Private Medical Insurance is designed to cover new and unexpected medical conditions. As such, to enable insurers to offer the cover you need they are able to offer a number of underwriting options. Underwriting is the way that insurers view the policy and the risk they attach to it. The various underwriting options are explained below:
Full Medical Underwriting (FMU)
This means the insurers ask you (or a group member) questions about your past health through a health questionnaire. Any pre-existing conditions and related conditions will be excluded unless the insurer agrees to accept them.
Instead of filling out a health questionnaire, an automatic exclusion applies to any disease, illness or injury (whether or not diagnosed), or of any related condition if:
- you (or a group member) has had symptoms of, medication or treatment for, or advice about such a disease, illness or injury within five years before taking out the policy, and
- there has not been a clear two-year period after joining during which you (or a group member) has been free of medication for, treatment for, and advice about such a disease, illness or injury or related condition.
After this clear two-year period, cover will be extended to include that disease, illness or injury, subject to your policy terms and conditions.
Continued Medical Exclusions (CME & CPME)
You can apply on this basis if you are transferring from an existing fully medically underwritten medical insurance plan and you (or your group members) are under 70 years old.
Insurers will apply the same personal medical exclusions to the policy that were applied to the previous policy. No new personal medical exclusions will be added.
Continued Moratorium (CMORI)
You can apply on this basis if you are transferring from an existing plan which is written on a moratorium basis and you (or the group member) is under 70 years old. Insurers would apply their moratorium wording with effect from the commencement date of the existing policy.
Medical History Disregarded (MHD)
This is a type of underwriting which is usually applied to larger group schemes, where pre-existing medical conditions are covered. All eligible medical expenses that occur after the inception date of the policy will be met by the insurer, subject to the standard terms and conditions of the plan.