Are you covered?

Posted on behalf of Claire:

I was diagnosed with breast cancer just a couple of weeks before my 50th birthday. I wondered if my new wage insurance would cover me as I had only taken out the cover a few weeks before. The fact that it was eventually rejected wasn't my major gripe. It was that it took my insurer nine months to reject it, all the while I believed it was going to be paid.

It was eventually rejected because I had not ‘disclosed’ that I had been referred to a cardiologist 18 months earlier. The reason I had not ‘disclosed’ it was because

1) it didn't cross my mind and

2) the cardiologist reassured me that the reason for my referral was a "range of normal" and I did not need to see him again or take any medication.

Yet this was the reason I was stamped as uninsurable, although as I say, it took them nine months to decide this. Had I not contracted breast cancer, I might have gone on paying for this policy for a very long time, only to find that when needed, it was ruled as invalid.

I have learned two things from this:

1)  If you want any kind of personal insurance get it before you even consider going for a check up, and

2)  If you have been to your doctor for so much as indigestion, a headache, the flu etc, mark all visits on the application form. Your insurer will carry out a full examination of all your records and decide if you can be insured.

This would have been far less stressful for me than fighting a losing battle, especially when I had other, more important battles to fight. I am sure there are multitudes of seniors out there who think they are covered and may not be.

 

Have you had a similar experience to Claire?

2 comments

I've worked for an income protection insurer, if you get knocked back you then need to seek legal advice or complain to the insurance ombudsman. They will often knock a claim if they think you won't fight it, but if you get a lawyer and go back they will back down. Not an ideal way of treating people especially people who pay to ensure they have something if they get sick but then that's why I don't work there anymore.

Debbie,

minnie has answered the original querie and I suspect as best anyone could. Although I would get a lawyer to contract quote in writing first.

However you have raised an underlying basket of thorny issues and especially for self-supporting retirees, the greatest majority of whom are I believe, living on the edge, but didn't expect to be that way. 

Allow me to give an example.  Over coffee (caterer's blend, urk!) following a volunteers meeting Monday evening, one of the self-supporting retirees present admitted sheepishly that since ceasing work he had not been for the recommended tube up the bum test which he was supposed to have regularly after discovery of problems some years ago. 

He wasn't the only one either who was missing recommended tests or treatment, because there were other guilty looks.  I left early so I don't know what the final upshot was but as far as I could make out, although he and others may have had private cover, they would be financially embarrassed by the cost of the treatment (up-front cost, amount they got back or whatever, I don't know).

Anyhow, the theme that came through as far as I was concerned is that some self-supporting seniors are unsure of where they stand on health now that their circumstances have changed.  The pre-retirement 'courses' focus on financial advisers getting their percentage and there are very large gaps in knowledge on running their lives after.  Rocketing costs have stripped them fast.

Worthwhile for an article I imagine, or for an informative self-help post from one of the members with expertise.  C'mon you lurkers!.

2 comments



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