Unicare - Pre-Existing Conditions
UniCare will not provide coverage for any pre-existing condition-related services receive on or within twelve months after the effective date of coverage.
Unicare defines a pre-existing conditions as the existence of symptoms which would cause an ordinarily prudent person to seek diagnosis, care, or treatment within a 12 month period preceding the effective date of the coverage of the insured person or a condition for which medical advice or treatment was recommended by a physician or received from a Physician within a 12 month period preceding the Effective date of the coverage of the insured person.
Hernia and Varicose Veins Waiting Period
An insured must be covered by a UniCare plan for six consecutive months to be eligible for for benefits concerning all services related to hernias (unless strangulated or incarcerated) and varicose veins.
This includes, but is not limited to, all tests, consultations, examinations, medications and invasive medical. laboratory or surgical procedures that are related to the evaluation or treatment of the above items.
Condition Specific Waivers
If you have a condition, illness, or injury that can be identified as one that does not necessarily affect your overall good health but could affect the risk balance of all insureds, UniCare may waive that condition from coverage. This means that expenses for treatment of that condition or any other condition related to it will not be covered for a specified period of time, but all other conditions would be covered as defined in the policy.