Health Insurance Articles

How Certain Ailments May Increase Your Medical Insurance Coverage

2010-09-01

Certain ailments can increase your medical insurance coverage. From arthritis to emphysema, most insurance companies implement prescreen options. This protects insurance companies from extending coverage to high liability customers. It also secures coverage levels based on health and medical history. This is an important part of any insurance application. At times, certain insurance companies may even require a physical. While this is normally relegated to life insurance exams, more health insurance companies are now utilizing the process. With insurance scams on the rise, it is also a way to ensure genuine medical coverage. While insurance firms do want to help people, they must abide by strict rules and regulations.

With any health insurance application, you must enclose a detailed medical history. This includes medications, surgeries and allergies. Along with past ailments, you must also include a current list of ailments as well. The amount of medical insurance coverage will be determined by these facts. Your premium and deductible will also be based on this information. According to law, intentional misinformation will lead to a termination of your application. There are, however, times when people do forget to attach pertinent information. This can be resolved by contacting the insurance company. You can then submit the additional information as directed.

Even for approved applicants, future problems may occur. For many customers, certain ailments tend to rise after insurance coverage is in effect. This may include weight issues, substance abuse or even chronic illness. When this happens, the insured must let the insurer know right away. This is part of any health insurance contract. Failure to report this information may lead to benefit cancellation. It can also lead to penalties and fines. While some ailments may not be covered under current coverage, others do qualify for higher premiums. The rate adjustment depends on the ailment itself. It is also based on various factors, including medical treatment options. No matter the ailment, the insurance company has full discretion on premium hikes.

While some ailments are extreme in nature, others are brought on by the insured themselves. Smoking and tobacco use is a main cause of increased coverage. For applicants beginning this habit, they must notify their insurance companies. Even if they try to hide it, doctors may report certain findings during check ups. Another issue is definitely weight. Since people tend to gain weight with age, there are certain policies the insured must adhere to. Your premium rates will increase with weight gain. While you are still covered, the insurance company must assess higher fees. This is to protect you in the event of a medical emergency caused by your ailments.