Thursday 9 April 2015

What doesn't Private Medical Insurance cover?

While there are benefits of having private medical insurance in the UK, it’s not just important to know what the policy actually covers as you also need to know what it doesn’t cover. Here are some details of some aspects that are not included in UK Private Medical Insurance:

1. “Chronic” conditions
These are conditions that aren’t curable, such as asthma and diabetes. Since these conditions are incurable, they’ll cause substantial expenses for the insurer over a lifetime. So it’s a business decision based on the uncertainly of the total medical costs will be. This may seem “unfair” to you if you’re looking for health insurance to cover chronic conditions, but the long term cost of treating these conditions can be a small fortune, and it will not cure you anyway.

2. Pre-existing conditions
These conditions can include illnesses, injuries, and diseases that you’ve had during a certain period—usually within the past five years. The five years goes back from the start date of your insurance policy under the process of the underwriting. However, the timeframe of five years may differ between different insurers and method of the underwriting.

However, depending on the underwriting some pre-existing conditions may be covered after two years of being insured as long as you meet the four criteria mentioned below. Usually you must be:

·         advice-free
·         symptom-free
·         treatment-free
·         medication free

When searching for UK health insurance, it’s important to know what will and won’t be covered. If you have a pre-existing condition or chronic condition, you might have some difficulty getting cover for them.