45 CFR § 152.20 Pre-Existing Condition Insurance Plan Program

§ 152.20 Prohibitions on pre-existing condition exclusions and waiting periods.

Current through Aug 10, 2026 · Read all of Part 152

(a) Pre-existing condition exclusions. A PCIP must provide all enrollees with health coverage that does not impose any pre-existing condition exclusions (as defined in § 152.2) with respect to such coverage.

(b) Waiting periods. A PCIP may not impose a waiting period with respect to the coverage of services after the effective date of enrollment.

← § 152.19 Covered benefits.§ 152.21 Premiums and cost-sharing. →