How do insurance companies know pre existing conditions?

Insurers then use your permission to snoop through old records to look for anything that they might be able to use against you. If you have a pre-existing condition, they'll try to deny your claim on the grounds that you were already injured and their insured had nothing to do with it.
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Can insurance companies ask you about pre-existing conditions?

Health insurance companies cannot refuse coverage or charge you more just because you have a “pre-existing condition” — that is, a health problem you had before the date that new health coverage starts.
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How are pre-existing conditions determined?

While insurers generally determine the presence of a pre-existing condition based on an applicant's current health status, sometimes a healthy applicant can be deemed to have a pre-existing condition based on a past health problem or evidence of treatment for a particular condition.
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Do pre-existing conditions have to be diagnosed?

A pre-existing condition is a health issue that required diagnosis or treatment prior to an applicants' enrollment in a health plan.
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Can a person get life insurance after getting a pre-existing condition diagnosis?

Can you buy life insurance after such a diagnosis? The fortunate answer for many people is: Yes. It may be possible to get life insurance with these and other pre-existing conditions, including HIV infection. But details matter, and each answer will depend on your specific health situation.
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Bupa By You health insurance | Understanding pre-existing conditions



What medical conditions do life insurance companies check?

Some of the illnesses that life insurance companies look for include:
  • Heart disease.
  • Asthma.
  • Diabetes.
  • Depression and other mental health concerns.
  • Cancers.
  • Autism.
  • Epilepsy.
  • Obesity.
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What will disqualify you from life insurance?

A life insurance application may be denied if you have high-risk medical conditions, dangerous hobbies, or if you left important information off your application. You may also be ineligible for certain policies due to advanced age.
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How long can pre-existing conditions be excluded?

Conditions for Exclusion

HIPAA did allow insurers to refuse to cover pre-existing medical conditions for up to the first 12 months after enrollment, or 18 months in the case of late enrollment.
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What pre-existing conditions are not covered?

Declinable Pre-existing Conditions

Insurers maintained lists of health conditions for which applicants would routinely be denied coverage. Declinable conditions included AIDS/HIV, congestive heart failure, diabetes, epilepsy, severe obesity, pregnancy, and severe mental disorders.
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Is high blood pressure considered a pre-existing condition?

High blood pressure (also called hypertension) is a common pre-existing medical condition, and can be covered by your policy - but you need to meet the conditions below.
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What are examples of pre-existing conditions?

A medical illness or injury that you have before you start a new health care plan may be considered a “pre-existing condition.” Conditions like diabetes, COPD, cancer, and sleep apnea, may be examples of pre-existing health conditions. They tend to be chronic or long-term.
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What is waiting period for pre-existing medical conditions?

Types of Waiting Period in Health Insurance

Almost all health insurance plans cover pre-existing diseases after a waiting period of usually 2 to 4 years. This implies that any hospitalization expenses related to the declared ailments can be claimed only after 4 successful years with the insurer.
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Is arthritis a pre-existing condition?

Arthritis is generally considered pre-existing medical condition. This doesn't necessarily mean you can't get travel insurance, but you do need to disclose your condition before you book your cover. With arthritis, you'll need to declare your specific type of arthritis whether it's osteo, rheumatoid, or psoriatic.
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What medical conditions do you have to declare?

Medical conditions you need to declare for travel insurance quotes include respiratory conditions, heart, liver, kidney, brain or circulatory disease or damage, diabetes, strokes or central nervous system disorders and terminal illnesses.
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Can insurance companies ask medical questions?

Under health reform, health insurance companies can't make you answer health questions to buy health insurance. They also can't require a pre-existing condition waiting period for claims you submit.
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Why do insurance companies ask if you have other insurance?

When there are two health insurance policies in place, one serves as the primary plan and the other serves as the secondary plan. The carriers need to know about other coverage so they can coordinate benefits.
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Is asthma a pre-existing condition?

A health problem, like asthma, diabetes, or cancer, you had before the date that new health coverage starts. Insurance companies can't refuse to cover treatment for your pre-existing condition or charge you more.
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Can I buy health insurance and use it immediately?

The initial waiting period completely varies from insurer to insurer, however the minimum waiting period is at least 30 days. The only exception in initial waiting period is accidental claims wherein the claims are approved if the insured meets with an accident and requires immediate hospitalisation.
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Is Thyroid a pre-existing condition?

Medical conditions such as high blood pressure, diabetes, thyroid, asthma, depression, etc., are considered pre existing ailments.
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What does Aflac consider a pre-existing condition?

PRE-EXISTING CONDITION LIMITATIONS: A “Pre-existing Condition” is an illness, disease, infection, disorder, condition, or injury for which, within the six-month period before the Effective Date of coverage, medical advice, consultation, or treatment was recommended or received from a Physician.
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What is a 12 month exclusion period?

The time period during which a health plan won't pay for care relating to a pre-existing condition. Under a job-based plan, this cannot exceed 12 months for a regular enrollee or 18 months for a late-enrollee.
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What are 3 reasons you may be denied from having life insurance?

Here are four things that can lead to the denial of a life insurance claim.
  • The death happened during the contestability period. ...
  • The type of death wasn't covered in the policy. ...
  • You failed to disclose relevant personal information. ...
  • You failed to keep up with policy premiums.
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What do life insurance urine tests detect?

A urine test includes a chemical analysis for hard drugs such as cocaine, methamphetamines, and opiates, as well as marijuana. While most of these can easily result in denial of coverage, marijuana use is becoming more accepted due to legalization, so you may still be able to get covered. Prescriptions and painkillers.
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Can you get life insurance with medical conditions?

Can I get life insurance with a pre-existing medical condition? Yes, you can, but it might cost you more. That's because an insurance provider may view you as a higher risk for making a claim. The number of providers willing to cover you could also be limited.
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How far back do insurance companies check medical records?

How far back can an insurance company request medical records? Generally, medical records are kept for between five and 10 years after a patient's latest treatment, discharge or death.
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