New Mexico Individual Notice of Preexisting Condition Exclusion

State:
Multi-State
Control #:
US-AHI-013
Format:
Word; 
Rich Text
Instant download

Description

This AHI form is an individual 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.

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.

Depending on your condition, you may be eligible for coverage, but with exclusions. This means that any services or items related to your pre-existing condition will be excluded under your plan, but all other eligible treatments for ailments not related to your condition will be covered.

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. They cannot limit benefits for that condition either.

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").

existing condition exclusion can not be longer than 12 months from your enrollment date (18 months for a late enrollee). existing condition exclusion that is applied to you must be reduced by the prior creditable coverage you have that was not interrupted by a significant break in coverage.

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New Mexico Individual Notice of Preexisting Condition Exclusion