My husband, who has been diagnosed with multiple sclerosis, made a claim to his critical illness insurance and they denied it. The insurance policy does cover MS but they say that because he is over 60, he is no longer eligible. What gives?
A thorough review of the policy wording would be required to determine whether coverage ends at age 60. If that is the case it should be clearly set out in the policy. In the absence of such a clause, the decision should be questioned and a full explanation should be requested. If the basis of the denial still does not appear to have a contractual basis, you should consult a lawyer to review this further.
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This searchable database contains information about disability, critical illness and life insurance claims, and what you can do if you are denied or cut
off of your benefits. It is a collection of the most common questions we receive from our clients. General answers have been provided by our lawyers.