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Products - Before you apply

 

Pre-Existing Condition Clause

 

There is a 12-month waiting period for pre-existing conditions. A pre-existing condition is a condition for which an ordinarily prudent person would seek medical advice, diagnosis, care or treatment; or for which you incurred medical expenses, received medical treatment, used a prescription drug or were advised by a physician to receive treatment during the six months prior to your effective date. If you are accepted, preexisting condition is waived for conditions disclosed on your application.

Eligibility for Carolina Direct Benefits

 

You and any dependents may apply for Carolina Direct coverage as long as you are residents of South Carolina and you are:

  • Not eligible for or entitled to Medicare
  • Not 65 years of age or older

Family coverage includes you, your spouse and any unmarried children under the age of 19 (23 for fulltime students). Dependent-only coverage is available. (Note: Dependents are not eligible to establish an HSA account.)

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