Pre-Existing Condition Limitation. No exclusions/limitations for hospitalization, surgery, or inpatient hospital care. However, under Major Medical there is a three month (3) exclusion/limitation for charges associated with pre-existing conditions. Under organ transplant there is a seven month (7) exclusion/limitation for charges associated with pre-existing conditions.
Pre-Existing Condition Limitation. With respect to coverage, a limitation or exclusion of benefits relating to a condition based on the fact that the condition was present before the Enrollment Date, whether or not any medical advice, diagnosis, care, or treatment was recommended or received before that date. Genetic information will not be treated as a Pre-Existing Condition in the absence of a diagnosis of the condition related to that information. PRESCRIPTION DRUGS. Drugs, biologicals and compound prescriptions which are sold only by prescription and which are required to show on the manufacturer's label the words: "Caution - Federal Law Prohibits Dispensing Without a Prescription" or other drugs and devices as Determined by Us, such as insulin. But We only cover drugs which are: approved for treatment of the [Member's] Illness or Injury by the Food and Drug Administration; approved by the Food and Drug Administration for the treatment of a particular diagnosis or condition other than the [Member's] and recognized as appropriate medical treatment for the [Member's] diagnosis or condition in one or more of the following established reference compendia: The American Hospital Formulary Service Drug Information; The United States Pharmacopeia Drug Information; or
Pre-Existing Condition Limitation. Buyer shall provide --------------------------------- Transferred Business Employees with credit under Buyer's Medical Plan pre-existing condition limitation for time spent on Seller's Medical Plan.
Pre-Existing Condition Limitation. Subject to all other terms and conditions of the policy, benefits shall be payable for or on account of any disability commencing after the effective date of an employee's insurance under this policy, provided that: For a disability that is caused or contributed to by, or is a consequence of, a sickness or injury for which the employee has received medical treatment or services or has taken a prescribed drug or drugs or medicine at any time before the effective date of insurance, benefits are only payable to that employee:
Pre-Existing Condition Limitation. The benefits stated in this Section will not be provided with respect to any pre-existing condition until after the expiration of at least six (6) consecutive months from the Effective Date of this Agreement. “
