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dexterwei88
post Jul 4 2019, 09:55 AM

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Hi, I would like to ask about the "Pre-existing condition" in Prudential policy. My relative had bought a PRUMillion Med this year and she had an operation to remove ovarian cyst 10 years ago. In the policy, she noticed that the agent did declare it in the proposal. So, does it means that the ovarian cyst is automatically excluded from the medical card under the "Pre-existing condition"? Or if Prudential decided not to cover this, it will be specifically stated in the policy. If it will be specifically stated, where can we find it in the policy?

My relative have asked the agent but the agent told her that Prudential do not mentioned anything about the ovarian cyst operation and hence it will still be covered because the operation is already 10 years and no reoccurance since the operation. Is it true? Or any previous operation will fall into "Pre-existing condition" term.
dexterwei88
post Jul 4 2019, 12:06 PM

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QUOTE(roystevenung @ Jul 4 2019, 10:49 AM)
If it was properly declared in the proposal form, then it will also appear in the policy book at the few back pages in the proposal section, health declaration.

No, it is not automatically excluded if it was properly declared and the risk is accepted.
It is mentioned in the first few pages in the policy under the Schedule 1 Exclusion Clause.

If there is any exclusion, it will be detailed below the Exclusion Clause. If there is no Exclusion, it will be written as "Nil"
That is correct. If it was properly declared and accepted by the insurer, should there be a recurrent, it will be covered provided that the policy has surpassed the Waiting Period as specified in the Specific Illness Clause.
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Thank you so much for your clear explanations. It answers most of my doubts. We have checked the Schedule I Exclusion Clause part, it shows

"(D) SPECIAL PROVISIONS
Regardless of anything else we may say in this Policy, the following shall apply:
i) Exclusion Clause
Refer to Policy

- The rest of this page is deliberately blank -"

It does not shows "Nil" but shows "Refer to Policy". Is it how they write it in the new policy if there is no exclusion?
If certain sickness is excluded from the medical card, is it that Prudential will list the name of the specific sickness here?

 

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