Preexisting conditions provision definition

Preexisting conditions provision means a policy provision that limits, denies, or excludes coverage
Preexisting conditions provision means a policy provision that limits
Preexisting conditions provision means a policy provision that limits, denies, or excludes coverage for charges or expenses incurred during a specified period following the insured's effective date of coverage, for a condition that, during a specified period immediately preceding the effective date of coverage, had manifested itself in such a manner as would cause an ordinarily prudent person to seek diagnosis, care, or treatment, or for which medical advice, diagnosis, care, or treatment was recommended or received within twelve months of the effective date of coverage.

Examples of Preexisting conditions provision in a sentence

  • Pre-existing conditions provision: States which conditions are considered pre- existing and therefore not covered under the policy if not disclosed on application for insurance.

  • Preexisting conditions provision" means a policy provisionwhich that limits or excludes benefits relating to a condition based on the fact that the condition was present before the effective date of coverage, for which any medical advice, diagnosis, care or treatment was recommended or received before such effective date.


More Definitions of Preexisting conditions provision

Preexisting conditions provision means a health benefit plan provision applicable to an enrollee or late enrollee that excludes coverage for services, charges or expenses incurred during a specified period immediately following enrollment for a condition for which medical advice, diagnosis, care or treatment was recommended or received during a specified period immediately preceding enrollment. For purposes of ORS 743.730 to 743.773:
Preexisting conditions provision means a health benefit plan provision applicable
Preexisting conditions provision means a preexisting-condition provision as defined in G.S. 58-68-30.
Preexisting conditions provision means a policy that limits, denies, or excludes coverage for
Preexisting conditions provision means a policy provision which excludes coverage for charges or expenses incurred during a specified period following the insured's effective date of coverage as to a condition which, during a specified period immediately preceding the effective date of coverage, had manifested itself in such a manner as would cause an ordinary prudent person to seek diagnosis, care or treatment or for which medical advice, diagnosis, care or treatment was recommended or received as to that condition or as to a condition which is pregnancy existing on the effective date of coverage.
Preexisting conditions provision means a provision in a health benefit plan that
Preexisting conditions provision means a preexisting-condition provision