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PHI fundamental courses

Pre-existing conditions - Advanced


Course
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The 'Pre-existing conditions - Advanced' course has been developed for private health insurance employees who are expected to respond to queries about whether members are covered for particular procedures. This course provides comprehensive information about the pre-existing condition rule and the pre-existing condition assessment process.

Here is the course outline:

Part 1 - The pre-existing condition rule

Part 1 explains the pre-existing condition rule and its exceptions.

Part 1 - Case studies

These three case studies will guide you through typical conversations you might have with fund members about the pre-existing condition rule.

Part 1 - Assessment

Test your understanding of the pre-existing condition rule by completing the assessment.

Part 2 - Applying the pre-existing condition rule

Part 2 demonstrates how the pre-existing condition rule applies in practice, and explains the pre-existing condition assessment process.

Part 2 - Case studies

Part 2 - Assessment

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