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pre-existing condition personal injury claim

Handling Pre-Existing Conditions in Personal Injury Insurance Negotiations

Learn how to handle pre-existing condition challenges in personal injury insurance negotiations and prevent insurers from using your medical history against you.

## How Insurance Companies Use Pre-Existing Conditions to Minimize Claims

A pre-existing condition is one of the most common weapons insurance adjusters use to reduce personal injury settlements. If you had a prior injury, chronic condition, or previous accident involving the same body part, expect the insurer to argue that your current symptoms are not related to their insured's negligence. Understanding how to counter this tactic is essential to recovering full compensation.

The eggshell skull rule in law protects injury victims — defendants take their victims as they find them, pre-existing conditions included.

Legal Doctrines That Protect You

The law recognizes that pre-existing conditions do not eliminate your right to compensation — it only requires careful documentation to distinguish pre-accident condition from post-accident aggravation.

  • **Aggravation vs. Pre-Existing**: You are entitled to compensation for any aggravation of a pre-existing condition caused by the accident, even if you are not entitled to compensation for the condition itself.
  • **Treating Physician Opinion**: Your doctor's written opinion comparing your function before and after the accident is critical evidence.
  • **Prior Medical Records**: Voluntarily providing pre-accident records that show a stable condition strengthens your aggravation claim.
  • **Imaging Comparisons**: If pre-accident MRI or X-ray images exist, compare them to post-accident images to show objective worsening.
  • **Functional Capacity Evaluations**: Independent evaluations documenting your post-accident limitations counter insurer arguments about pre-existing disability.

Negotiation Tactics When Pre-Existing Conditions Are Challenged

Never try to hide a pre-existing condition — adjusters will find it in medical records and use concealment to destroy your credibility. Instead, proactively address it by obtaining detailed physician opinions that clearly distinguish your pre-accident baseline from your post-accident condition.

A personal injury attorney experienced in pre-existing condition defenses knows exactly how to frame your medical evidence to prevent insurers from using your medical history to escape fair compensation for the harm they caused.

For informational purposes only. Not legal advice. Consult a licensed attorney.