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According to the Affordable Care Act, you cannot be denied healthcare coverage or charged more for healthcare coverage if you or someone in your family has a pre-existing condition, or if you are ill at the time you apply for coverage (even if you’ve been denied or refused coverage due to a pre-existing condition in the past). Likewise, once you have insurance, you cannot be refused coverage for treatments of any pre-existing conditions. These same rules apply for Medicaid and the Children’s Health Insurance Program (CHIP). The only exception to the pre-existing coverage rule is for grandfathered individual health insurance plans—those purchased on your own, not through an employer—which do not have to cover pre-existing conditions.


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