story is told that Moses had met a great teacher whom the
townspeople had denied food, but who had rebuilt a wall in
that town, free of charge, for someone elses future
The principle expounded in the lesson for Moses was that a
future exists, whether or not we can see it or even understand
In the realm of the mundane, to prepare for an unknown future
is to examine possibilities, while keeping your feet on the
This means to know what the caveats are likely to be, as well
as the exceptions.
Today we will examine some of the common exceptions in the
definitions of some of the covered diseases in
individual health insurance.
In general coverage extends to total and permanent disability,
or the diagnosis of a major or critical disease. There is
generally some period during which the patient must survive
with the illness, having had a diagnosis, in order that the
cash benefit is realised.
Typically, to qualify for the total and permanent disability
benefit, there must be irreversible incapacity
in performing any income-earning activity, for a consecutive
number of months in the first instance.
According to certain policy contracts, the following circumstances,
or causes of injury, would normally disqualify an injured
person who is totally disabled, from receiving the benefit:
war, riot, revolution, or military coup. Others are: failure
to follow medical advice, and disease arising from infection
or treatment in respect of HIV/ Aids.
In addition, employment or service in the armed forces or
injury resulting from self-infliction could disallow those
The insurer will reserve the right to an investigation whether
it be through medical consultations or legal inquiry.
Cancer exclusions can relate to certain skin cancers, and
non-invasive types of cancer.
Stroke tends to exclude attacks of vertebrobasilar ischaemia
and transient ischemic attacks.
Heart attacks should usually be characterised by changes in
enzyme levels, as well as ECG changes, and some medical history.
Of course coverage is only extended to applicants for health
insurance who have no medical history.
Another commonly covered disease is kidney failure. Some contracts
define kidney failure as end stage failure of both kidneys
requiring long term dialysis/ haemodialysis or organ transplant.
Blindness is covered if it affects both eyes, and is irreversible.
Burns must normally be third degree status, over at least
20 per cent of body surface. Alzheimers is also covered
in most policies, with exclusions for psychiatric conditions
This list is not exhaustive, but serves as a reminder that
we have to prepare for the contingencies. Hence the best savings
plan is one that gives you some insurance protection, as well
as some cash accumulations, simultaneously!
This strategy works, exclusions, or none.
Of course lifestyle changes, a health-conscious diet, fresh
air and exercise are strategic interventions to implement
now, in order to prevent the occurrence of disease.
In any event such measures can reduce the severity of disease.
The new trends include the avoidance of processed foods, and
chemical concoctions. Note too that processed foods and chemical
concoctions are much more expensive than natural foods and
In this niche, one may find significant savings in terms of
better estate creation and the ability to transfer a phenomenal
trust fund to your heirs. And, this is in opposition to you
consuming a lifetimes savings on drugs, expensive homes
and strange women.
Dont get me wrong, the drugs are the pharmaceuticals,
the homes are nursing homes and the women, but nurses!
Remember, in Moses story great wealth was buried under
the wall, but no one knew!
Continued next week