| 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 |
|
Tags: Affordable Care Act, Health, Health Insurance, Major Medical Insurance, pre-existing conditions
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on Wednesday, August 18th, 2010 at 7:03 PM and is filed under Health Insurance.
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