Pre-existing condition refers to a health problem that existed before an individual obtains coverage through a health insurance company. Insurance companies have always bene very aware of their bottom line, realizing that those with serious medical conditions could generate extremely high costs that would influence their profits or make it difficult for other individuals to avoid coverage.
In the past, it was extremely difficult for individuals with pre-existing conditions to get the most out of their health insurance coverage. They might have tried to apply for coverage and discovered that the insurance company declined offering a plan at all because of a pre-existing condition or they might learn after a doctor or facility submitted documents for treatment that the company was attempting to deny benefits based on an alleged pre-existing condition.
Those who could get coverage often paid the price in high costs and high deductibles. Someone with diabetes, a health condition,or even asthma could be classified as having a pre-existing condition. Due to the fact that so many people were being denied benefits or coverage as a result of such conditions, the Affordable Care Act sought to prohibit insurance companies from denying coverage as a result of pre-existing conditions.
This became effective as of September 2010, starting with children (those under the age of 19). As of that date, children could no longer be denied access to a parent’s plan and companies were disbarred from insuring a child but denying treatments for a pre-existing condition. In 2014, this same rule became applicable for adults.
If you previously were denied coverage at an insurance company or were told you could not have certain treatments because they were linked to a pre-existing condition, this is good news for you. You will now be able to have a choice of health insurance companies on the marketplace that must provide options for you even if you have a pre-existing condition. Those who developed the Affordable Care Act feel that this is one of the greatest accomplishments of the law since it now gives coverage availability to a wide array of Americans who had previously been excluded.
New enrollment for 2015 begins in November of 2014. At this time, you will be able to explore coverage options and discover the best health insurance plan for you.