Does Critical Illness Insurance Cover Serious Illness?
Summary
The requirement for clarity and truthfulness when writing critical illness insurance policies. This article explains.
Nothing is more harrowing in life than to be diagnosed with a critical or chronic condition. Things are made a thousand times worse when your insurance company notify you that they will not pay out on your Life Insurance Cover or private health insurance for the Cancer or HIV you are suffering from .
You are asked to peruse sub-clause six of paragraph 328 of the small print, which informs you that you are suffering from the the wrong form of cancer. Only tumours below the hips are covered and only the first six days of your treatment will be paid for, and then it is up to you to find the finance.
This state of affairs may sound strange, but even though insurers and brokers are regulated, this type of procedure continues to carry on. It has been a time-consuming process to tidy up the industry and to ensure clients get a fair deal.
A short time ago Cancer Backup, a well known charity, emphasizes this problem by coordinating a wide ranging mystery shopping surveys, which hightlighted some alarming facts about the private Compare Life Insurance companies. It found that of all the leading insurance companies only Standard Life Health Care provided cover for cancer patients all through the duration of their illness. Only the initial treatment is covered by most of the health insurance policies. Treatment or care over a lengthyperiod, such as chemotherapy or hormone replacement is normally excluded.
even though brokers and insurers want to finance long term cover for policyholders with chronic illnesses, they won’t always point out to would be clients, at the time of signing up what they are covered for.
Eeven though both Macmillan Cancer Support and Cancer Backup have been in consultation with comparableestablishments within the market to lift the standard of sales practices and make the wording of insurance documents clearer, progress has been slow since the report was published two years ago.
Cheap Life Insurance is normally taken out by clients who are quite hale and hearty. Getting cancer is the last thing to cross their mind. That is why it is so essential to spell out an insurance policy’s exclusions before they sign.
A report of best practice for companies writing and selling health policies has been modified recently by the ABI, which is a much needed step in the right direction.
The market body has now suggested that insurance companies and providers selling these forms of insurance should prepare typical case studies, which clarifies the conditions when an insurance policy will or will not be paid. Unfortunately insurance providers no requirement to stick to this code, which is voluntary.
Even though the ABI’s initiative is to be welcomed, the best way of amplifying a policy is by asking the salesperson to explain the small print.
Furthermore, industry terminology is in spite of everything still being used by insurers to baffle the client. For example it is wrong to grade cancer as an acute or chronic illness, argues Cancer Backup. Nevertheless insurance companies are insistent that it should go in the acute category. customers are only informed about this when their claim has been rejected.
Even though the Association of British Insurers have got their attitude right, the insurers can only be forced to better their standards by the regulator. Further training of tele sales staff, who sell the majority of the insurance policies, is also long overdue
More thorough marketing procedures are crucial with terminology being eliminated. At the end of the day it falls upon the insurersinsurance companies to ensure that their customers are fully aware of the terms of their insurance cover before they put pen to paper.