Itemized  ·  Glossary  ·  Pre-existing condition

Pre-existing condition.

Medical condition you had before coverage started.

Under the Affordable Care Act (2010), insurers cannot deny coverage or charge more based on pre-existing conditions. This applies to all ACA-compliant plans. Short-term limited-duration plans and some employer arrangements have different rules; read carefully.

Use this in real life.

The price comparison tool surfaces every term in this glossary in context — plan tiers, deductible status, cash-pay vs. negotiated rate. Pick a procedure to see them all in action.

Browse procedures →

Other terms.

CPT Code HCPCS Code MS-DRG Deductible Coinsurance Copay Out-of-pocket maximum EOB MRF Chargemaster