What Is a Medical Underwriter?

Personal medical insurance refers to individuals using various insurance tools to build their own medical security system. Personal medical insurance includes social medical insurance and commercial medical insurance.

Personal medical insurance

Personal medical insurance refers to the use of various insurance tools by individuals to build their own

Although the state vigorously promotes the social security system, it is only a social welfare and cannot meet individual needs. For the personal medical security system, social medical insurance is fundamental.

First, pay attention to the age limit.

Each insurance company has different regulations on the minimum age of insurance. Depending on the type of insurance, the minimum age of insurance generally ranges from 90 days after birth to 16 years of age. However, the maximum insured age set by insurance companies is roughly the same, at 65 years of age. If your age is outside this range, you are generally not eligible for insurance. The younger you are, the less the premiums are, so it is advisable to get insurance early.

Second, pay attention to the truthful disclosure obligation clause.

When entering into an insurance contract, you should truthfully present your physical condition and past medical history to the insurer, so that the insurer can determine whether to accept the insurance or under what conditions. Some inpatient medical insurance clauses explicitly include certain serious diseases (such as congenital diseases, leukemia, etc.) into the coverage. Therefore, do not conceal the medical history, otherwise the insurance contract will be invalidated, and even if an insurance accident occurs within the scope of liability, the insurance company will not perform the payment obligation.

Third, pay attention to the scope of liability of the insurance type.

When purchasing insurance, it is important to clarify the scope of liability for the type of insurance. Only if an insured accident occurs within the scope of the liability, the insurance company will perform its obligation to pay. For example, the "Severe Illness Insurance", which is hot on the market, generally covers the first diagnosed disease after the insurance is purchased. Such as cancer, stroke, myocardial infarction, and other diseases such as asthma, tuberculosis are excluded.

Fourth, pay attention to the waiting period of hospital medical insurance.

The so-called wait-and-see period, that is, after the insurance contract takes effect for a period of time, the insured person is responsible for the medical expenses incurred by the insured person due to illness. In addition to inpatient medical expenses caused by accidents, for general inpatient medical insurance, insurance companies have a wait-and-see period when underwriting. According to different types of insurance, there are two types of wait-and-see periods: 90 days and 180 days from the effective date of the contract. The insurance company will not be liable for medical expenses incurred during the wait-and-see period.

Fifth, pay attention to deductible clauses.

Insurance companies generally adopt deductible provisions for some low-cost medical expenses. On the one hand, the medical expenses of a relatively low amount can be afforded by the insured, and at the same time, the insured can save a lot of labor invested by the insurer; on the other hand, it can promote the insured to strengthen self-control over medical expenses and avoid Unnecessary waste. Therefore, pay attention to deductibles when purchasing medical insurance. If your medical expenses are less than the deductible, you may not get a claim. ^[2]