Med Supp Underwriting for Diabetics Clients

Oct 23, 2016

  1. karaboo
    Offline

    karaboo Expert

    Posts:
    25
    Likes Received:
    0
    State:
    Illinois
    I have a prior book of business in DME and most folks, by far, have BC/BS Plan F. With the local press writing about the whole Plan F issue for 2020, some well read seniors are looking to switch (I would recommend Plan G).

    Short of switching everyone to BC/BS Plan G, is anyone aware of an Illinois carrier that is cheaper and has underwriting (as much as realistic) favorable to diabetics? I have clients on oral meds and some on insulin.

    This is a tall order but would appreciate any insights you may have. :idea: Thank you
     
    karaboo, Oct 23, 2016
    #1
  2. goillini52
    Offline

    goillini52 MAGA...Eat More Bacon & BUILD THAT WALL!!!

    Posts:
    19,218
    Likes Received:
    5,457
    State:
    Illinois
    Most will take Diabetes, insulin or not...just not more than 50 units a day. Bankers Fidelity will be the most lenient for Diabetes with a heart condition other than HBP.

    Diabetes with HBP: Aetna(3 or more HBP meds ok as long as No insulin), Bankers Fidelity, (Cigna(Over 2 years on more than 2 HBP meds and no more than 50 units of insulin daily), Cigna Substandard(Over 2 years if no more than 2 diabetes meds or no more than 50 units of insulin daily), CSI(Well controlled taking no more than 2 meds, less than 50 units of insulin daily considered 1 med and 2 HBP meds, no increase in meds in past 2 years and 150/85 or lower), Companion Life(Never more than 50 units of insulin a day and no more than 2 each of diabetic meds and HBP meds with reading 150/85 or lower for 2 years. No circulatory or peripheral vascular disease and no blood thinners for more than 6 months), Equitable(can be on up to 2 diabetes meds including insulin(but insulin makes it Standard) and 2 HBP meds), Manhattan(If no more than 2 diabetic med including insulin if less than 50 units daily and 2 HBP meds), New Era(As long as no insulin), Oxford(good control of diabetes and HBP onset over age 40 on oral meds or not taking more than 60 units of insulin daily), Sentinel Security(Consideration given for well controlled cases if no more than 2 oral meds or less than 50 units of insulin and 1 oral med for diabetes along with no more than 2 HBP meds if no change in doses in last 2 years), UNL(Never more than 2 HBP meds).

    There are a few others that I haven't added yet.
     
  3. karaboo
    Offline

    karaboo Expert

    Posts:
    25
    Likes Received:
    0
    State:
    Illinois
    Wow. Thank you for such a comprehensive answer!! Truly appreciate it
     
    karaboo, Oct 23, 2016
    #3
  4. goillini52
    Offline

    goillini52 MAGA...Eat More Bacon & BUILD THAT WALL!!!

    Posts:
    19,218
    Likes Received:
    5,457
    State:
    Illinois

    No problem....:)
     
  5. senior-advisor-indiana
    Offline

    senior-advisor-indiana Guru

    Posts:
    11,303
    Likes Received:
    234
    State:
    Indiana
    You actually read that?

    ----------

    Nice paragraph(book) between 2 sentences...
     
  6. jacobtn
    Offline

    jacobtn Guru

    Posts:
    2,401
    Likes Received:
    30
    State:
    Tennessee
    Nice detailed list. You forgot to include any heart issues regardless of time passed will knock out most of them. Assuming no heart problems that is a pretty good cheat sheet.
     
    jacobtn, Oct 24, 2016
    #6
  7. goillini52
    Offline

    goillini52 MAGA...Eat More Bacon & BUILD THAT WALL!!!

    Posts:
    19,218
    Likes Received:
    5,457
    State:
    Illinois

    Thanks. I've got 5 categories for Diabetes. I didn't list them all, because I didn't want to hurt SAI's eyes any more than I already did.

