Let’s be honest, insurance can often feel a bit overwhelming when going through the fine print! Whether you’re joining a new policy or transferring from an old one, knowing how medical underwriting works can save you time, stress, and surprises.

Understanding how your health cover deals with pre-existing conditions doesn’t have to be complicated.

Full Medical Underwriting (FMU)

  • Think of it as being completely upfront with your insurer.

  • If you have a pre-existing condition, you need to declare it when you join.

  • Any exclusions applied will be shown on your policy schedule.

  • Some conditions – especially chronic ones – can’t be removed later.

  • FMU ensures your cover is accurate and personalised from day one.

Continued Medical Exclusions (CME)

  • Applies if you’re moving from another fully underwritten policy.

  • Any condition excluded on your previous policy stays excluded here.

  • Your old insurance certificate is needed to make it official.

  • A smooth way to transfer coverage without redoing the whole process.

Moratorium (MORI) & Continued Moratorium (CMORI)

  • Pre-existing conditions aren’t covered if you had symptoms, treatment, medication, tests, or advice in the five years before joining.

  • After a continuous two-year symptom-free period, those conditions may be covered.

  • CMORI applies the same rules if you’re transferring from another moratorium policy, keeping cover consistent.

Medical History Disregarded (MHD)

  • Known as the “fresh start” option.

  • No personal medical exclusions are applied for eligible members.

  • Ideal for groups wanting broad coverage.

  • If transferring, you may be asked for your old certificate – otherwise, it’s a clean slate.

The Main Takeaway

Different types of medical underwriting exist to balance fair coverage and realistic risk:

  • FMU: upfront and personalised

  • CME: carries exclusions forward

  • MORI/CMORI: use a waiting period

  • MHD: fresh start

Always check your policy schedule and provide old certificates if required. It keeps everything simple and clear.

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