October 16, 2020

Can I get Critical Illness Insurance with Myalgic Encephalopathy (ME)?

Can I get Critical Illness Insurance with Myalgic Encephalopathy (ME)?

Our Client

A 30-year-old lady approached us because she was looking for critical illness cover. which would provide a lump sum should she suffer a life-threatening condition.  She felt that a policy with a sum assured of £20,000 would be sufficient.

Unfortunately, she suffered a viral infection in September 2013 which led to chronic fatigue and Myalgic Encephalopathy (ME) and caused her to be off work for 5 months.  She has since made a full recovery and returned to full-time employment.

What is ME?

Chronic fatigue syndrome (CFS) is a long-term illness with wide-ranging symptoms. The most common symptom is extreme tiredness. CFS is also known as ME, which stands for myalgic encephalomyelitis. CFS/ME can affect anyone, including children, but more common in women and it tends to develop between your mid-20s and mid-40s according to NHS Choices May 2020.

Our process and advice

At Future Proof, we have access to specialist insurance companies who don’t deal directly with the public. These companies offer more specialised policies, designed to provide cover where other major providers can’t.

Our research process involves us contacting many insurers to find out the best possible outcome for our clients. Which avoids any nasty shocks later on during the underwriting process.

Would the insurer add a ‘loading’ to their standard premium? (this is an additional sum charged on top of their standard monthly premium to reflect their additional risk). Or, exclude a condition?

Might they decline the application? We want to avoid wasting time by making applications which may be declined.

The Outcome

Her symptoms and diagnosis made it very difficult for us to obtain an accurate pre-sales decision from any Insurance Provider. Therefore, we decided to apply to two companies to see who would provide the most favourable decision.

Both companies wrote to her GP and requested her full medical history. One provider declined to offer our client a critical illness policy, although, they did say that they would be willing to review their decision after 12 months.  However, the second provider was happy to offer her standard terms. Our client was delighted to obtain the full cover she wanted without any increase to her monthly premium. (this case study was originally posted in 2014).

All our case studies are based on actual client scenarios, many of which pre-date 2020.  We are confident that the acceptance decision made by the insurers would still be offered, although it is likely that the rates will have changed.  Your own circumstances will determine what amount will be payable and this would be fully discussed with you before any plan is implemented.

Please note that any premiums mentioned are indicative only and based on this specific case study/ example, which is shown for information purposes only.

Next steps

Whilst you are welcome to get a quote online but we would recommend you talk to one of our advisers.

Any quote that your adviser provides you with will take into account your circumstances, your medical history, as well as your budget!

An online quote is just that – a quote – it isn’t a definite offer of cover. What really matters is the premium you are offered, after your application has been assessed.

Call Freephone 0800 644 4468 – Monday to Thursday from 09.00 to 19.00 and on Friday between 09.00 and 17.00.

Please feel free to read our Independent client reviews, or read about the team at Future Proof

Call me back

Interested in related stories?

Jon’s moving story – being diagnosed with cancer.

The protection industry pays out over £5.7bn in claims in 2019

What questions will I be asked by an adviser?

Why you can trust Future Proof.

The benefits of an index-linked insurance policy

Take a look at our handy guides ‘What Cover is Right for me?’

Do you suffer from a medical condition and concerned you can’t secure Life Insurance?  Please view our ‘Medical Guides’ for further information.

Whilst we will make every endeavour to help someone to arrange insurance, there is no guarantee of success.  All applications are subject to underwriting.

Links to third-party websites exist for information only and we accept no responsibility or liability for the information contained on any such sites.
The existence of a link to another website does not imply or express
endorsement of its provider, products or services by us or St. James’s Place.