Virgin Islands 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

What is a pre-existing condition? A pre-existing condition is a medical condition that has been diagnosed prior to starting insurance coverage. While health insurance companies can no longer refuse to cover treatment or raise rates for pre-existing conditions, no such law exists for life insurance carriers.

Conditions for Exclusion HIPAA did allow insurers to refuse to cover pre-existing medical conditions for up to the first 12 months after enrollment, or 18 months in the case of late enrollment.

Coverage for the pre-existing condition can be excluded if the condition was treated or diagnosed within 6 months before the coverage starts under the Medigap policy. After this 6-month period, the Medigap policy will cover the condition that was excluded.

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.

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.

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.

Yes. Under the Affordable Care Act, health insurance companies can't refuse to cover you 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.

Insurance companies cannot deny you health coverage based on a pre-existing condition, including pregnancy. It is also illegal for them to charge more money for your plan just because of a pre-existing issue.

All pre-existing conditions need to be declared on your policy. This may help you to avoid large medical bills if you need treatment in another country. Failure to disclose any pre-existing medical conditions may affect the validity of your policy should you need to claim.

Yes. Under the Affordable Care Act, health insurance companies can't refuse to cover you 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.

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Virgin Islands General Notice of Preexisting Condition Exclusion