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Medical Underwriting

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FAQs

Frequently asked questions related to Medical Underwriting

Do I need a medical exam to get health care coverage?

No, there typically is no physical or other medical exam required to qualify for any health or dental care plan.

Medical exams (including blood and urine samples) are common for other forms of insurance, such as Life, Disability, Critical Illness etc.

For Medically Underwritten health care plans, there will be medical questions on the application, and the insurer may write to your physician (and compensate them) to produce a summary of your medical history. This is usually all that is required, though the insurer can request additional information as needed.

What is medical underwriting?

Medical underwriting is a process used by insurance companies to evaluate an individual's health risks based on their medical history, age, and lifestyle. This assessment helps determine the terms of the insurance coverage, including premium costs and any exclusions. The outcome influences the affordability and extent of coverage offered to the individual. In some cases, coverage may be declined if an individual's risk is deemed too high.

During underwriting, the insurer may request medical records from the insured person's physician, require health examinations, and ask the applicant to complete a health questionnaire as part of the application. This information provides a comprehensive view of the applicant's health.

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