Ace the Nebraska Life & Health License Exam 2025 – Dive Into Your Insurance Future!

Question: 1 / 400

Under the Patient Protection and Affordable Care Act, how should group medical plans treat new enrollees with pre-existing conditions?

They may impose a temporary waiting period for coverage

Pre-existing condition exclusions are prohibited in all group medical plans that begin on or after January 1, 2014

Under the Patient Protection and Affordable Care Act (PPACA), the treatment of new enrollees with pre-existing conditions is clearly defined. Specifically, since January 1, 2014, all group medical plans are prohibited from imposing pre-existing condition exclusions. This means that insurance companies cannot deny coverage or impose waiting periods based on an enrollee's health status prior to obtaining the policy.

This provision was established to ensure that individuals with prior health issues are not discriminated against when seeking healthcare coverage. It is a critical component of the ACA aimed at increasing access to healthcare and protecting consumers.

In contrast, the other options suggest various restrictions that can be imposed on new enrollees with pre-existing conditions, which directly contradict the fundamental intent of the ACA to eliminate such barriers. This illustrates the significant shift in policy focused on inclusivity and accessibility for all individuals, particularly those with prior health challenges.

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They can bar coverage until the enrollee meets certain health milestones

They must provide limited coverage for pre-existing conditions

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