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LSDefine

Simple English definitions for legal terms

preexisting condition

Read a random definition: certificat d'utilite

A quick definition of preexisting condition:

A preexisting condition is a health problem that someone had before they got insurance. If someone has a preexisting condition, their insurance might not cover treatment for that condition. It's like if you had a broken toy before you got a warranty, the warranty might not cover fixing the broken toy.

A more thorough explanation:

A preexisting condition is a physical or mental health condition that existed before the effective date of a medical insurance policy. If symptoms of the condition were present during the period before the policy was effective, coverage for later treatment for such a condition is usually excluded. For example, if someone has a history of heart disease and then buys a health insurance policy, any future treatment related to their heart disease may not be covered. Another example is if someone has a chronic illness like diabetes before buying a health insurance policy, any treatment related to their diabetes may not be covered. These examples illustrate how a preexisting condition can affect coverage under a medical insurance policy. Insurance companies may exclude coverage for preexisting conditions to avoid paying for treatment that was already needed before the policy was in effect. A preexisting condition is an important concept in the world of medical insurance. It is important for individuals to understand whether their medical conditions are considered preexisting before purchasing a policy. This can help them make informed decisions about their coverage and avoid unexpected medical bills.

preemption right | preexisting duty

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