Elevated PSA Level Decline/Postpone... Next Step?

Jun 25, 2019

  1. J2727
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    J2727 Super Genius

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    Male 66 years old
    Applied for:
    10 year term - $400K
    15 year term - $400K​

    Just one policy would be OK, but both would be better (would make wife's situation easier).

    However, he has elevated PSA level at 6.12. No major health issues, although cholesterol is a little high.

    Carrier is declining/postponing until he gets a full prostate work-up done, including a biopsy.
    He was a tentative table 2 rating. So, even if he was approved, he was only going to get one of the policies due to the higher premium.

    Carrier is AIG.

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    However, what are your thoughts...

    1) Is there another carrier that would have more lenient underwriting for this scenario?

    2) Let's say he does the full work-up and he's denied. Then what? Apply with another carrier?

    3) FE face amounts are low. Up to $50,000 I believe; most not even that. I haven't done FE. I'm assuming he would qualify due to simplified underwriting. However, he would need more than $50,000. Can you have more than 1 FE policy, from different carriers?
     
    J2727, Jun 25, 2019
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  2. Tahoe Ray
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    Tahoe Ray Guru

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    However, what are your thoughts...

    1) Is there another carrier that would have more lenient underwriting for this scenario?

    I'd be very surprised if one would, especially because you'll have to admit to and explain the postpone/decline w/ the new carrier.

    2) Let's say he does the full work-up and he's denied. Then what? Apply with another carrier?

    Yes, but if it turns out he has prostate cancer, then you're declined everywhere for the next 5-6 years or so at least.

    3) FE face amounts are low. Up to $50,000 I believe; most not even that. I haven't done FE. I'm assuming he would qualify due to simplified underwriting. However, he would need more than $50,000. Can you have more than 1 FE policy, from different carriers?

    Sure. You can definitely stack policies. No idea on the underwriting for FE but you can certainly buy several if he can afford to do so.
     
  3. J2727
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    J2727 Super Genius

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    The urologist doesn't think a biopsy is necessary, so the client hasn't had one.

    However, the insurance company is requiring it.
     
    J2727, Jun 25, 2019
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  4. adjusterjack
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    adjusterjack Guru

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    Have him get a 4K Score Test. The results will tell him whether he should get a prostate biopsy.

    Elevated PSA? 4Kscore Test helps in prostate cancer biopsy decision making

    If his medical insurance doesn't cover it, self pay is about $400.

    Might not help him get life insurance but, with that high a PSA, he needs to practice a bit of self preservation by investigating the potential for the aggressive type of prostate cancer before deciding on an invasive biopsy.
     
  5. NewbieNewbie
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    Someone might take him with an aps from his urologist showing the 6 number has been stable. Biggest concerns with psa are significant fluctuations
     
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