Can I Be Denied Long Term Care Insurance?

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   William Bridgers

   Specialist, LTCi, DI, Annuities, Life, Designs In Life, LLC, Utah

   Yes, you can be declined for a medical condition and/or adverse health history as it pertains to "morbidity".  Morbidity involves a reduced ability to perform mental or physical activities.  Such ailments as arthritis, cognitive impairment, Alzheimer's disease, advanced osteoporosis, lung malfunction, and blindness are all classified under morbidity.  If one uses tobacco and has any morbidity issue, that usually results in a decline as well, but smoking by itself does not often result in a decline.Underwriting for long-term care insurance is getting tighter.  Genworth, for instance, will soon be requiring some medical work for applicants, which may include lab tests (urine sample and blood draw).Carriers are also moving toward gender-based premiums, with male applicant costs being lower than female applicant costs due to the fact that more women go on claim than men.  This is also true for most insurance, so it's not a new concept.  Life insurance costs are higher for men than women because women live longer.  Disability Insurance has had gender-based rates for quite a while.  Only Montana has mandatory uni-sex rates for all insurance.Before submitting a formal application for long-term care, an applicant should be pre-screened by completing a medical questionnaire provided either by the carrier or the representing agent.  Applicants should answer all answers truthfully and completely to determine medical eligibility.  It is better to be told not to submit an application due to confidential prescreening than have a formal application declined.

   Answered on July 8, 2013

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