I've only changed plans once. The first one was one that is specifically for Maine, offering only limited coverage outside of Maine and New Hampshire, although it did cover emergency care in any state, so that was fine with me. However, my wife takes more medications than I do, so she decided another plan would be better (Anthem), and I figured it would be easier if we were both on the same plan since she does most of the calling around and stuff. I don't think there were any questions about chronic conditions. We used the same agent, and he just signed us up for Anthem rather than the one we were originally on.