Shield plan for pre-existing medical condition

mommyboiboi

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Hi all...
I am about to renew my shield plan. I am a hepatitis B carrier, but up to now I haven't encountered any complication yet. Does anyone know any shield plan which cover pre-existing condition? My current shield plan will not cover it so I'm thinking of changing to other plan. TIA
 

lonewalker

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Hi all...
I am about to renew my shield plan. I am a hepatitis B carrier, but up to now I haven't encountered any complication yet. Does anyone know any shield plan which cover pre-existing condition? My current shield plan will not cover it so I'm thinking of changing to other plan. TIA

Hi, Aviva like what rarenick says is useful for someone who has medical condition and wanted to be covered using the moratorium underwriting.

I have a few clients with Hepatitis B carrier status and the condition to get cover is that:

1) 5 years not showing symptoms from the date of inception. (If you done any medical check up that shows test result positive, your HEP B coverage will be exclude permanently)

2) Not seek medical treatments regarding the pre-existing

3) Not seeking medical consultations regarding the pre-existing

4) Not under medication.

If you apply a life insurance policy after u have moratorium before the 5 year moratorium is up, please be careful that if the insurer requires you to go for blood test for your HEP B when you declare, if the test shows positive, your Aviva will not cover you for you HEP B and related complications.

The above scenario will deem to have breach your showing symptoms clause.

Thus, it would be better you should consider loading your other critical illness coverage or death if you have the intention to do so in the next 5 years.

Otherwise, you should only apply coverage of your life insurance after 5 years when the moratorium period completes and your risk not having adequate life coverage during the 5 years.

Weigh your pros and cons and no solutions is absolutely best without cons so you need to know the pros and cons.

Also if the Aviva exclude your pre-existing, might as well stick with your current one.
 

mommyboiboi

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Hi lonewalker thanks for the info. BTW I have blood test every 6 month to check my hepatitis status. Is it considered as seeking medical consultations?
 

FP_IFA

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Hi lonewalker thanks for the info. BTW I have blood test every 6 month to check my hepatitis status. Is it considered as seeking medical consultations?

Yes it does and the moratorium period will be reset back to 5 years each time you seek a medical checkup on your condition. The moratorium term is unfair imo but thats how it is.
 

lonewalker

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Yes it does and the moratorium period will be reset back to 5 years each time you seek a medical checkup on your condition. The moratorium term is unfair imo but thats how it is.

Hi, I am a little confused. My understanding is that the moratorium once breached will be permanently excluded. I don't recall they mentioned that the part on reset the moratorium to 5 years again after the last checkup.

However, I have emailed Aviva to clarify. I would let you know about the outcome as well.
 

lonewalker

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Hi lonewalker thanks for the info. BTW I have blood test every 6 month to check my hepatitis status. Is it considered as seeking medical consultations?

Unfortunately, it does. Moratorium however is useful for people who has medical conditions like high blood and diabetes which usually they risk their entire policy rejected.

If they apply with Aviva, they will be covered for Cancer (Nothing to do their pre-existing) using moratorium.

If they apply using full medical underwriting, they risk their entire application rejected. Thus risking cancer coverage being thrown out of the window together.

Especially useful and usually depends on the insured health conditions.

My Advise is for you to apply through Moratorium if you dont have any shield plan, and then submit your application with other insurer declaring full. This way, you can always fall back on Aviva and hope that the other insurer can give you a standard cover after accessing your HEP B situation. However, your HEP B will be most likely permanently excluded even with Moratorium as you goes for half yearly checkup.
Best that if you declare full with other insurer, you supply them with all your medical reports. This will help the underwriters better understand your exact health condition.

Vague declarations are usually issued with an exclusion clause even though your condition might be mild.
Since Health Insurers premiums are low, they dont send you for free medical check up like what life insurance applications will.

But in your case, you already have a shield plan covering you everything else except your pre-existing. In this case, you might as well stick with your old plan as Aviva will not cover even with moratorium since you are going for half yearly follow-up review. This will breach the moratorium clause.
Moreover if you develop other conditions since your shield plan inception, changing to Aviva risk addition exclusions if the conditions requires you to go back for review.
 
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Accesscode

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Unfortunately, it does. Moratorium however is useful for people who has medical conditions like high blood and diabetes which usually they risk their entire policy rejected.


I wish to know, how is moratorium underwriting useful for people with medical conditions like high blood pressure and diabetes?
All the people I know who are in these 2 groups are always on medication.
 

Accesscode

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Yes it does and the moratorium period will be reset back to 5 years each time you seek a medical checkup on your condition. The moratorium term is unfair imo but thats how it is.


The following wordings are extracted from Aviva's policy contract.

"Moratorium
means a waiting period of five (5) years from the Policy Commencement Date, or the date of Upgrade, or
the date of the last reinstatement for an Insured Person, whichever is later, after which a particular
Pre-Existing Condition will be covered subject to the terms and conditions of the Policy."

No where else in the entire contract does it say the 5 years will be reset, as per your suggestion.
Is your statement correct?
 

Accesscode

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Hi all...
I am about to renew my shield plan. I am a hepatitis B carrier, but up to now I haven't encountered any complication yet. Does anyone know any shield plan which cover pre-existing condition? My current shield plan will not cover it so I'm thinking of changing to other plan. TIA

I know people who are Hep B carriers, they have exclusions on their hepatobiliary system.

