Medical underwriting

From WikiMD's Wellness Encyclopedia

Medical underwriting is a process used by insurance companies to determine the risk associated with providing health insurance to a potential policyholder. This process involves evaluating the applicant's medical history and other related factors to decide whether to provide insurance, and if so, at what price.

Overview[edit | edit source]

Medical underwriting is a key part of the insurance application process. It involves a detailed analysis of an individual's health history and current health status. This information is used to determine the risk of the individual filing a claim in the future. The higher the risk, the higher the premium the individual will be required to pay.

Process[edit | edit source]

The process of medical underwriting begins when an individual applies for health insurance. The applicant is required to provide detailed information about their medical history, including any pre-existing conditions, past surgeries, and family medical history. The insurance company may also request a medical examination or access to medical records.

Once the insurance company has all the necessary information, it is analyzed by a medical underwriter. The underwriter uses this information to assess the risk associated with insuring the individual. This risk assessment is then used to determine the premium the individual will be required to pay for the insurance policy.

Criticism[edit | edit source]

Medical underwriting has been criticized for a number of reasons. Critics argue that it can lead to discrimination against individuals with pre-existing conditions, who may be denied insurance or charged higher premiums. It has also been criticized for its lack of transparency, with many individuals unaware of how their medical history affects their insurance premiums.

See also[edit | edit source]

References[edit | edit source]


Medical underwriting Resources
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Contributors: Prab R. Tumpati, MD