Is pregnancy considered a preexisting condition if the person purchased insurance after they were pregnant but did not know they were pregnant?

Answer:

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Yes it is, still pre-existing, even if it wasnt to your knowledge.

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HIPAA is the law.

Best chances for HIPAA to apply are if you go from a group plan to a group plan. Evidentally, individual to group and nothing to group are loop holes, so they can probably get out of it, or make you wait a certain amount of time.

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According to a Federal law that I found on the internet, GROUP health insurance cannot consider pregnancy a pre-existing condition if they currently have maternity coverage. However, this law does not apply to INDIVIDUAL health insurance. So, if you've changed jobs, and you now have a GROUP health insurance plan, then there is a good chance that you may be covered.

I just recently got individual insurance through BCBS and I was pregnant and did not know when I requested maternity coverage. BCBS policy says that pregnancy can not be considered a pre-existing condition and their definition of a pre-exisiting condition is a condition that you can been receiving treatment and/or professional advice and help for for 6 months or more before opting for coverage. Also, they say that except for pregnancy all pre-exisiting conditions require a 180 day waiting period.

First answer by Trish0508. Last edit by Trish0508. Contributor trust: 4 [recommend contributor recommended]. Question popularity: 227 [recommend question].