
Support for Ongoing Health Needs in Retirement
Q: How does the 60+ Plan handle pre-existing conditions?
A: The 60+ Plan does not exclude coverage for pre-existing conditions, as long as treatments meet eligibility and reasonable and customary limits.
Tom’s friend, Lisa, had a pre-existing condition that required regular treatment, and she wondered if it would affect her coverage under the 60+ Plan. She reached out to Tom to better understand how the plan handles ongoing health conditions.
Lisa was relieved to learn that the 60+ Plan does not exclude members based on pre-existing conditions. As long as the treatments or medications are eligible under the plan and meet the reasonable and customary (R&C) limits, they are covered like any other health expense. This was particularly important to Lisa, as it meant she could transition to the 60+ Plan without losing the support she needed for her ongoing care.
For Tom, it was another example of how the 60+ Plan ensures continuity of care for retirees, prioritizing their health and well-being regardless of prior medical history.