2006-10-24 14:13:13 · 3 answers · asked by Anonymous in Health ➔ Other - Health
I'm assuming for health coverage? If that is the case, there is a clause for coverage that insurance companies use which can in fact, decline treatment if preexisting conditions were present. Also, coverage can be terminated, and even payment retribution can demanded, and even legal action can be taken to recover any benefits paid to the benefactor. It's in the subrogation section,, read the policy.. there is even a waiting period, clause for some health issues, to even receive benefits.
Never a good idea to lie, but an insurer can be diligent and has every right to investigate deception.. fraudulent claims are the reason why policies are so costly anyway. Your "friend" is likely not going to be at any job, (if this is the case) for that long to even collect many benefits, and if so,, then it's something you can't do much about.. however if you feel compelled morally to intervene, phone the insurer, and inform their investigative team of her deception.. but be prepared to be minus a bud!
2006-10-24 14:20:52 · answer #1 · answered by Manatee 5 · 0⤊ 0⤋
Yes she can. The insurance company will get her medical records and will find the discrepancies. The company can then deny coverage. In extreme cases insurance fraud is serious business. It's best to be honest about your medical history. Usually anything preexisting will be excluded for a year unless there has been prior coverage without any lapse in coverage.
2006-10-24 14:22:50 · answer #2 · answered by swomedicineman 4 · 0⤊ 0⤋
Yup, if the condition was previous to getting her medical coverage they can void her insurance.
2006-10-24 14:18:31 · answer #3 · answered by JPH 3 · 0⤊ 0⤋