Pre-existing condition means:
MyCare does not provide benefits for:
Diagnosis: The identification of the nature of an illness or other problem by examination of the symptoms as provided by a physician, specialist or surgeon.
Diagnostic Services: Any kind of medical test performed to aid in the diagnosis or detection of disease or injury to measure the progress or recovery from disease or injury and to confirm the member is free from disease.
Chronic Medical Condition: A disease, sickness or injury resulting in the member having a medical condition which has at least one of the following characteristics: the condition continues indefinitely and has no known cure; the condition returns or is likely to return; the condition is permanent; the condition results in the member needing to be rehabilitated or specially trained to cope with it; the condition results in the Member needing long-term medical care which includes regular monitoring, consultation, check-ups, examinations or tests.
Congenital Medical Condition: A disease or defect existing from birth whether diagnosed or not.
Illness: Any unexpected and unforeseen condition or disease manifesting itself while this program is in force.