Reviewed: June 2024


This provides guidance on the following long-term conditions and associated related conditions including any undiagnosed symptoms. It should be read in conjunction with the applicable Guide to your Policy or Scheme.

Health insurance is designed to provide benefit for the treatment of unexpected acute conditions i.e. those that occur after your health insurance has started. The purpose of underwriting is to assess and if necessary exclude cover for those conditions that are known or could reasonably be expected at the time of commencing insurance. This helps keep premiums affordable and ensures customers are clear about what their Policy or Scheme covers from the outset.

When we refer to conditions, this includes any related conditions and any undiagnosed symptoms. Please refer to your Guide for full details of our underwriting options.

Where a personal exclusion applies or if you have chosen underwriting on a moratorium basis, many long-term conditions will be exempt from cover including their related conditions. For ease we have highlighted some of the more common long-term conditions and provided examples of those that are generally recognised to be related to these.

Please note this list is not exhaustive.

Long-term condition:

Ankylosing spondylitis

Bunions (Hallux Valgus)

Capsulitis of the shoulder (frozen shoulder)

Chronic fatigue syndrome/ME

Cruciate Ligament injuries of the knee/s

Diabetes

Diverticulitis

Endometriosis/Adenomyosis

Fibromyalgia

Functional bowel disorder (IBS)

Gallstones

Gastro-oesophageal reflux disease (GORD)

Glaucoma

Hypercholesterolaemia

Hypertension

Inflammatory bowel diseases (for example Crohn's Disease and Ulcerative Colitis)

Irregular/abnormal menstrual bleeding

Lupus (Systemic lupus erythematosus (SLE))

Meniscal tears

Multiple Sclerosis

Naso-sinus symptoms

Osteoarthritis (any affected bones and joints)

Ovarian cyst(s)

Polymyalgia rheumatica

Raised prostate-specific antigen (PSA)

Rheumatoid arthritis

Spinal disc degeneration

Tendinitis of the shoulder

Uterine leiomyoma