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Medical insurance for pre-existing conditions

Posted: Wed Mar 3, 2021 6:09pm
4 replies82 views3 members subscribed
Robbo10

Posts: 114

12 helpful points

Location: Orihuela Costa

Joined: 9 Jul 2018

I AM DESPERATE TO GET MEDICAL INSURANCE FOR A PRE-EXISTING MEDICAL CONDITION.

I AM NOT OLD ENOUGH FOR S1 AND NOT BEEN A RESIDENT LONG ENOUGH TO BE ABLE TO JOIN CONVENIO ESPECIAL.

THERE MUST BE ONE INSURANCE SOMEWHERE IN SPAIN.

ANYBODY KNOW OF IT??

REGARDS

CHRIS

Robbo10

Posted: Wed Mar 3, 2021 8:08pm

Robbo10

Original Poster

Posts: 114

12 helpful points

Location: Orihuela Costa

Joined: 9 Jul 2018

Posted: Wed Mar 3, 2021 8:08pm

This post that was quoted has been deleted.

Thank you for your reply.

I have been told that I have to have 1 year residency or hold a Padron for a year to apply for Covenio Especial.

My present insurance would not pay for my operation I have just had which cost me €6100. I used Salus.

I need to get one to cover everything.

Regards

Chris

Stephanie86

Posted: Thu Mar 4, 2021 1:31pm

Stephanie86

Legendary helpful member

Posts: 2787

2103 helpful points

Location: Lliber

Joined: 4 May 2017

Posted: Thu Mar 4, 2021 1:31pm

This is a very difficult situation and I feel very sorry for you. On what grounds would Salus refuse your claim? Private Health Insurance cover varies dependent upon which ‘level’ of their cover you choose - it’s usually only the most comprehensive and most costly of the ranges which covers everything, but none of them will cover pre-existing conditions; if you leave Salus and apply elsewhere, they will again require your complete health history and won’t cover anything pre-existing; not declaring something will completely invalidate your cover should you claim.

We recently applied to DKV as they were doing a very good offer (we are entitled to Spanish health care, but wanted this also) and were unceremoniously comprehensively refused within 24 hours as my husband has the usual conditions that many older men have; perfectly well controlled by medication and not posing any threat, but classed as ‘pre-existing’ and therefore too risky.

You may just have to self-fund until you’ve had residency for long enough as the previous poster said.

EDIT: we were advised to contact a specialist insurer in, if I remember, Cartagena, who does deal with this kind of situation. I rang and gave basic details and was quoted, for the two of us, with no pre-existing conditions for me, nearly 14,000 euros per annum as a premium - roughly 7K per person.

Robbo10

Posted: Thu Mar 4, 2021 1:51pm

Robbo10

Original Poster

Posts: 114

12 helpful points

Location: Orihuela Costa

Joined: 9 Jul 2018

Posted: Thu Mar 4, 2021 1:51pm

Stephanie86 wrote on Thu Mar 4, 2021 1:31pm:

This is a very difficult situation and I feel very sorry for you. On what grounds would Salus refuse your claim? Private Health Insurance cover varies dependent upon which ‘level’ of their cover you choose - it’s usually only the most comprehensive and most costly of the ranges which covers...

... everything, but none of them will cover pre-existing conditions; if you leave Salus and apply elsewhere, they will again require your complete health history and won’t cover anything pre-existing; not declaring something will completely invalidate your cover should you claim.

We recently applied to DKV as they were doing a very good offer (we are entitled to Spanish health care, but wanted this also) and were unceremoniously comprehensively refused within 24 hours as my husband has the usual conditions that many older men have; perfectly well controlled by medication and not posing any threat, but classed as ‘pre-existing’ and therefore too risky.

You may just have to self-fund until you’ve had residency for long enough as the previous poster said.

EDIT: we were advised to contact a specialist insurer in, if I remember, Cartagena, who does deal with this kind of situation. I rang and gave basic details and was quoted, for the two of us, with no pre-existing conditions for me, nearly 14,000 euros per annum as a premium - roughly 7K per person.

Salus refused for 2 reasons.

1. Only been with them 11 months.

2. The hernia was caused by a previous operation in the UK.

I wouldn't mind but I declared all previous operations to them but I had no exclusions on my policy. If they would have played something then excluded all of it at renewal.

Just didnt now want to renew with them.

Oh well, I suppose I will have to.

Regards

Chris

Stephanie86

Posted: Thu Mar 4, 2021 2:17pm

Stephanie86

Legendary helpful member

Posts: 2787

2103 helpful points

Location: Lliber

Joined: 4 May 2017

Posted: Thu Mar 4, 2021 2:17pm

Robbo10 wrote on Thu Mar 4, 2021 1:51pm:

Salus refused for 2 reasons.

1. Only been with them 11 months.

2. The hernia was caused by a previous operation in the UK.

I wouldn't mind but I declared all previous operations to them but I had no exclusions on my policy. If they would have played something then excluded all of it at renewal.

Just didnt now want to renew with them.

Oh well, I suppose I will have to.

Regards

Chris

Many of the insurers have time limitations in their terms and conditions, but unfortunately it does require reading all the fine print; some of the time delays are applicable to some medical conditions whereas other conditions may be accepted immediately, this depends upon the insurer.

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