Posts Tagged policy

Living Without Insurance For Cancer Patients

 5 years ago when Elliot Moores was informed that he had a brain tumour, life was never going to be the same again but following a traumatic operation his recuperation has been excellect. Yet Elliot lives with the knowledge that the tumour could re-appear at any time during the next 5 to 10 years. He will also take pills to reduce his epilepsy for the rest of his life.

Mr Moores, who is now forty one, believes he is the most “fortunate man alive” to be still living. Although he is unable to get life insurance cover.

Mr Moores and his partner have a 4 year old son, Jack, and the previous year they moved from Brighton to Woolaton in Nottinghamshire. The family remortgaged 80,000 pounds with the Nation Wide but James was unable to cover the debt with life insurance of his own.

“The Halifax’s underwriters refused to give me a quote for better life insurance. Jane has critical illness insurance and life assurance cover for the whole mortgage,” he says.

The probability of getting online life insurance cover are notably doubtful if an application is made in the first two years of having been inflicted with a nasty type of cancer or having had a heart attack. If the patient is lucky enough to make a full recovery within a set period of time, usually up to four years, insurance companies will consider insuring them again but might place a “loading” on to the premium. In most instances this might be as much as six times the rates that other people pay.

During the first four years subsequent to an operation, someboby in Mr Moore’s circumstances would be refused cover. After this period, life assurance cover should be accessible “though at a very costly premium”.

The life assurance company which underwrites for high-risk people (those who play hazardous sports or with severe medical problems is the Special Risks Services. It professes to have a victory rate of 70% when putting its customers with insurers. SRS confirmed that it will be at least another year before they may be able contemplate an application from Mr Moores.

Premiums would inevitably be excessive because of his epilepsy and because there would still be an increased mortality risk compared to the general population. Unless a policy purposely excluded cancers, Mr Moores would almost certainly be refused any critical illness insurance cover.

Thus as a result of independent financial advice, the Moores family has saved up six months’ emergency money, effectively a self-insurance policy.

And there is a little good news for James. Britannia, his previous mortgage lender, has allowed him to retain 55,000 pounds of life life assurance cover from an existing policy – although at a cost of forty five pounds a month. This is called a Guaranteed Insurability Option and means the insurance company will permit the insured up to 1/2 of the initial amount assured without underwriting.

It is not just serious medical conditions that can impact on  life cover. Jason Meers, director of Malvern sports Club had his initial application declined because of a minor skin irritation. A large number of trips to consultants and no end of telephone calls to Scot Prov they finally sorted things out. Mr Meer’s advice to anyone in the same situation is to make an application first and prop it up with a full copy of your medical notes.

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You Have Taken Out Insurance Cover – Then Find You’ve the Wrong Illness

Summary
The need for clarity and honesty when writing critical illness insurance policies. This article spells out the problems.

Very little is more distressing in life than to be diagnosed with a serious or chronic condition. Things are made much worse when your insurer informs you that they won’t pay out on your critical illness policy or private health cover for the HIV or cancer you are suffering from .

You are told to peruse sub-clause six of paragraph 325 of the small print, which informs you that you have got the  wrong form of cancer. Only tumours below the hips are covered and only the first six days of your treatment will be paid for, and then it is up to you to find the finance.

This situation may sound ridiculous, although brokers and insurance companies are regulated, this type of procedure continues togo on. It has been a long drawn process to tidy up the industry and to make certain that consumers get a proper deal.

A short time ago Cancer Backup, a registered charity, highlighted this problem by organising a large assortment of  shopping surveys, which exposed some disconcerting facts about the private medical insurance companies. It established that of most of the leading insurance companies only PPP provided cover for cancer patients throughout the length of their illness. Only  the initial treatment is covered by the majority of health insurance policies. Care or treatment over a longperiod, such as hormone replacement or chemotherapy is normally excluded.

While life insurance companies and brokers want to finance long term cover for insurance holders with chronic illnesses, they won’t always make it clear to likely clients, at the time of taking out the policy what they are covered for.

Eeven though both  Cancer Backup and Macmillan Cancer support have been in discussions with comparableestablishments within the industry to lift the standard of sales practices and make the phrasing of insurance documents much clearer, progress has been slow since the report was published two years ago.

Private medical insurance and critical illness cover  is usually taken out by clients who are comparatively hale and hearty. The last thing that crosses their minds is getting cancer. That is why it is so vital to spell out an insurance policy’s exclusions before they sign up.

A statement of best practice for life insurance companies writing and selling medical insurance policies has been revised recently by the  ABI, which is a much needed step in the proper direction.

The market body has now proposed that insurance companies and providers selling these kinds of insurance should orchestrate similar case studies, which explain the situations when a policy will or will not be paid. Regrettably insurance providers no requirement to adhere to this code, which is voluntary.

While the  Association of British Insurers initiative is to be embraced, the best way of explaining a policy is by getting the salesman to explicate the small print.

In addition, industry jargon is in spite of everything even now being used by insurance companies to baffle the consumer. For instance it is wrong to classify cancer as an acute or chronic illness, disputes Cancer Backup. On the other hand insurance companies are insistent that it should go in the acute category. Consumers only learn about this when their claim is rejected.

Although the  Association of British Insurers have got their responsibilities right, the insurance companies can only be required to improve their standards by the regulator. Better training of call centre staff, who sell the majority of the insurance policies, is also long overdue

More thorough marketing procedures are essential with terminology being eliminated. At the end of the day it it is the duty of the insurance companies to ensure that their clients fully comprehend the terms of their policies before they commit themselves.

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