What Is Pre-existing Condition?
A medical condition that existed before the effective date of a health insurance policy, which may affect coverage eligibility or benefit waiting periods.
Pre-existing Condition across 2 exams
Pre-existing Condition appears on the following exams. Each defines it in the context candidates are tested on:
- Health Insurance
- A medical condition that existed before the effective date of a health insurance policy, which may affect coverage eligibility or benefit waiting periods.
- Health-Only Insurance
- A medical condition that existed before the insured enrolled in a health insurance policy. Insurers may exclude or limit coverage for such conditions during a waiting period, though federal law restricts how they can be treated.