What We Don’t Cover
Though we’d like to serve everyone in Connecticut, we do not offer coverage to people who have certain pre-existing conditions or who are taking or have taken certain medications. If the applicant (or dependents) has used or is currently using any of the following medications or has had or currently has a condition mentioned on the conditions list, the applicant will be declined or rated up.
Note: We do not decline coverage for dependent applicants under the age of 19 for pre-existing conditions.
Conditions
This list is not all-inclusive and is subject to change.
- AIDS/HIV
- Amyotrophic Lateral Sclerosis (ALS or Lou Gehrig’s Disease)
- Alzheimer’s Disease
- Angina
- Angioplasty
- Ankylosing Spondylitis
- Any Artery or Vein Bypass – including Heart
- Bipolar disorder (manic depression)
- Cancer (current)
- Carcinoid Syndrome
- Chronic Lung Disease, including Emphysema, Chronic Bronchitis & COPD
- Cirrhosis of the Liver
- Congestive Heart Failure
- Coronary Heart Disease
- Crohn’s Disease
- Cystic Fibrosis
- Diabetes
- Gastric Bypass or any Intestinal Bypass or bariatric (obesity) surgery
- Gaucher’s Disease or other lipid storage disease
- Heart Attack (see Heart Disease on Underwriting Risk Criteria)
- Hemiplegia
- Hemophilia
- Hepatitis B or C
- Interstitial Cystitis
- Ischemic Heart Disease
- Leukemia
- Major Depression
- Morbid Obesity – current or present
- Multiple Sclerosis
- Muscular Dystrophy
- Myocardial Infarction (Heart Attack)
- Obsessive-Compulsive Disorder (OCD)
- Pacemaker/defibrillator
- Paraplegia
- Parkinson’s Disease
- Polycystic Kidneys
- Pregnancy/expectant parent
- Psychosis
- Pulmonary Fibrosis
- Pulmonary Hypertension
- Pulmonary Stenosis
- Quadriplegia
- Renal Failure
- Rheumatoid Arthritis (Juvenile/Adult)
- Sickle Cell Anemia
- Sideroblastic Anemia
- Sleep Apnea
- Spina Bifida
- Stroke
- Systemic Lupus
- Thalassemia Major
- Any Transplant except Corneal
- (Cardiac) Valve Replacement
Medications
This list is not all-inclusive and is subject to change.
- Abatacept
- Abilify
- Accutane
- Aggrenox
- Agrylin
- Aldurazyme
- Amevive
- Apokyn
- Arava
- Aranesp Femara
- Aricept
- Aromasin
- Arixtra
- Avonex
- Azathioprine
- Betaseron
- Bromocriptine
- Buphenyl
- Carbidopa/ Intron A
- Casodex
- Cellcept
- Clozapine
- Cognex
- Comtan
- Copaxone
- Cyclosporine
- Dipyridamole
- Enbrel
- Epogen
- Ethambutol
- Exelon
- Flolan
- Fabrazyme
- Fragmin
- Geodon
- Gleevec
- G F20
- Growth Hormone
- Heparin Sodium
- Humira
- Immune Globulin (Ivig)
- Infergen
- Iressa
- Insulin
- Isoniazid
- Levodopa
- Lithium
- Leukine
- Lovenox
- Lupron(Males Only)
- Mepron Remicade
- Mesylate
- Methadone
- Methotrexate
- Mirapex
- Myfortic
- Namenda
- Neoral
- Neulasta
- Neupogen
- Nitroglycerin
- Orgaran
- Othoclone Okt3
- Parlodel
- Peg-Intron
- Pegasys
- Pergolide Mesylate
- Plavix
- Pletal
- Procrit
- Prograf
- Pulmozyme
- Purinethol
- Rapamune
- Raptiva
- Rebif
- Reminyl
- Remodulin
- Renagel
- Requip
- Rifampin
- Rilutek
- Risperdal
- Sandostatin
- Selegiline Hcl
- Sensipar
- Seroquel
- Sinemet Cr
- Stalevo
- Suboxone
- Synvisc/Hylan
- Temodar
- Thalomid
- Ticlopidine Hcl
- Tracleer
- Xeloda
- Xolair
- Xyrem
- ZyPrex
