Cyprus

I live with diabetes, a heart condition or thalassaemia, or I had cancer: will they insure me, and what does the “right to be forgotten” say?

Diabetes since childhood, a stent, thalassaemia, depression, HIV with an undetectable viral load, a cancer that is behind you. What the 2023 law on cancer says exactly, what it does not say, and how to go into an application prepared, without anyone promising you what they cannot.

By AVRASTRO · · 10 min read

In short

Many people with long-term conditions do get insured, often on some terms, but nobody can promise acceptance. For a past cancer, the 2023 law gives a “right to be forgotten” in life insurance only, and only under specific conditions.

  • Write down dates: diagnosis, start and end of treatment.
  • Gather recent tests and a doctor’s letter on how you are today.
  • If you had cancer, check whether the years and the amount limit set by the law apply to you.
  • Fill in the health declaration fully, keep a copy, and after any decision ask for the reason in writing.

From the series “The questions you are afraid to ask”: questions real people ask, with honest answers.

At a glance

  • Since December 2023, for life cover of up to €300,000, the insurer may not take a previous cancer into account if 10 years have passed since treatment ended, or 5 years if it was diagnosed before age 21.
  • The law concerns life insurance only. Its text does not mention health insurance or loans.
  • For diabetes, heart conditions, thalassaemia and other conditions, nobody can promise acceptance. The outcome can range from standard terms to postponement or refusal.
  • A full health declaration is what protects the claim later.

Living with something you did not choose

When you live with a chronic condition, you learn to manage it every day: medicines, tests, care. Then an insurance application comes along and you feel judged all over again. Many people never apply, for fear of a refusal. We understand. The honest answer is that many people with chronic conditions do get insured, often with some adjustment, but nobody can promise you an outcome before your own application is assessed.

The cancer “right to be forgotten”, exactly as the law says it

Law 124(I)/2023 (Official Gazette, 8 December 2023) added Article 247A to the insurance law. When an insurer assesses an application for life insurance, it may not take a previous cancer into account:

  • if 10 years have passed since treatment was completed, or
  • 5 years, if the cancer was diagnosed before age 21,
  • and only for life cover of up to €300,000.

“Completion of treatment” means the end of active anti-cancer treatment (surgery, radiotherapy or drug therapy). Continuing hormone therapy or immunotherapy does not stop treatment counting as completed. What the text does not say: it does not mention health insurance or loans (some 2023 news reports claimed so, but the law’s text does not support it), and it does not say whether the insurer may still ask. If you are asked, answer honestly, mention Article 247A, and ask in writing how the insurer applies it.

Diabetes, heart, thalassaemia: what usually counts

For any chronic condition, the insurer usually follows the same logic: the diagnosis, how long you have had it, how well it is controlled, the treatment, any complications and recent results. In diabetes, the type and control count (HbA1c is one of the figures often asked for). For the heart, what happened, when, and how you are today. In thalassaemia, which many Cypriot families know well, the trait (carrier) and thalassaemia major are medically very different: say exactly which one you have, with a doctor’s letter. How each insurer assesses it is its own decision.

What went wrong for others — and how to avoid it

  • A condition was not declared, and the cover was lost. In a case that reached the Supreme Court of Cyprus, as a legal column describes it, a husband’s diabetes was not declared on a family health plan; the refusal to pay and the end of his cover were upheld. How to avoid it: declare every diagnosis, medicine and treatment the application asks about, and keep a copy.
  • “It’s old, I’m fine now, I won’t mention it.” In the United Kingdom (not Cyprus), not declaring past conditions, even fully recovered ones, is a leading cause of travel insurance complaints and one of the main reasons protection claims are declined. How to avoid it: if the question asks “have you ever”, answer for what is behind you too.

Your questions, one by one

I’ve had type 1 diabetes since childhood. Is life insurance even possible?

It can be, but nobody can promise it before assessment. What usually counts is how well it is controlled, whether there are complications (eyes, kidneys, heart) and recent results. The outcome may be an extra premium, an exclusion, a postponement or a refusal; ask in writing for the reason behind any decision.

Does type 2 diabetes on tablets get a normal premium or a loading?

Either is possible. Well-controlled diabetes without complications is assessed differently from diabetes that is not controlled. Bring your recent results; the insurer decides the outcome.

Does my HbA1c matter to the insurer?

Often yes, because it shows how well your diabetes has been controlled over recent months. Give the real values from recent tests. If they improve later, ask whether an extra premium can be reviewed.

I finished cancer treatment two years ago. Do I have to wait a certain number of years?

For the right to be forgotten to apply, 10 years from the end of treatment are needed, or 5 if diagnosed before 21, and life cover of up to €300,000. Before that, you can still apply; the insurer will assess your history and may accept, ask for an extra premium, postpone or refuse.

I’m in remission. Will a new health policy exclude anything cancer-related forever?

The legal right to be forgotten concerns life insurance only, not health insurance. In a new health plan, a pre-existing condition is often excluded, permanently or for a set time, depending on the terms. Ask for the exact wording and whether the exclusion can be reviewed.

