Healthcare Hospitals Learning - Topics Policy

Medical Insurance Claim & Alcohol Use – What You Need to Know


The National Health and Medical Research Council (NHMRC) recently updated its guidelines on how to reduce health risks brought on from drinking alcohol. At 6,000 deaths per year* from alcohol-attributed diseases, it’s a significant problem for Australia. But, as Professor Anne Kelso, NHMRC CEO notes, “We’re not telling Australians how much to drink” – and nor is Integrity. Medical Insurance Claim & Alcohol Use. Like most public health initiatives, the guidelines are formulated using population-based statistics and are framed around reducing risks for an otherwise healthy average person.

Medical Insurance Claim & Alcohol Use

When you are being underwritten for life insurance, the underwriter groups you with all the other lives that are similar to you. That means underwriting outcomes for alcohol consumption are also based on relative risk. Your health risk (long and short term) concerning alcohol consumption needs to be considered by considering all your health factors.

But, just like the public health initiatives, we’re not making any moral judgement on your alcohol consumption. Nor do we increase your premiums if, for example, your consumption is more than what the government medical officer recommends. So when the guidelines are officially released in their entirety, premiums won’t be increased for drinkers…assuming what’s recommended in the guidelines is less (not more) alcohol.

Relative Risks on Alcohol Consumption

In addition to your relative risk compared to the group, the underwriter also considers your health history – what has happened – or not happened – as a result of your alcohol consumption habits and decides if this is generally the experience of the rest of the insured pool like you. That’s how underwriting risk appetite is formulated (what is the risk, does it apply equally to everyone, and if not, what extra premium should those outside the pool pay?)

The underwriter will take your disclosures about how much you drink, and provided that it’s within the underwriting guidelines, will usually just accept your cover.

Final Words

So, cheers! And remember, everything carries risk, not just habits like drinking alcohol – there is plenty of advice as to what low risk can be and recommendations as to how you minimise health issues. Don’t forget the definition of what ‘risk’ means is interpreted differently for different purposes.

+ posts

I'm a creative, strategic, and disruptive thinker with an enterprise mindset and deep technology and communications background.

My passion is helping brands to drive the right conversations whether through digital, traditional or social media marketing and love the challenge of linking complex online and offline eco-systems to understand how to shape an audience or insert a brand into a community or conversation.

I have led large digital projects with national and international reach and worked on a global brand for which I have created strategy and 'best-in-class' (award-winning) campaigns.

I thrive on doing outstanding marketing and communications work that matters and love big projects as much as making the small work remarkable.

Content and Conversation Manager at Integrity Life


Next Up