    Diabetes with heart is pretty limited. Again, I have several companies to add, so this could end up being longer. Cover your eyes Mike...:laugh:


    Diabetes With Heart Conditions: Bankers Fidelity(ok as long as no heart or circulatory surgery in past 2 years and not more than 50 units of insulin daily, meds could make Standard rate instead of Preferred), (Cigna Substandard(Over 2 years on more than 2 HBP meds and no more than 50 units of insulin daily), Companion Life(Never more than 50 units of insulin a day and no more than 2 each of diabetic meds and HBP meds with reading 150/85 or lower for 2 years. No stents, circulatory or peripheral vascular disease and no blood thinners for more than 6 months). If taking anything for heart and it hasn't changed in 2 years it's considered a maintenance drug. CSI Life(will consider diabetes with arrhythmia if controlled and no episodes in 2 years.), New Era( No heart trouble or change in meds in past 5 years and no insulin), Oxford(good control of diabetes and heart trouble onset over age 40 on oral meds or not taking more than 60 units of insulin daily).
     
    Last edited: Oct 24, 2016
  8. Ron Van D
    Offline

    Ron Van D Guru

    Posts:
    612
    Likes Received:
    78
    State:
    Indiana
    Does this help?

    Diabetes with HBP:
    Aetna(3 or more HBP meds ok as long as No insulin),
    Bankers Fidelity, (Cigna(Over 2 years on more than 2 HBP meds and no more than 50 units of insulin daily), Cigna Substandard(Over 2 years if no more than 2 diabetes meds or no more than 50 units of insulin daily),
    CSI(Well controlled taking no more than 2 meds, less than 50 units of insulin daily considered 1 med and 2 HBP meds, no increase in meds in past 2 years and 150/85 or lower),
    Companion Life(Never more than 50 units of insulin a day and no more than 2 each of diabetic meds and HBP meds with reading 150/85 or lower for 2 years. No circulatory or peripheral vascular disease and no blood thinners for more than 6 months),
    Equitable(can be on up to 2 diabetes meds including insulin(but insulin makes it Standard) and 2 HBP meds),
    Manhattan(If no more than 2 diabetic med including insulin if less than 50 units daily and 2 HBP meds),
    New Era(As long as no insulin),
    Oxford(good control of diabetes and HBP onset over age 40 on oral meds or not taking more than 60 units of insulin daily),
    Sentinel Security(Consideration given for well controlled cases if no more than 2 oral meds or less than 50 units of insulin and 1 oral med for diabetes along with no more than 2 HBP meds if no change in doses in last 2 years),
    UNL(Never more than 2 HBP meds).

    Diabetes With Heart Conditions:
    Bankers Fidelity(ok as long as no heart or circulatory surgery in past 2 years and not more than 50 units of insulin daily, meds could make Standard rate instead of Preferred), (Cigna Substandard(Over 2 years on more than 2 HBP meds and no more than 50 units of insulin daily),
    Companion Life(Never more than 50 units of insulin a day and no more than 2 each of diabetic meds and HBP meds with reading 150/85 or lower for 2 years. No stents, circulatory or peripheral vascular disease and no blood thinners for more than 6 months). If taking anything for heart and it hasn't changed in 2 years it's considered a maintenance drug.
    CSI Life(will consider diabetes with arrhythmia if controlled and no episodes in 2 years.), New Era( No heart trouble or change in meds in past 5 years and no insulin),
    Oxford(good control of diabetes and heart trouble onset over age 40 on oral meds or not taking more than 60 units of insulin daily).
     
  9. goillini52
    Offline

    goillini52 MAGA...Eat More Bacon & BUILD THAT WALL!!!

    Posts:
    19,218
    Likes Received:
    5,457
    State:
    Illinois

    Thanks Ron, that'll make it easier for SAI to read.:laugh:
     
  10. senior-advisor-indiana
    Offline

    senior-advisor-indiana Guru

    Posts:
    11,303
    Likes Received:
    234
    State:
    Indiana
    I did not make it through... I will read it when I come acrossed another diabetic problem...:swoon:
     
Loading...