Preexisting condition exclusion definition

Preexisting condition exclusion means, with respect to coverage, a limitation or exclusion of

Preexisting condition exclusion means, 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 date of enrollment for such coverage, whether or not any medical advice, diagnosis, care, or treatment was recommended or received before such date. Genetic information shall not be treated as a preexisting condition in the absence of a diagnosis of the condition related to such information.

Preexisting condition exclusion means any limitation or exclusion of benefits,

Examples of Preexisting condition exclusion in a sentence

• The date stated in the notice shall be the date on which the independent review procedure under this section begins operating with respect to adverse determinations and experimental treatment determina- tions.(b) Preexisting condition exclusion denials and rescissions.

• Preexisting condition exclusion means a limitation or exclusion of benefitsrelating to a condition based on the fact that the condition was present beforethe first day of coverage, whether or not any medical advice, diagnosis, care, or treatment was recommended or received before that day.

• Preexisting condition exclusion," with respect to coverage, means a limitation or exclusion of benefits relating to a condition based on the fact or perception that the condition was present, or that the person was at particularized risk of developing the condition, before the date of enrollment for coverage, whether or not any medical advice, diagnosis, care or treatment was recommended or received before that date.[PL 2001, c.

• However, the Pre-existing condition exclusion does apply if an individual is diagnosed with a condition, as described above, even if the condition relates to genetic information.

• For thesepurposes, any plan amendment madeunder a collective bargaining agreement relating to the plan, that amends theplan solely to conform to anyrequirement of such part, is not treated as a termination of the collectivebargaining agreement.(3) Preexisting condition exclusion periods for current employees.

More Definitions of Preexisting condition exclusion

Preexisting condition exclusion means a limitation or exclusion of benefits, including a denial of

Preexisting condition exclusion means, with respect to

Preexisting condition exclusion means, with respect to health insurance

Preexisting condition exclusion means, with respect to health insurance coverage, a limitation or exclusion of benefits relating to a condition based on the fact that the condition was present before the date of enrollment for such coverage, whether or not any medical advice, diagnosis, care, or treatment was recommended or received before such date. A preexisting condition exclusion includes any exclusion applicable to an individual as a result of information that is obtained relating to an individual’s health status before the individual’s first day of coverage, such as a condition identified as a result of a preenrollment questionnaire or physical examination given to the individual, or review of medical records relating to the preenrollment period.

Preexisting condition exclusion means a limitation or exclusion of benefits relating to a condition based on the fact that the condition was present before the effective date of coverage, whether or not any medical advice, diagnosis, care, or treatment was recommended or received before such date.

Preexisting condition exclusion means, with respect to coverage, a limitation or exclusion of benefits relating to a condi- tion of an individual that existed before the individual’s date of enrollment for coverage.

Preexisting condition exclusion means a limitation or exclusion of benefits, including a denial of coverage, based on the fact that the condition was present before the effective date of coverage, or if the coverage is denied, the date of denial, whether or not any medical advice, diagnosis, care, or treatment was recommended or received before the effective date of coverage. "Preexisting condition exclusion" also includes a condition identified as a result of a pre-enrollment questionnaire or physical examination given to an individual, or review of medical records relating to the pre-enrollment period.