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WHAT IS UNDERWRITING?
Any person could not expect to insure their house if the roof had just fallen
through. Similarly private medical insurance will not cover any conditions that are
already existing or known about. This does not mean that insurance is not
offered, just that already existing conditions will generally be excluded. Only
unforeseen medical conditions can be covered. To administer this the insurance
companies use one of the following:
FULL MEDICAL UNDERWRITING
This is the most common form of risk management used by private medical
insurance providers. Newly insured individuals answer a set of questions about
their medical history. The actual questions vary from company to company. The
objective is to reveal any treatment which is being received or waited for. This will
then be excluded from the cover so that the insurer will not have to immediately
pay claims, which will impact on the overall claims fund. Treatment which has
been received from a GP, or a consultant in the past will generally be excluded
although dependant on the condition an exclusion may not be added.
MORATORIUM
This type of underwriting excludes all previous conditions for a continuous period
of (usually) 2 years. If during the 2 years no treatment or advice is sought about
the condition, nor symptoms suffered, it should then be included in the cover.
The moratorium is rolling and if advice or treatment is sought then the 2 year
moratorium period will start again from the date of the symptoms, advice or
treatment.
The exact term of a moratorium can vary from insurer to insurer and a full
disclosure of the insurers moratorium should be obtained.
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