Is bypass heart surgery considered a pre-existing condition? Does acute onset coverage qualify for such conditions?
Coverage for the acute onset of a pre-existing condition is for the unexpected recurrence of a condition that the insured previously had that was not chronic or congenital. Since most heart conditions are considered chronic, bypass heart surgery would likely be excluded from acute onset coverage. It is generally up to the attending physician to determine if a given situation would be considered the result of a pre-existing condition or not.
Disclaimer: Information is for general purposes and updated regularly based on provider guidelines. For binding terms, review your specific Policy Brochure.
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