I just had a client who had a colon polyp rider on a policy. My fist impression is no way could I recomend this to a client. If they were to be diagnosed with colon cancer there might be a big gap in their policy. I don't see how I could possibly advise the clint to accept. Anybody have any input?
Golden Rule usually writes a rider that is limited to the specific condition.
You can also look at carriers that don't rider, like Aetna, and see what happens.
Much depends on how recent the polyps are, if this is a repeat problem, how big they were and how they were treated (if at all).
I had a guy last year that was either rejected or ridered for a repeat bout of polyps. We ended up putting him with KP. No rider, small rate up, but full coverage.
The carrier is Golden Rule. It just threw me off . I have seen a lot of riders ( in the last year I have been selling insurance) but I could not imagine anyone taking it.
My next choice was going to be Aetna or possibly BCBS, they are looking at HSA's.
I just had the same issue with a client - Humana and GR both wanted to rider and rather than take the chance later on of a claim being denied (client had family history of colon cancer), we're going with Anthem BC/BS, who said he may still be able to get a Level 1 rating with no other issues. Everything covered from the first day of coverage.
Read the rider. It may not be as bad as you think.
Get as much info as possible & pre-screen with Aetna & Blue. What state are you in? Generally, Blue is not as crazy as they once were but I have had some real surprises lately. Seems they must have rehired some of the underwriters from Coventry . . .
Read the rider. It may not be as bad as you think.
Get as much info as possible & pre-screen with Aetna & Blue. What state are you in? Generally, Blue is not as crazy as they once were but I have had some real surprises lately. Seems they must have rehired some of the underwriters from Coventry . . .
In Georgia, I am awaiting the rider to see how bad it really is. According to the claims department it all has to do with the way it is coded. If the the claim has a certain code that pertains to polyps then too bad.
Anthem FlexChoice in VA is a pretty solid product and the standard rates are almost always better than the other carriers....the only real negative aspect is the $5k annual max on prescriptions and $500 per script/10k OOP for "specialty" drugs (injections, etc.).
All of those factors are relevant, but i would think the most important issue is was it BIOPSIED, and if so, was the polyp
Benign (not "pre-cancerous), or not benign. That issue
Is somewhat related to "size"....very small ones are less
Likely to be pre-cancerous....but they still can be.
I know people who had colonoscopies with well-qualified (board-cert.) gastroent's, and when small polyps were found, they were "burned off" (removed....fumulgated),
But NOT biopsied.
Originally Posted by somarco
Who is the carrier?
Golden Rule usually writes a rider that is limited to the specific condition.
You can also look at carriers that don't rider, like Aetna, and see what happens.
Much depends on how recent the polyps are, if this is a repeat problem, how big they were and how they were treated (if at all).
I had a guy last year that was either rejected or ridered for a repeat bout of polyps. We ended up putting him with KP. No rider, small rate up, but full coverage.
I just had a client who had a colon polyp rider on a policy. My fist impression is no way could I recomend this to a client. If they were to be diagnosed with colon cancer there might be a big gap in their policy. I don't see how I could possibly advise the clint to accept. Anybody have any input?
Why was this issue raised? Did the client have a colonoscopy where a polyp was found, or was there just a family history of colon cancer?
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Colon Polyps Rider?
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