Georgia General Notice of Preexisting Condition Exclusion

State:
Multi-State
Control #:
US-AHI-012
Format:
Word
Instant download

Description

This AHI form is a general notice regarding preexisting condition exclusions under the group health plan.

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FAQ

A health problem, like asthma, diabetes, or cancer, you had before the date that new health coverage starts. Insurance companies can't refuse to cover treatment for your pre-existing condition or charge you more.

It limits the time a new employer plan can exclude the pre-existing condition from being covered. An employer health plan can avoid covering costs of medical care for a pre-existing condition for no more than 12 months after the person is accepted into the plan.

Health insurers can no longer charge more or deny coverage to you or your child because of a pre-existing health condition like asthma, diabetes, or cancer, as well as pregnancy.

Today, insurers cannot deny coverage to somebody based on pre-existing conditions, nor charge more. A pre-existing condition is any health problem or ailment that was previously diagnosed at the time of applying for coverage.

Health insurance companies cannot refuse coverage or charge you more just because you have a pre-existing condition that is, a health problem you had before the date that new health coverage starts.

Clinical Nurse Specialist, Kay Greveson, explains: A pre-existing medical condition can be affected by changes in temperature and climate and should always be declared, even if it is being controlled by medication.

The time period during which an individual policy won't pay for care relating to a pre-existing condition. Under an individual policy, conditions may be excluded permanently (known as an "exclusionary rider").

The time period during which a health plan won't pay for care relating to a pre-existing condition. Under a job-based plan, this cannot exceed 12 months for a regular enrollee or 18 months for a late-enrollee.

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Georgia General Notice of Preexisting Condition Exclusion