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Does there have to be a diagnosis to be considered a preexisting condition?
According to my insurance company if you have seen a doctor about the condition it is preexisting.
Is prematurity considered a preexisting condition?
yes
Is tonsilitis a preexisting condition?
Yes, tonsillitis can be considered a preexisting condition if a person had the condition before seeking medical insurance or treatment. Insurers may classify it as such when assessing coverage or premiums.
Is prostate cancer considered a preexisting condition?
If you try to get health insurance and you have cancer, it is considered a preexisting condition.
Would a complete knee replacement be preexisting condition?
Yes. In order to have a knee replacement done you must first have a significant amount of damage to the knee joint. That is your preexisting condition. The knee replacement itself was done to replace the damaged joint and may or may not be considered a preexisting condition.
Is a dislocated shoulder a preexisting condition?
If your shoulder commonly comes out of its socket, then it is a preexisting condition. If it is the first time you have dislocated your shoulder or if you have never dislocated your shoulder, then it is not a preexisting condition.
Is pneumonia consided a preexisting condition?
Yes, a pulmonary embolism can be considered a pre-existing condition. This would only be the case if you had been previously diagnosed with the condition.
Is having a heart cathetor test considered pre existing condition?
Tests, of any kind, are not included in the definition of preexisting condition. You have to be given a definitive diagnosis from that testing in order to have a preexisting condition. If by having a heart cath test, it was determined that you did not need to have one placed, then you do not have a preexisting condition. For example, you may have an MRI/CAT Scan and then a PET Scan to determine if you have cancer, but if they find you do not have cancer, then you are not diagnosed with a condition, therefore cannot considered preexisting. I should add that, generally if a Dr. wants to evaluate for a heart cath, then you currently have or have had issues with your heart in the past. This may be something like a high percentage blockage, irregular heart beat, thickening of the lining around your heart, etc. This would be considered a preexisting condition and future insurance companies may determine that any intervention needed on your heart would be preexisting. However, insurance companies usually have a preexisting time frame (generally 12 or 24 months) in which a condition is no longer consider preexisting. For example, if you were diagnosed with a heart condition 13 months ago and the insurance company you are planning on joining policy is a 12-month limit on pre-existing conditions, then you are in the clear and the preexisting condition clause does not apply to you.
Would multiple sclerosis considered a preexisting condition?
Yes. Depending on your prior coverage, it may or may not be excluded... see links.
Coding a condition as primary when the majority of the treatment is for a preexisting condition?
illegal
Is an ovarian cyst considered a preexisting condition if it has dissolved on its own months prior to being enrolled in an insurance plan?
An ovarian cyst would not be considered a pre existing condition. You should have no problem getting an insurance plan.
Is a genetic condition considered a preexisting condition?
Yes, if it was known prior to coverage. If you have had continuous insurance since the genetic condition was known and there was no lapse in coverage (or the lapse was short enough), care for that condition will be covered by your new insurer, per HIPAA.
