QUOTE(pharaoh5312 @ Apr 20 2024, 05:33 PM)
hi sifu can I ask a question?
Let's say if someone has done a genetic testing more than 10 years ago and was found to have a genetic mutation in BRCA (the one that increases risk of getting breast cancer in the future).
This said person had bought a medical insurance but did not declare about the BRCA gene.
If at all this person ever gets a breast cancer diagnosis in the future, will this person ever get to claim medical insurance?
Because from what I understand, having a BRCA mutation does not mean it is a 100% thing that the person will get breast cancer, just higher chance than normal people. Also, at the point of buying said medical insurance that person has not ever been diagnosed with breast cancer.
By this logic, it shouldn't be considered as a "pre-existing condition" related to breast matters and should not affect any claims related to breast matters, right?
Hi, underwriter here.
I dont think it will directly cause the exclusion or decline of the application.
Genetic testing is something i believe isnt really common here yet hence the legality to assess them is still debatable i'd say..
Currently for breast cancer risks, we would usually look at
1) own personal history of breast /ovarian tumour/growth
2) family history ( >2 close members at young age would warrant more concern)
If one has been tested positive for these gene mutation which raises concern for cancer, i would suggest to just declare on the test, whether any preventative treatment or monitoring is required from the dr.
Most likely, if your profile is just the dna testing, no family history, clean ultrasound/tumour marker, it would be just standard imo.
Back to your question, idk much how claims will handle this in terms of t&c etc. I have handled non disclosure cases tho, usually if during the proposal, had u provided further details , report etc and if decision by uw would remain standard , then there should be no issue with the claims.