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If you've had surgery that will likely need to be repeated will future claims for this be denied under the 'pre-existing condition' clause?
Wiki User
∙ 8y ago
Did you have the surgery on the same plan you have now?
Did you admit to this surgery on the application?
How long is the pre-x clause?
Does your state require that your present coverage count the time on a prior plan towards the pre x?
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Wiki User
∙ 8y ago
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Are mamagrams considered pre existing condition?
No, a mammogram is a test used to check for breast cancer, it is not a condition at all. Preexisting conditions are medical conditions you had prior to entering a health plan such as hypertension or diabetes.A mammogram is a test, not a condition as stated. To deny someone medical insurance stating that the mammogram they had was a preexisting condition is just a way these health insurance plans try to reduce the amount they have to pay on claims only wanting you to pay into them.
Can A payer can cancel a patient policy or deny payment on a claim if the patient failed to disclose a preexisting condition?
Under federal health reform rules, an insurer can cancel a policy only for fraud on the application. Omitting a pre-existing condition might be considered fraud, especially if the condition is significant. The insurer could choose to continue the policy, but would have the right to deny claims for the pre-existing condition. If you had a 63-day gap in coverage, for example, the insurer could deny those claims for the first 12 months. After the 12 months ends, the insurer would have to start paying claims for all of your medical conditions.
Is autism a preexisting condition?
Diabetes isn't a preexisting condition in terms of health or life insurance, but generally results in a rate-up or a decline, depending on whether or not you are taking oral medications or getting an insulin shot.
Is degenerative disc disorder a preexisting condition?
Degenerative disc disorder is a pre-exisiting condition that most insurance companies would likely place a "rider" on. The rider basically says that the insurance company will not pay any claims related to the degenerative disc. Some companies may still cover any medication prescribed for the problem.
Can you be denied health insurance due to preexisting medical conditions if your job status becomes permanent and qualify for health insurance?
Usually you won't be denied coverage outright, but expect your coverage to have limitations that will prevent you from making claims directly related to your preexisting condition. If your coverage includes life insurance, expect similar limitations.For example, if you have a heart problem, they probably will not cover any medical expenses from a surgery, but if you dropped a heavy box on your foot at work, they would cover expenses for a broken toe. Or with life insurance, they probably wouldn't pay out if you died of a heart attack (if you have existing heart condition) but if you were hit and killed by a vehicle at work (God forbid), you would have coverage.Ultimately the decision to cover you, or not, is the insurance provider's to make.
Which one of the scientists challenged the theory of spontaneous generation with the concept of biogensis which claims that living cells can arise only from preexisting living cells?
Francesco Redi
Your insurance company paid all of your claims for a surgery you have had and now they are reviewing a different claim for pre-existing condition can they go back on the claims they paid and take the?
The answer may depend upon the diagnosis codes used. From your question, it sounds like the procedures had different codes and therefore, the claims should have been coded differently to reflect the different conditions. However, insurance companies conduct random audits on their accounts on a fairly regular basis. If they find that claims previously paid were related to a pre-existing condition, they will investigate those claims and may try to recoup the prior payments.
Does the State of Kentucky allow retroactive homeowners insurance claims?
Pre-existing home damage.Retroactive in what way? the state of Kentucky?Homeowners Insurance Policies do not cover preexisting damage to a home.
Has cheryl cole had any plastic surgery?
There has been no confirmation about plastic surgery.
where do I send a medicare claims form for dental surgery?
Medicare does not cover routine dental work in New York.
What does lasik MD have to offer?
"Lasik MD surgery claims to be the most effective surgery at the lowest price. They have performed many surgeries (over 500,000) and they also have a 20/20 vision guarantee."
What is the highest condition that makes Antarctica?
Antarctica claims many 'highest' conditions as a continent, including:coldestwindiestdarkestdriesticiesthighest
