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Pre-Existing Condition Policy Maximum The Pre-Existing Condition Policy Maximum is the maximum amount the insurance company may be willing to pay for treatment and services the policyholder receives pertaining to their existing medical conditions. The Pre-existing condition policy maximum is per injury/sickness.After the pre-existing condition policy maximum is met, the policyholder will be responsible for any remaining medical expenses for treatment and services related to their pre-existing condition. Pre-Existing Condition Deductible The Pre-Existing Condition Deductible is the amount the policyholder is responsible for paying before the insurance company begins to pay for any pre-existing covered expenses. The pre-existing deductible is per injury/sickness.