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What is Considered a Pre-Existing Condition?
If a member has any evidenced symptoms at the time of enrollment, or received treatment or medication in the past 24 months, it is considered to be a pre-existing condition.
Solidarity HealthShare’s Limitations for Pre-Existing Conditions
For pre-existing health conditions that can be improved through lifestyle changes, members may qualify for Solidarity Well.
For pre-existing conditions that cannot be improved through lifestyle changes, have evidenced symptoms at the time of enrollment, or received treatment or medication in the past 24 months, Solidarity will share according to the following schedule:
- First year of membership: Not eligible for sharing
- Second year of membership: Up to $25,000 is eligible
- Third year of membership: Up to $25,000 is eligible
- Fourth year and following of continuous membership: The condition is no longer considered pre-existing.
Source: Solidarity HealthShare Pre-Existing Conditions
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