QUOTE(cmk96 @ Jul 14 2021, 04:19 PM)
» Click to show Spoiler - click again to hide... «
I was told GE medical card no cover Covid-19 expenses....
Is that true?
hi cmk96, basically, no medical card cover covid-19 expenses except for certain medical cards from AIA. if you come across any, do correct me. those that covers are those from the special relief fund which acts like an allowance/reimbursement to a certain amount.
QUOTE(aspartame @ Jul 14 2021, 05:13 PM)
» Click to show Spoiler - click again to hide... «
So, let’s say the incontestability period of, say, 3 years is over and a person with a history of hypertension (who did not state that he had hypertension on application because he genuinely overlooked or could not remember) now comes forward to claim for heart surgery (5 years of paying premium )...can insurance company reject the claim ? Or they must pay based on incontestability period being over?
hi aspartame, if this insured got history of hypertension and say he knew about it (meaning got medical record in any clinic/hospital/lab), if such claims happen, company still got the right to reject the claim and void the policy because this falls under the non-disclosure clause. for the genuinely overlooked/could not remember, can try to write in and try to appeal. of course final decision of appeal is not guarantee ya but if there's a chance, why not.
also i think during the insurance application process, agent plays important role in asking all the disclosure health questionnaire. by asking in specific, likely can remind the insured of past history unless really something that the insured isnt aware of.
QUOTE(aspartame @ Jul 14 2021, 06:16 PM)
» Click to show Spoiler - click again to hide... «
Actually what I am trying to ask is: if we have been paying premiums for 5, 6 or even more than 10 years, can the insurance company still deny claim saying we did not fully disclose? How do they differentiate between fraud and genuine overlook or omission? Do they routinely still check for all these misstatements after 10 years of paying premium?
if there is really something not disclosed, then yes company can deny they claim. how company differentiate is... if they cannot find evidence/proof of medical history, they will treat it as a genuine case. if they dig and find out certain medical history that isn't mentioned in the insurance application, then they will treat it as non-disclosure case and further investigate to find out more.