Sharing Eligibility for Pre-Existing Conditions

Introduction 

This article discusses the limitations and exceptions for sharing if you have a pre-existing condition at the start of your membership. 

Information 

Understanding Pre-Existing Conditions

REDEEM^® Health Share defines pre-existing medical conditions as conditions in which known signs, symptoms, testing, treatment, diagnosis, or use of medication occurred before your membership start date.

For parents who adopt a child, a pre-existing condition is any physical condition that you had reason to be aware of prior to being legally responsible for the child’s medical expenses, or prior to the child’s effective date within your membership.

You can read about specific waiting periods, limits for sharing bills, and exceptions related to pre-existing conditions in the Sharing Guidelines.

Counteracting Sharing Limitations of Pre-Existing Conditions

FlexShare™ is an optional add-on feature that permits the submission of bills associated with pre-existing conditions. Again, there are specific requirements, waiting periods, and sharing limits associated with this add-on feature.

As a member of REDEEM HealthShare reading and understanding the Sharing Guidelines is important.