Buying Life Insurance After Being Diagnosed With Cancer

The American Cancer Society estimates doctors will diagnose over 1.4 million new cases of cancer in the U.S. in 2007, with more than 559,650 cancer-related deaths. If you are among the majority of cancer patients and survive for at least five years following your diagnosis, you may face another fight: buying life insurance.

Buying life insurance for cancer patients is challenging, but not necessarily impossible. Your chances for securing a policy depend greatly on the type, stage and grade of the cancer, and even on the treatment plan. There is a relationship between the rate you’ll receive and the curability of your cancer. Certain types of skin cancer, for example, are considered very low risk by life insurance companies and a skin cancer history may not even impact premiums.

Applicants with common and treatable forms of breast and prostate cancer may be able to get a “standard” rating under ideal circumstances. But patients with a history of leukemia or colon cancer may fall into a “substandard” or “high substandard” rating at best, or receive declines. Anyone with cancer that has metastasized likely won’t be able to obtain a policy.

Dr. Charles Levy, senior vice president and chief medical director of AIG American General Domestic Life Insurance Cos., says, “We’re better and better able to differentiate the risks of individual cancers.” Life insurers like AIG American General have sophisticated tables to determine premiums, where they can factor in cancer types and treatments. The end result is better premiums because applicants aren’t lumped together as an “average.”

Most insurers will not offer a policy to someone who is still undergoing treatment for cancer. Depending on your type of cancer, the life insurer may also want to add a surcharge, also called a temporary flat extra. For example, AIG American General sometimes charges temporary flat extras for two to five years, depending on the applicant’s cancer and treatment. The good news is that although these extra premiums can be expensive, they will automatically disappear after a set period of time.

Cancer insurance risk specialists

While a dedicated life insurance agent will search cancer insurance companies to find insurers that will sell you a life insurance policy, in some cases you may be better off seeking out a broker who specializes in finding life insurance for people who have a history of cancer.

These brokers will know the specific questions underwriters will want answered when considering your application. Many brokers have developed relationships with several insurers, so they know which companies offer the best-priced life insurance policies for cancer survivors. Some brokers have experts who specialize in gathering your medical records and organizing them.

By directing your application to life insurers that will view your application most favorably, these brokers will help you find the most accurate price quotes and the lowest premiums for life insurance. Always check the financial strength of the insurer before you buy any policy and be sure that the agent or broker you choose is licensed in your state.

Life insurance strategies for cancer survivors

If you are a healthy cancer survivor, life insurance is even more feasible. There are things you can do to ensure you’re getting the best premium offers possible for your situation.

1. Gather all possible medical records before you apply, from the first pathology report to medical records to treatment records. That ensures medical underwriters have the most complete picture of you, your health, and your cancer history. Having all those records before you apply for cancer insurance will reduce delays in your application process, because your life insurer is going to request them and will wait for them. The information you provide can garner you better premiums in the end: The less life insurer underwriters knows about you, the more likely they are to have to assume you are the highest risk and offer you high premiums accordingly. According to Levy, “If it’s fuzzy, we’re more likely to err on the side of conservatism.”

2. Make sure you have complied with your doctor’s treatment plans. For example, says Levy, if your doctor asked to see you back in one year and you haven’t been back in four years, get to your doctor for your check-up before you apply for life insurance. Your life insurer is not going to offer you a policy without before seeing the results of that check-up. Similarly, if you’ve had breast cancer and you’re due for a mammogram in December and you apply for cancer insurance in October, your life insurer will likely wait for the results of your next mammogram.

3. Get prices from several companies. Policy costs can vary a great deal among companies.

4. See if you can get group life insurance through a professional, fraternal, membership, or political organization to which you belong.

5. Consider a “graded” policy (one with limited benefits) if you cannot get full death benefits. In the first few years of a graded policy, the company pays only the premiums and part of the face value if the insured person dies of a condition, such as cancer, that existed before the policy took effect. If the insured person dies after the specified grading-in period, the company will pay the full face amount of the policy.

If your cancer has been successfully treated, and you are otherwise in good health, you can likely obtain a cancer life insurance policy. If you can show that you are healthy and your treatments have gone well, several insurers may compete for your business.

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Avoiding Health Insurance Claims Denials on Group or Private Health Insurance Policies, Part 1

These days a patient must be vigilant about his or her own health care in terms of researching treatment, securing pre-authorizations, and knowing what to do if their group or private health insurance policy denies a claim. After all, a health insurance claim denial is the last thing you want to have to worry about in the middle of a health crisis. A denied claim feels like a knife in the back placed there by the very company that’s supposed to be watching your back. Luckily, some claim denials can be easily avoided.

According to one lawyer at the Texas State Department of Insurance, “The most common basis for a claim denial in the health insurance industry is that the procedure, preparation, or pharmaceutical is not covered by the policy. So, the easiest and most important way to avoid a claim denial is to read through the most recent and most inclusive version of your health insurance policy and get a picture of the kinds of things that are covered, and those that aren’t.” This is a great starting point. Make sure your policy is the most up-to-date. In the past few years most policies have changed to put more financial burden on patients covered.

It’s also a good idea to contact your health insurance provider and ask to talk to someone who specializes in the area of treatment you’re receiving. After all, he or she might be the very person reviewing your claim, so feel free to ask specific questions about what might or might not be covered under your particular policy. For future reference, write down his or her name and telephone number at the beginning of the conversation. Keep detailed notes on exactly what happens every step of the way, and retain all related paperwork, even if you’re unsure whether it’s relevant. Include in your notes:

* When the required treatment pre-authorization was requested, and received, and from whom

* Date of the treatment

* What was discussed with the doctor, what actions were taken, and what follow-up will be required

Unfortunately, mistakes are common in claims processing. Consider a 2002 study by America’s Health Insurance Plans, which reported that 14 percent of claims submitted to insurance providers are denied. The same survey found that one out of every seven claims had to be re-submitted and re-processed due to errors in the original claims, a costly process for everyone involved.

Other things that you might consider include:

* Research your state’s laws regarding what should be covered in a claim, and what the law considers “arbitrary.” This would influence an insurance company’s definition of “medical necessity” and billable needs.

* Make sure your insurance provider and doctor’s office have been in contact with each other, and that all the necessary paperwork has been forwarded from one to the other.

* If your coverage is fully or partially paid by your company, make sure you keep your human resources department fully informed of the situation so that they can help with any paperwork that might come up that you can’t manage.