Summary

If you're looking for Medical Insurance you must read this article. It's important to appreciate what will and won't be insured. Do your homework now and understand the pitfalls - it will help you choose the right policy.

Medical Insurance - Sorry, you're not covered! Page 2

Author: Michael Challiner

Sorry - the drug is not approved

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Life Insurance News

insurance are: to jump the queues at the NHS, and to get the latest treatments and drugs. But there's a rider.

The Institute for Health and Clinical Excellence exists to approve the use of new drugs by the NHS in England and Wales. Until that body has approved the drug your insurer is unlikely to pay for its use. The problem is that the Institute's brief is to perform a cost/benefit analysis to ensure that the financial benefits to the nation from using the drug, outweigh the costs of using it in the NHS. A difficult brief and it has placed the Institute under scrutiny for the extended delays in drug approval.

The compromise hit on by the Financial Ombudsman is that if your medical policy won't pay for the use of experimental treatments, then it should meet the cost of an approved conventional treatment with the policyholder footing the bill for the balance if the experimental treatment is more expensive.

Sorry - it's a pre-existing condition

The basic principle is that if you are already suffering from a condition when you start a policy, then that condition "pre-exists" the policy and any claims for its treatment are invalid.

For this reason, insurance companies insist you complete an exhaustive { life insurance advisers } questionnaire before they agree to insure you. After all they need a clear picture of your medical condition before they quote. For many applications, the insurer will, with your approval, also write to your GP for specific details of your medical history. They like to have a complete picture.

So lets say some years ago you twisted your knee playing tennis. It { motor insurance } appeared to recover but now it turns out that you have a torn cruciate ligament and it needs to be operated on. Your medical insurance company could argue that the ligament damage was a pre-existing condition and you have to pay for the operation.

Some insurers try to accommodate these grey areas with a { cheap home insurance } moratorium provision within your policy. These provisions typically say that so long as you have been symptom free for two years relating to any condition you've suffered from within the last 5 years, they will pay for subsequent treatment. Not all policies have these moratorium provisions and the time periods do vary between insurers. You should carefully read your policy.

Sorry - its not covered

Medical Insurance is an annual contract - just like your car insurance. So when it comes to renewal, your insurer is at liberty to review not only your premium but also change the conditions on which your cover is provided.

Therefore, if your policy comes up for renewal mid way through a course of treatment, it's possible to find that your new policy no longer covers that particular treatment. This means that you will have to foot the bill for the balance of the treatment.

Furthermore, with ongoing advances in medical research, more and more conditions are becoming treatable. This progress has the effect of shifting back the dividing line between chronic and acute conditions.

This hits the insurers' pocket in two ways. With more conditions being reclassified as acute, the number of claims is increasing. And there's also a trend for new treatments to cost more - Herceptin being a good example. The net result is that the insurers { cheap secured loans } are finding themselves having to pay out far more. This is inevitably passed back to you through increased renewal premiums. And in an attempt to reduce their risk exposure, insurers have a tendency to adjust their definitions and exclusions. This means that you must read your renewal notice closely before you decide to renew.

So if you're tempted to buy Medical Insurance, be aware that everything { cheap mortgages } is not always black and white. If you've got insurance and need treatment, you're well advised to contact your insurer without delay and get them to confirm that they will meet the cost of your proposed treatment.