On its Flexible Health range of private medical insurance products for individuals, WPA now also offers moratorium underwriting.
Full medical underwriting
This is based on you completing a health questionnaire when you first apply for cover. If you choose this option, you will be asked a number of questions about your health. WPA will review your details and decide the basis on which it can accept you for cover.
If you have a pre-existing condition that may need treatment in the future, the insurer will usually exclude it from cover, along with any conditions related to it.
Although this option involves more of your time when completing your application, it does mean that, when you receive your policy documentation, you will have certainty as to what is covered at the point of joining rather than when you need to make a claim.
With this option you do not need to fill in a medical history declaration on joining, but need to satisfy the following joining criteria:
You (and any applicant) must satisfy the following criteria to join on a moratorium basis:
- Have not been diagnosed with heart disease, stroke, diabetes, cancer or undergoing regular screening for cancer owing to your family history, nor had a surgical procedure/arthroscopy for a joint or back condition.
- Applicants over 18 must have a Body Mass Index (BMI) between 19 and 32.
If you satisfy the above criteria, the insurer will apply an automatic exclusion advising that any pre-existing conditions will not be covered for which you (and any family member included in your application): have received treatment and/or medication for, asked advice about, or had symptoms of (whether or not diagnosed) during the five years immediately before your PMI cover started.
However, these conditions will be covered if you do not have any symptoms, treatment, medication, or advice for those pre-existing conditions, and any directly related conditions, for two continuous years after your policy starts.
Your policy will probably never cover any pre-existing long-term medical conditions such as high blood pressure, which (even if symptoms were under control) are likely to require regular or periodic treatment, medication or advice. This is because the moratorium period starts each time you receive such treatment, so it is unlikely you will ever have two consecutive years free of treatment.
If you choose this option you will only be asked to provide basic information about you and any members of your family you wish to insure when you first join the plan. You will not be asked to disclose details of your medical history, but if you have had any symptoms, treatment, medication or advice for any medical conditions or undiagnosed symptoms these will be excluded from cover. The two year criteria for pre-existing conditions means that treatment for pre-existing conditions will automatically be covered if they later reoccur.