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Private medical insurance (PMI) provides peace of mind for those looking to access timely and quality healthcare. However, if you have a pre-existing condition or a medical history that might impact your eligibility, it can feel like many doors are closed. Thankfully, some insurance providers offer flexible options, such as moratorium underwriting, which for some insurers, may include cover for related conditions. Additionally, we work with providers who can offer specific cover for pre-existing conditions under tailored policies.
Let’s explore these options and how they can help you access the healthcare coverage you need.
With Moratorium Underwriting, pre-existing conditions are usually excluded for a set period of two years, unless certain criteria are met. For instance, if you go two continuous years without symptoms, treatment, medication or advice related to a pre-existing condition after your policy begins, that condition may then be covered.
Some providers take a more flexible approach when it comes to related conditions. They may offer coverage for new conditions that, while linked to your medical history, are considered distinct from your pre-existing conditions. These cases are carefully assessed by the insurer’s underwriters at the time of the claim.
Important Caveat: Each claim is subject to review. Insurers will evaluate whether the condition is genuinely new or a worsening of a pre-existing condition. Additional medical information or reports may be required to support the assessment.
Some of our insurance providers may allow claims for new conditions that arise after your policy begins, even if they are somewhat linked to pre-existing conditions. For example:
If a new condition develops after your policy starts and you have not experienced any symptoms, received medication, undergone treatment, or sought advice for this condition in the five years prior to the policy start date, it may qualify for coverage.
Caveat: Each claim will be reviewed on a case-by-case basis. Insurers may request medical evidence to determine whether the new condition is eligible under the policy’s terms.
In addition to related conditions under moratorium underwriting from this insurance provider, we also work with other providers who offer coverage for specific pre-existing conditions. This can be added to your policy for an additional premium and offers the reassurance that you’ll be covered if a flare-up occurs.
For a complete list and details of the conditions covered, we can help guide you through your options.
Selecting the right underwriting method is essential for tailoring your private health insurance policy to your needs. Here are the main options:
Private medical insurance is about providing peace of mind and flexibility when it comes to your healthcare. Whether you’re looking for cover for related conditions or a policy that can include certain pre-existing conditions, we can help you find the right solution.
Contact us today to learn more about your options or get a free quote to see how little it could cost to protect your health and wellbeing.
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