A medical issue, problem, or illness that an individual is already suffering from before applying for/receiving new insurance.
Pre-Existing Condition Exclusions
This is a provision in a health insurance plan offered to an individual with a past or current health condition whereby treatment related to the individual's “pre-existing condition” is not covered.
Pre-existing Condition Insurance Plan
Provides temporary insurance for individuals with pre-existing conditions who had been previously uninsured.
Preferred Provider Organization (PPO)
A form of health insurance in which the enrollee pays a smaller portion of health care costs when they use pre-approved health care providers.
Refers to the amount paid for health insurance, usually on a monthly basis.
A limit on the maximum amount an insurer can charge for their coverage.
Premium Increase Review
Insurance providers are required to explain, to state and federal officials, any 'unreasonable' premium increases.
A fixed percentage of the premium cost that helps individuals purchase health coverage on the new health insurance exchanges.
A proposal to give Medicare-eligible populations a set amount of money and then let them chose a private insurance plan to provide health care benefits.
Fee levied on health insurance companies