If you’re shopping for health insurance and have a pre-existing condition, it’s natural to wonder whether that might affect your ability to get covered. In the past, many people faced high premiums—or outright denials—based on their health history. Fortunately, the law in Illinois and across the country has changed, and Martin Insurance Team, serving Evergreen Park, IL, wants you to know that protections are now in place.
The Affordable Care Act Changed the Rules
Since the Affordable Care Act (ACA) went into effect, insurance companies can no longer deny you coverage because of a pre-existing condition. This includes chronic illnesses like diabetes, heart disease, asthma, or even a history of cancer. These rules apply to all ACA-compliant individual and group plans, which cover the majority of people in Illinois.
What Counts as a Pre-existing Condition?
A pre-existing condition is typically any medical issue you had before your new insurance policy started. This includes conditions you’ve been diagnosed with, treated for, or are currently managing. Whether it’s high blood pressure, depression, or a previous injury, it falls under the same legal protections.
Are There Exceptions?
While ACA-compliant plans must cover you, not all plans are created equal. Short-term health plans and specific limited-benefit policies are exempt from following the same rules. These alternatives may come with exclusions for pre-existing conditions, so it’s important to read the fine print before enrolling.
Help Navigating Your Options
If you’re unsure which type of plan is best for your situation, a licensed health insurance agent can help. They’ll explain your coverage options, ensure the policy fits your health needs, and confirm it complies with Illinois and federal laws. With the right plan, your health history won’t be a barrier to getting the care and coverage you deserve. At Martin Insurance Team, serving Evergreen Park, IL, we’re here to help. Contact us today.