continuing personal medical exclusions

Insurance Term of the Week: Continuing Personal Medical Exclusions (CPME)

Understanding what CPME is and how it works. 

Holding a health insurance plan for some time, you might think about a switch to another insurance company if you spot that the premiums are cheaper and better benefits are provided by the new medical insurer.  

What does Continuing Personal Medical Exclusions (CPME) underwriting mean? 

Continuing Personal Medical Exclusions (CPME) is a kind of underwriting exclusively designed for people who are switching medical insurance providers. 

With CPME underwriting, your level of medical coverage can remain the same as your previous health insurance policy. The same exclusions of your previous medical insurance policy will stay there in your new medical insurance policy with CPME underwriting. However, you cannot add any new exclusions with reference to the conditions you have gone through while on the previous health insurance policy.  

Why would Continuing Personal Medical Exclusions (CPME) underwriting be important to you? 

Discovering a better deal with an alternative health insurance provider is one of the factors that influence policyholders to make the switch. 

Here is an example of when you need to consider Continuing Personal Medical Exclusions (CPME): 

If you have lately had medical conditions that you needed to make a claim for, you are probably concerned about whether those health conditions will not be included in your new health insurance policy when it is going through the underwriting process.  

Despite having made a claim, your new medical insurance policy with CPME underwriting will have the same medical coverage for those medical conditions as your previous health insurance policy. 

How does Continuing Personal Medical Exclusions (CPME) work?  

To be an applicant for health insurance with CPME underwriting, typically you will need the following documents: 

• The most recent copy of your current personal medical insurance policy certificate 

• Key information about your medical history 

• Key information about any claims that you submitted on your previous medical insurance policy 

Your new health insurance provider will not take your medical history to underwrite your new plan. Providing this information is important because your insurance provider can use it to make a decision on whether they can offer you with a new policy on the same health insurance terms as your previous one.  

Your certificate for your current medical insurance policy will be asked first when you are in the application process for health insurance with CPME underwriting. 

Secondly, your new insurance provider will transfer all of the exclusions on your previous policy to your new one with the addition of any further ones. 

Your new health insurer can probably provide you with a no claims discount based on your previous claims history with your previous medical insurance provider. 

The terms and conditions of your new medical insurance policy will differ from your previous one although the level of medical coverage for your policy will stay the same. 

Due to the change in the terms of your policy, you will still have to carefully go through your new health insurance policy and ensure that your new medical insurer has no exclusions that might cause a problem if they are included in your new insurance policy. 

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