I had a stent fitted last year. Will they insure me, and how much more will it cost?

We cannot give a figure or promise acceptance. Insurers often want some time to pass after a heart event and ask for recent tests; the decision may be a postponement, an extra premium or an exclusion. Ask after how long it is worth applying again.

I’m moving to Cyprus with a heart condition. Would a bypass later be excluded?

In a new private health plan, an existing heart condition is often excluded, together with anything related to it. Ask in writing how the exclusion is worded. If you live in Cyprus legally, GESY includes hospital care.

I take antidepressants. Will that affect my life insurance?

It may, or it may not. The insurer usually asks about the diagnosis, the treatment, how stable you are and whether there were hospital stays, and judges each case on its own. Do not hide it; it is exactly the kind of omission that causes problems later.

I have bipolar disorder. Is it pointless to even apply?

Not necessarily. The outcome depends on stability, treatment and history, and can range from cover with terms to postponement or refusal. Even if one insurer says no, ask for the reason in writing; group cover at work may be another route.

I have asthma. Is that a big deal for insurers?

Mild, well-controlled asthma often changes little, while severe asthma with hospital stays is assessed more strictly. Declare your medicines and any attacks that needed hospital. The insurer decides the outcome.

I have thalassaemia. How do insurers in Cyprus treat it?

Say exactly whether you are a carrier (the trait) or have thalassaemia major, with a doctor’s letter, because medically they are very different. We have no verified information on how each insurer rates it, and nobody can promise acceptance. Ask in writing for the reason behind any decision and any special terms.

I have an autoimmune disease (Crohn’s, MS, lupus). Can I get health cover?

A new private health policy will probably exclude the condition and anything related to it, but it may cover other things. Weigh what remains covered against the cost. GESY remains the base for your treatment.

My thyroid is treated with one pill a day. Do I really have to mention it?

If the application asks about medicines or conditions, yes. Often a well-controlled condition changes little, but an omission can cause problems at claim time. Honesty here costs very little and protects a lot.

I’m on expensive biologic drugs. Will GESY keep paying?

GESY covers the medicines on its list; gaps in access to new and innovative medicines have been reported, though. Ask your doctor about your own medicine. A new private policy will probably not cover a condition you already have.

I had panic attacks years ago. Do I declare one visit to a psychiatrist?

If the question covers that period or asks “have you ever”, yes, with dates and the fact that there is no treatment today. An old, single episode often weighs little. What weighs a lot is an omission that comes to light later.

I’m HIV positive with an undetectable viral load. Do insurers see the difference?

Each insurer has its own criteria, and we have no verified information on how it is assessed in Cyprus. Bring recent tests that show your treatment and viral load. If you are refused, ask for the reason in writing.

If I already had cancer, can I still buy critical illness cover for other illnesses?

Possibly, with an exclusion for that cancer or for all cancers. The legal right to be forgotten concerns life insurance, so do not rely on it for critical illness cover. Ask for the exact wording of the exclusion.

Does a family history of heart disease raise my premium even if I’m healthy?

It may. In life and health insurance, health status and family history may be taken into account. Genetic test results, however, may not be used.

Is long COVID covered as an illness by health or income insurance?

It depends on the policy’s definitions: what counts as illness, how inability to work is proven, and whether there are exclusions. Keep a medical record with dates and symptoms. Ask in writing how a claim would be assessed.

I lost a lot of weight after bariatric surgery. Will they use my old or new weight?

Usually your current weight, together with how stable it is and the history of the surgery. Declare both the surgery and both weights if asked. The insurer decides the outcome.

One insurer said “no”. Is that the end?

Not necessarily. A refusal concerns one application, one moment and one insurer’s criteria. Ask for the reason in writing, ask what could change the decision, and if a later application asks about previous refusals, answer honestly.

Questions worth asking

  • How do you apply Article 247A to my cancer history?
  • Which facts matter most for my condition?
  • If you give me special terms, when can they be reviewed?
  • What is the exact wording of the exclusion?

What you can do from today

  • Write down dates: diagnosis, start and end of treatment.
  • Gather recent tests and a doctor’s letter on how you are today.
  • If you had cancer, work out whether the 10 (or 5) years and the €300,000 limit apply.
  • Complete the health declaration fully and keep a copy.
  • After any decision, ask for the reason in writing.

Every policy has its own terms. What we write here is general information, not advice; for your own case, what your policy says applies, and it is worth confirming it in writing with your insurer.

Read also: Can I be insured, with my age and health? · What must I declare on the health form? · The health declaration: why honesty protects you · Waiting periods, exclusions, pre-existing conditions · Who sees my medical data?

If you would like a second look, book an appointment with an advisor and bring your policy and your questions. You will go through them together, with no obligation.

This article is for information. Figures apply at the publication date and may change; talk to an advisor about your own situation.

Giannis Farazis

Your advisor, Giannis Farazis
Life-insurance advisor, ICCS reg. no. 7854

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