Dec 082009

Summary
Theways in which the seriousness of an illness can influence the pay out. How insurance companies are creating new plans which suggest limited pay outs.

Learning that you are suffering from cancer is shattering news. At some phase during our lives, one in four of the population will go down with  the illness. It is not surprising that Standard Life Health Care discovered that of all diseases, cancer causes British people intense concern.

At this arduous time you would be expecting an instant settlement by your medical insurers, allowing you to concentrate on getting better. Unfortunately you could receive a big shock. Lots of cancer sufferers make a full recovery with thanks to developments in medical science. In this day and age some cases are not looked upon  as critical, so it is disturning to find out that most medical and life cover only settle when your condition is life threatening or terminal.

An independent financial adviser, cautions that people ought not to assume that they will get a pay out seeing as they have been diagnosed with a severe illness. He advises people not to think about the cost alone when taking out life insurance, but to examine the Ts and Cs in a private medical or critical illness plan to ensure that the company will pay you when you need it most.

On the diagnosis of an explicit condition, critical illness cover will pay out a lump sum. Whereas, you will get superior quality and rapidity of treatment with private medical/health insurance. For instance, appropriate licensed treatments could be available, which are not dispensed on the National Health Service. A spokesperson of independent advice firm Direct Life and Pensions says about 16 % of claims fall short on protection policies and at as a rule 1/2 of those are rejected because they don’t match the criteria for a severe sickness.

An illustration of a claim, which may fail is a slow growing, localised cancer, like a non-aggressive skin cancer, since it’s not life threatening. It is often the opinionthat applications for a pay out are not successful because a pre-existing condition has not been mentioned, but in reality more people don’t get settlement because their illness is not severe enough. He adds that plans should  for severe illnesses and diseases. On the other hand some cancers sound much more severe than they are and in these situations you more than likely won’t get any money from traditional policies.

Formerly insurance companies had an all or nothing attitude, but they are now beginning to supply plans with a full or partial payout. An example is PruProtect, an alternative critical illness policy from the Prudential, which connects the size of the pay out to the seriousness of the illness and how much anguish it will cause. This policy does not become invalid once a claim is made but subsequent pay outs may be reducedconsiderably. This feature is intensely important when the patient is diagnosed with a stage-one or stage-two cancer, which may become even more serious.

Just lately the insurance industry dealt with the vexed issue of customer non-disclosure. The Association of British Insurers has brokered a new contract, which will allow claims effected by non-disclosure to receive a full or partial settlement, which was not the case previously.

The internet is a great place to go to get your quotes for life insurance.

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Sep 032009

Summary
The requirement for precision and honesty when writing critical illness insurance plans. This article explains.

Very little is more disturbing in life than to be diagnosed with a chronic or critical condition. Things are made ten times worse when your insurance company informs you that they will not pay up on your critical illness insurance or private health cover for the HIV or cancer you are suffering from .

You are told to read sub-clause four of paragraph 327 of the small print, which tells you that you are suffering from the the  wrong sort of cancer. Only tumours below the knee are covered and only the first five days of your treatment will be paid for, then it is up to you to find the money.

This situation may sound strange, although brokers and insurance companies are regulated, this type of system continues togo on. It has been a time-consuming process to clean up the industry and to make sure that clients get a fair deal.

A short time ago Cancer Backup, a well known charity, highlighted this predicament by arranging a large assortment of  shopping surveys, which brought to light some worrying facts about the private health insurance industry. It found that of all the leading insurers only HAS gave cover for cancer patients all through the period of their illness. Only  the initial treatment is covered by most of the health insurance companies. Care or treatment over a prolongedperiod, such as chemotherapy or hormone replacement is not normally included.

Even though insurers and brokers want to finance long term cover for insurance holders with life treatening illnesses, they won’t always make it clear to potential customers, at the time of taking out the policy what they are covered for.

While both  Cancer Backup and Macmillan Cancer support have been in talks with similar organisations within the industry to lift the standard of sales practices and make the wording of policy documents clearer, since the report was published two years ago, progress has been slow.

Critical illness cover and private medical insurance  is usually taken out by people who are relatively fit and healthy. Getting cancer is the last thing to cross their mind. That is why it is so essential to specify an insurance policy’s exclusions before they sign up.

A testimony of best practice for insurance companies writing and selling life cover has been revised recently by the Association of British Insurers, which is a much needed step in the proper direction.

The market body has now proposed that insurance companies and providers selling these kinds of insurance should set up typical case studies, which clarifies the circumstances when a policy will or won’t be paid. Unfortunately insurance providers have no obligation to adhere to this code, which is voluntary.

Although the  Association of British Insurers initiative is to be embraced, the best way of amplifying a policy is by getting the salesperson to clearly explain the small print.

Furthermore, industry jargon is in spite of everything even now being used by insurers to bewilder the consumer. For instance it is wrong to grade cancer as an acute or chronic illness, deliberates Cancer Backup. Nevertheless insurance companies are definite that it should go in the acute category. customers are only told about this when they make a claim.

Although the  Association of British Insurers have got their attitude right, the insurers can only be required to upgrade their standards by the regulator. Much more detailed training of tele marketing staff, who sell the majority of the policies, is also long overdue

More precise marketing procedures are essential with terminology being removed. Ultimately it remains the responsibility of the insurersinsurance companies to ensure that their customers are fully aware of the terms of their insurance cover before they commit themselves.

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