Revisions to Pre-Existing Conditions for BCBSTX members

By | August 18, 2010

Pre-Existing Condition Exclusions

Blue Cross and Blue Shield of Texas (BCBSTX) has revised the chart published last month defining how pre-existing condition waiting periods will be applied to insured and self-funded (ASO) business.

  • Insured – BCBSTX will waive pre-existing condition exclusions for all enrollees up to age 19, and for all dependent children up to age 26. However, for employees and spouses age 19 and older, BCBSTX will apply pre-existing waiting periods.
  • ASO – The default is to administer consistent with insured business; BCBSTX will accommodate customer requests for alternate configurations based on specific options outlined in the chart below.

Insured Business Configuration

  Waive up to age 19 Waive up to age 26
Employee  
Spouse  
Dependent Child  

ASO Configuration Possibilities

  Waive up to age 19 Waive up to age 26 Waive all ages
Employee Required Not Allowed (1) Allowed
Spouse Required Allowed (2) Allowed
Dependent Child Required Allowed (3) Allowed

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