Virginia State Life, Health and Annuities Practice Exam

An insurer may exclude coverage for a preexisting condition on a Medicare supplement policy for a duration of six months. This time frame is set by regulations to balance the need for insurers to mitigate the risk associated with preexisting conditions while also protecting consumers from excessively lengthy waiting periods.

Before the coverage kicks in, the six-month exclusion period allows insurers to manage claims and costs related to conditions that were diagnosed or treated within six months of the policy's start date. After this exclusion period, coverage must be provided for those preexisting conditions, aligning with the overall goal of ensuring accessibility to healthcare while also maintaining a sustainable insurance model.