Pre-existing Health Condition

Are you someone with Pre-existing Health Conditions looking for life insurance coverage in Singapore?

Do you plan to go to 10 different insurance companies to check which one will give you the best insurance terms with your health issue?

SAVE THE TROUBLE! Help is here!

Fill in the form below:

1. Tell us what insurance coverage you are looking for
2. Let us know details of your health issue
3. Upload your latest health report to help us support your case with the insurance companies
4. We can help to send your case to different insurance companies to see what terms they would offer for your health condition

The best terms will then be presented to you by a qualified financial consultant!

Let us help you do the sourcing today!

• Fields marked with a * are required.

• Enquiry Form

• Name*
  First Last
• Gender*
  • Male
  • Female
• Are you a smoker?*
  • Yes
  • No
• Date of Birth*
  DD dash MM dash YYYY
• Email Address*
• Mobile Phone*
• Occupation*
• Annual Income (SGD)*
• Nationality*
• Country of Residence*

• Type Of Insurance Coverage You Are Looking For (Fill In As Applicable)

• Death Cover (Sum Assured)
• Total Disability Cover (Sum Assured)
• Critical Illness Cover (Sum Assured)
• Early Stage Illness Cover (Sum Assured)
• Others (pl specify type and sum assured)
• Medical & Hospitalization Plan / Private Integrated Shield Plan
  • Yes
  • No

• Health Questions

• Do you drink alcohol?*
  • Yes
  • No
• If yes, please state type of alcohol and how many glasses per week.
• Height (metres)*
• Weight (kg)*
• PERSONAL HEALTH CONDITION(S): please provide details below (all 4 points)*
  1. Exact condition diagnosed and date of onset (month/year will suffice): 2. Type of tests done, results and dates: 3. Current treatment and medication: 4. Any follow up, surgery or investigation pending? If yes, pls state a. date of last follow up/procedure, the result and b. date of next follow up/procedure c. type of surgery if applicable
• FAMILY HISTORY: please provide history of siblings or parents' health conditions (relationship, condition, age of onset; write NIL if all are healthy)*
• Health report (to help your case)
  Drop files here or Select files

  Max. file size: 512 MB, Max. files: 2.
  Please upload medical reports (max 2) to show the update for the health condition depicted. The report should not earlier than 3 months from today. A good report will help your case.
• Remarks
• Agreement*
  • By submitting this form, I agree to the terms of use (read below) of this website and allow financial consultants introduced by insuranceguru.com.sg to call or sms me for the purpose of discussing investment, insurance as well as any other financial planning related issues and solutions. I also allow all the above information I have submitted, including my medical report(s), to be shared with various insurance companies for the purpose of assessing my insurability for the coverage I requested.
  • I am aware that insurers’ final underwriting decision will depend on the submission of the official proposal form and routine medical / financial requirements.
• Read Terms of Use

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