It's very good you are disciplined and sensible to go for half yearly blood tests to be sure it has not manifested into any other liver ailments.
 

FP_IFA

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The following wordings are extracted from Aviva's policy contract.

"Moratorium
means a waiting period of five (5) years from the Policy Commencement Date, or the date of Upgrade, or
the date of the last reinstatement for an Insured Person, whichever is later, after which a particular
Pre-Existing Condition will be covered subject to the terms and conditions of the Policy."

No where else in the entire contract does it say the 5 years will be reset, as per your suggestion.
Is your statement correct?

Read the conditions in the application form, page 3 Key Product Provision.
http://www.aviva.com.sg/pdf/applicationforms/MyShield_MyShield_Plus_Application_Form.pdf

if You have chosen the Moratorium Underwriting Option, during the period of 5 years’ continuous insurance from the date of commencement of cover or the date of the last reinstatement or the date of Upgrade, whichever is later, under the Policy, the Insured Person has not, in relation to a Pre-Exisiting Condition:
- experienced symptoms;
- sought advice or tests from a Physician, a Specialist or Alternative Medicine Provider (including checkups for that Pre-Existing Condition);
- required treatment or medication; or
- received treatment or medication
 

Accesscode

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Read the conditions in the application form, page 3 Key Product Provision.
http://www.aviva.com.sg/pdf/applicationforms/MyShield_MyShield_Plus_Application_Form.pdf

if You have chosen the Moratorium Underwriting Option, during the period of 5 years’ continuous insurance from the date of commencement of cover or the date of the last reinstatement or the date of Upgrade, whichever is later, under the Policy, the Insured Person has not, in relation to a Pre-Exisiting Condition:
- experienced symptoms;
- sought advice or tests from a Physician, a Specialist or Alternative Medicine Provider (including checkups for that Pre-Existing Condition);
- required treatment or medication; or
- received treatment or medication

Page 3 of the Key Product Provisions in the application form has this advisory in bold:
"You are advised to read the Policy contract for the precise terms and conditions of all exclusions."

The words printed in the application form do not corroborate your statement that the moratorium will reset back to 5 years each time a person sought a medical treatment for a pre-existing condition.
Your statement, to me, means that after every treatment sought for a pre-existing condition, the moratorium starts all over again for another 5 years cycle, and this repeats itself again and again after every treatment sought for that same condition.
Did I understand your statement correctly?


From my understanding of the contract wordings, it explained that a person who selected moratorium underwriting will not have that pre-existing condition covered if he/she sought treatments within 5 years from:
- Policy commencement date,
- Date of upgrade,
- Date of the the last reinstatement,
whichever is later.

Correct me if I'm wrong.
 

HandsTied

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MyShield's Moratorium is a one-time 5-year period. Some H&S plans (that are non-integrated with Medishield) have "rolling" Moratorium which resets the period if the person fails the Moratorium. Aviva currently does not offer this feature.

Anyway there are murmurings on the grapevine that it may be reduced to three years. Hopefully there are better features in store as well.
 

lonewalker

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I wish to know, how is moratorium underwriting useful for people with medical conditions like high blood pressure and diabetes?
All the people I know who are in these 2 groups are always on medication.

Hi hi maybe i made some confusion in my previous reply, :)

as i have mentioned earlier. It is good for people who has medical conditions that will likely result in their health insurance being thrown out of the window altogether.

In many cases, certain conditions that presents are rejected for cover. This mean that not only their pre-existing conditions are not covered, the conditions that have no relation to their pre-existing are thrown out of the window altogether due to the decline in coverage.

Some cases of diabetes and high blood when both are present, risk the chance that the entire application is declined.

It is not fair for the insurer and policy holders to accept coverage for people and cover for their pre-existing as it will drives up the claims and of coz the price of the health insurance for everyone.

However, it is also too "restrictive" if they only just want to cover for conditions that have not developed like cancer that are not related to high blood or diabetes. In certain cases, depression and mental disorder risk your application being declined as well.

Most People with medical conditions understand that it is fair that they are not being covered for their pre-existing especially if they still go for medical treatment and consultation or medication. However, they do wish to cover for medical related expenses due to other things like cancer, accidents dengue and many many other that has no relation to their pre-existing.

Thus a moratorium will be useful than to do a full medical declaration risking their entire policy rejected.

Hope this will help clarify your doubts on my statements. :)
 
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kongming78

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May i know if Hep-B carrier will be covered if he/she is with company Group Hospital Surgical Plan since this plan is Pre-existing conditions are excluded only for the first 12 months ?
 

xtwis7

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Do you mean if the person takes up a private hospitalisation plan? Hep B carriers are excluded from the usual conditions linked to Hep B.

May i know if Hep-B carrier will be covered if he/she is with company Group Hospital Surgical Plan since this plan is Pre-existing conditions are excluded only for the first 12 months ?
 

BBCWatcher

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May i know if Hep-B carrier will be covered if he/she is with company Group Hospital Surgical Plan since this plan is Pre-existing conditions are excluded only for the first 12 months ?
However, this individual (Singaporean citizen or PR) is covered under MediShield Life, and under the group policy after its waiting period.
 
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