Oregon General Notice of Preexisting Condition Exclusion

State:
Multi-State
Control #:
US-AHI-012
Format:
Word; 
Rich Text
Instant download

Description

This AHI form is a general notice regarding preexisting condition exclusions under the group health plan.

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FAQ

A preexisting condition exclusion refers to a provision in an accident and health insurance policy that restricts coverage for medical conditions that existed before obtaining the policy. This means if you have a health issue prior to signing up for insurance, the policy may not cover any treatment related to that condition. Understanding the Oregon General Notice of Preexisting Condition Exclusion helps you navigate these potential limitations effectively. If you have questions about your specific situation, consider using the resources available on the uslegalforms platform for clearer guidance.

Yes. Under the Affordable Care Act, health insurance companies can't refuse to cover you 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.

Some of the most common pre-existing conditions include thyroid, high blood pressure, diabetes, asthma, cholesterol, etc. Most health insurance companies have a waiting period that can last from a couple of months to a few years before you start covering pre-existing illnesses.

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.

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.

It limits the time a new employer plan can exclude the pre-existing condition from being covered. An employer health plan can avoid covering costs of medical care for a pre-existing condition for no more than 12 months after the person is accepted into the plan.

Key health insurance rules Under Federal and Oregon law: People with pre-existing health conditions will not be denied coverage or charged more to be enrolled.

Employer-based plans and individual health plans cannot deny coverage to people with pre-existing conditions. People under individual health plans that existed before September 23, 2010 known as grandfathered plans, are allowed to use pre-existing condition exclusions.

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.

Who is covered: Adults (age 19-64) in households that earn up to: $1,468 a month for a single person. $3,013 for a family of four.

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Oregon General Notice of Preexisting Condition Exclusion