New Issue: Orbital Catastrophe Ahead? Read Now

What Is a Pre-existing Condition?

The American Health Care Act (AHCA), aka “Trumpcare,” just passed the House of Representatives in hopes of repealing and replacing Obamacare. What is the controversy over pre-existing conditions? What is considered a pre-existing condition? And will you have to pay more for your plan if you have one?

Join Our Community of Science Lovers!


On May 4, 2017 the U.S. House of Representatives passed (with a 217 versus 213 vote) the revised American Health Care Act (AHCA), aka “Trumpcare,” in hopes of repealing and replacing Obama’s Affordable Care Act (ACA). If you are interested in the nitty gritty details of the new bill, here is the official link.

The greatest controversial concern of the new bill is the potential loss of protection against pre-existing conditions, one of the pillars of the ACA.


On supporting science journalism

If you're enjoying this article, consider supporting our award-winning journalism by subscribing. By purchasing a subscription you are helping to ensure the future of impactful stories about the discoveries and ideas shaping our world today.


What is a pre-existing condition? Well, any health condition that a doctor has previously diagnosed you with prior to your health plan taking effect is considered “preexisting.” This could mean essentially anything, from a simple cold to an active cancer. Prior to Obamacare, it was common practice for insurance companies to refuse coverage for a person with certain preexisting conditions. And for other diagnoses deemed less costly, they may decide to cover you but to charge you more.

Currently under Obamacare, insurance plans cannot refuse coverage or charge you more if you have a prior health condition, aka a "pre-existing condition."

»Continue reading on QuickAndDirtyTips.com

Subscribe to Support Independent Journalism

Great science journalism requires human expertise, time, effort and creativity. And it costs money. That’s why I and the journalists here at Scientific American hope you’ll join our community.

When you subscribe, you are supporting staff and freelance journalists who are passionate about telling science stories that are true, important and compelling. Our editors and reporters are often experts in their fields, which means they understand the nuances of big discoveries and can untangle the breakthroughs from the hype. With a subscription, you are also supporting rigorous fact-checking to ensure the words we publish are precise and accurate. And you’re supporting original illustrations, graphics and photos that bring you closer to an advanced laboratory, an ice sheet in Antarctica or a space mission in orbit. You’re helping us craft other types of high-quality journalism as well: Our newsletters are carefully written, edited and curated by staffers you have or will come to know and love. Our Science Quickly podcast is based on original reporting, collaboration with editors and scientists and exacting production.

Subscriptions keep this engine running so we can continue to deliver thoughtful, rigorous and independent science journalism to you. In an era of viral misinformation, this work is crucial. If you value what we do, I hope you’ll consider joining us as a subscriber

Thank you,

Jeanna Bryner, Editor in Chief, Scientific American

Subscribe