The aim of the underwriting process is to present the potential client the most valuable health insurance offer that signifies, as well, the least risk for the company. For this reason, carefully assessing an applicant, taking in consideration how often and how seriously this person may get sick, is essential. Due to the high prevalence and incidence of diabetes and the many complications of this disease, this process is particularly key when considering a potential client, who has or may have diabetes.

Does this mean that an applicant with diabetes, or who may potentially have it, is an automatic rejection? No, not at all. It depends on the type of diabetes and how well the disease is controlled.

  • TYPE 1 DIABETES:

If the applicant has been diagnosed with diabetes type 1, this is an AUTOMATIC REJECTION.

  • TYPE 2 DIABETES

This type of diabetes  CAN BE APPROVED with restrictions or exclusions if:

  • the disease is controlled,
  • he/she is under regular medical care, and
  • there are no complications of the disease.
EXCEPTION:

An applicant diagnosed with BOTH DIABETES AND HYPERTENSION is an AUTOMATIC REJECTION. High blood pressure can aggravate many complications of diabetes, such as eye and kidney diseases and heart and circulatory problems, increasing the risk level of the applicant.

WHAT DO YOU NEED TO DO?

You must submit the “Diabetes Questionnaire” with the application when the client has declared a diagnosis of diabetes or if the applicant is at risk of developing diabetes.

  • HOW TO IDENTIFY AN APPLICANT AT RISK OF DEVELOPING DIABETES:
    • Genes and family history of diabetes
    • Overweight adults (BMI of 25 or higher) who have other risk factors
    • Adults over 45, if the person has risk factors
    • Overweight children who have other risk factors
    • Diagnosed of insulin resistance or Metabolic Syndrome
    • Prediabetes: Test results for blood glucose, or blood sugar that are higher than normal but not high enough to be called diabetes (Most people with prediabetes don’t have any symptoms.)

DOWNLOAD THE DIABETES QUESTIONNAIRE:

The post Underwriting Diabetes appeared first on PA Group – We Are With You.

Source: Health – English