Health Insurance and Pre-Existing Conditions


Conditions are typically listed in a specific section of your policy. Review policy conditions carefully, as not following them could give your insurer grounds to deny coverage. This condition prohibits policyholders from assigning their rights and duties under the policy to someone else without the insurer’s written consent.

definition of condition coverage

I’m trying to get my head around the differences between these 2 coverage criteria and I can’t work out how they differ. I think I’m failing what is condition coverage to understand exactly what decision coverage is. My software testing textbook states that compound decision coverage can be costly .

Can you solve 4 words at once?

The scheduler combining Earliest Due Date First and Shortest Processing Time First prioritization with Maximum Granularity Allocation subcarrier allocation achieves the highest reliability for nearly all outage percentages. We see a performance degradation as the granularity of the UL subcarrier allocation decreases . Thus, due to the small packet sizes involved, increasing the granularity helps to decrease the waiting time of UEs which improves both the success rate and the 95th transfer delay percentile.

For example, Greg decided to change jobs for better promotion opportunities. He worked with a recruiter and found a new job, which he started two weeks after resigning from his previous position. His new job offered similar health insurance, available after the first month of work, and he enrolled in a family plan. Although Greg was in good health, his wife had type 2 diabetes and one of his children had asthma. And although HIPAA protections did not extend to private individual market coverage, some states had adopted regulations that allowed HIPAA-eligible individuals to purchase guaranteed issue coverage in the individual market.

Sentiment Analysis NLP

With a combination of C1 and C2, it is possible to cover most statements in a code base. Statement coverage would also cover function coverage with entry and exit, loop, path, state flow, control flow and data flow coverage. With these methods, it is possible to achieve nearly 100% code coverage in most software projects. This proposed rule establishes Conditions of Participation for community mental health centers . CMHC care is a comprehensive combination of mental health care services, which includes physician services, psychiatric nursing, counseling and social services.

Since the ACA has been implemented, pre-existing conditions are no longer a factor in pricing or eligibility, and insurance applications no longer ask about medical history when people enroll. So in the example of Lori, above, a health insurance company might have agreed to cover Lori in full , but with a premium that was 25% or 50% higher than the standard rate for someone her age. Health insurance companies cannot refuse coverage or charge you more just because you have a “pre-existing condition” — that is, a health problem you had before the date that new health coverage starts. Your commercial property insurer is unable or unwilling to provide earthquake or flood insurance.

coverage | American Dictionary

In test generation that is based on evolution, a fitness function is used to select the set of the fittest test cases. The fitness of these test cases is measured, e.g., by the distance of actual variable values to a desired value. For variables that change their values only seldom or that only have a small set of possible values (e.g., like boolean variables), it is hard to determine the fittest test cases because the variables can only take the desired value or they do not. There is no way to select the best fitting test cases in a step-wise manner. To solve this problem, Harman et al. introduce a technique called flag removal that transforms such problematic variables into variables that change their values more frequently.

definition of condition coverage

Achieving structural coverage is viewed as a check that the test set is adequate, i.e., the MCDC source coverage is not the goal in itself, only a metric for evaluating the adequacy of the test set. Since t-way testing has been shown effective in detecting faults, we might expect it to generate a high level of code coverage as well. Although there are only a few studies regarding this question, results indicate that tests based on covering arrays can produce good code coverage, but the degree of coverage is heavily dependent on the input model used. However, what is wrong in the previous statement is the definition of decision. A decision includes ‘any’ boolean expression, even for assignments to variables. In this case, the three assignments should be treated as a decision for MC/DC purposes and therefore the changed code needs exactly the same tests and number of tests to achieve MC/DC than the first one.

Condition Coverage

The number of tests required based on the source code could be considerably different depending upon the coverage required, although semantically we would want to test both approaches with a minimum number of tests. A rider is an insurance policy provision that adds benefits to or amends the coverage or terms of a basic insurance policy. And for each alteration of your code, it verifies if the test actually fails. This is good indicator of the quality of your test suite and ensures that code is not just covered but your tests for the code are actually valid. That would be quite a lot of tests, but some of those are redundant as some conditions are covered by others. This is reflected in the Modified Condition/Decision Coverage (MC/DC) which is a combination of condition coverage and function coverage.

  • These plans have not been available for purchase since 2010 or 2013, respectively.
  • The insured purchases this coverage in addition to a standard insurance policy, though some standard policies allow the purchase of a policy endorsement that may provide for much of the same needs.
  • These conditions outline the circumstances under which the insurer may cancel or non-renew the policy.
  • ] is an open-source tool developed by Intel that generates test cases from models written in the AAL/Python pre/postcondition language.
  • The target software is built with special options or libraries and run under a controlled environment, to map every executed function to the function points in the source code.

Verywell Health’s content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Assume this function is a part of some bigger program and this program was run with some test suite.

Do I Need Difference-in-Conditions Coverage?

If so, at what rate does code coverage increase with increasing values of t? Additionally, what impact does the input model have on the relationship between covering array strength and coverage? We briefly review some of the more widely used measures and then consider results relating t-way testing to these measures. MC/DC is used in avionics software development guidance DO-178B and DO-178C to ensure adequate testing of the most critical software, which is defined as that software which could provide continued safe flight and landing of an aircraft. It is also highly recommended for SIL 4 in part 3 Annex B of the basic safety publication and ASIL D in part 6 of automotive standard ISO 26262.

definition of condition coverage

This is important because short-term plans have always been exempt from the ACA’s rules. But the rule allowing short-term plans to have total durations of up to three years was new under the Trump administration. For example, 34-year-old Mike got a new job after being unemployed and uninsured for almost a year. His new company allowed employees to participate in its health plan at the end of the first pay period.

More from Merriam-Webster on coverage

You need two test cases with x true, one with y true and one with it false. Comments about the glossary’s presentation and functionality should be sent to

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