What benefits might be excluded from my health plan?

The usual benefits that might be excluded from your health plan include mental illnesses and psychiatric care, substance abuse, alcohol and drug-related problems, suicide attempts, cosmetic surgery, dental coverage, vision care, drug prescriptions, and preventive healthcare. It might also exclude any reimbursements that you need to make through a Workers’ Compensation insurance program.

Pre-existing conditions are also often excluded from a health plan. These are your illnesses or health conditions prior to buying your health plan or the time your health insurance coverage takes effect. In general, insurance companies exclude pre-existing conditions for a minimum of six months to a year after you have bought your health plan. In some insurance companies, excluding pre-existing conditions depend on your health plan’s provisions for insurance portability.

Answer by admin — May 23, 2009 @ 11:49 am

2 Comments

  1. I thought Medicare services and insurence covered previous conditions.

    Comment by Sara Jones — July 1, 2009 @ 5:28 pm

  2. This depends on your previous and continuous creditable coverage. If you have not had prior coverage, the insurance companies will place a waiting period on paying benefits toward pre-existing conditions.

    Comment by Moderator — July 1, 2009 @ 6:23 pm

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