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Are you living with a hidden complex health condition?

It's time for a fresh look at living with a multiple sclerosis (MS) diagnosis and getting your life insurance and income protection sorted.

MS affects approximately 2,5 million people worldwide, but when you live with multiple sclerosis (MS), it may already feel tough to relate to people who don’t have the condition. As people with an often hidden condition, they face challenges because of their disability but if they're also identifying as LGBTQIA+ the 'double whammy' of feeling like a “minority within a minority” can feel like more discrimination.

This all means it’s important to raise awareness of LGBTQIA+ people with MS, within the LGBTQIA+ communities

MS is not a fatal disease so planning for your future should still remain a priority. The majority of people affected by it are diagnosed between the ages of 20 and 40 and affects women more than men.

Jump Ahead

Ever wondered about how Multiple Sclerosis affects your Life Insurance options?

Many people who are living with a diagnosis of MS, still have life insurance options. Whether you qualify for traditional life insurance and income protection or accident-only life insurance and income protection, largely depends on the type and severity of your MS, how long you’ve had the condition, and your overall health.

Can I get life insurance while living with multiple sclerosis?

For many people, the answer is ‘Yes’, but be prepared for it to take more time to work through the underwriting process and medical reports. For those who may not qualify for standard Plan A, there is often still an alternative Plan B too, and we’d love to help you out with that.

What is multiple sclerosis?

In simple terms, MS is an inflammatory disease of the central nervous system (CNS).

The central nervous system (CNS) is comprised mostly of the brain and spinal cord, and includes the optic nerve and retina.

  • Multiple sclerosis (MS) is a chronic, inflammatory autoimmune disease that attacks the CNS.
  • Healthy nerves in the CNS are protected by a fatty insulating layer called myelin.
  • The ‘demyelination process' occurs in folks with MS when the myelin sheath around the nerves is damaged.
  • These damaged nerves build up plaque, or scar tissue, also known as sclerosis; which is how the disease earned its name.

The 'demyelination of the nerves' interferes with the process where the brain sends and receives signals. It is the interruption of this process that causes the range and severity of multiple sclerosis symptoms.

Who can get multiple sclerosis?

Women are at least two to three times more likely to be diagnosed with MS than their male counterparts. The typical diagnosis usually occurs between the ages of 20 and 50 with the risk of being diagnosed with MS generally declining after age 50.

  • a person has a one in 750 chance of being diagnosed with multiple sclerosis in their lifetime
  • these odds increase to one in 40 in folks who have a close relative with MS, and
  • if a twin is diagnosed, the odds increase to one in four.

How is multiple sclerosis diagnosed?

Diagnosing multiple sclerosis early is important, however, it is extremely difficult and there is presently no single test to diagnose MS.

What are the different types of Multiple Sclerosis?

No two people have the exact same symptoms. You may get a diagnosis of a form of multiple sclerosis that only flares up once or twice throughout your entire life. Equally, other people may get multiple flare-ups that cause disability and prevent them from being able to lead a normal life over time.

Generally speaking, there are four main categories of MS:

Four types of MS

Multiple sclerosis (MS) usually is said to fall into four different sub-categories:

  1. Clinically isolated syndrome (CIS)
  2. Relapsing-remitting MS
  3. Primary progressing MS, and
  4. Secondary progressive MS
  • Clinically Isolated Syndrome (CIS) is diagnosed when a person has experienced a single episode of neurologic symptoms, such as visual blurriness, numbness, tingling and weakness of the limbs. It is caused by inflammation in the brain or spinal cord. CIS symptoms come on over a few days or weeks, then usually go away. To be classed as CIS symptoms, they must last for over 24 hours.
  • Relapsing Remitting MS is the most common form of MS affecting about 85% of people who are diagnosed with RRMS. It is caused by flare-ups or exacerbations of the neurological symptoms of MS, also known as relapses, followed by periods of recovery or remission.
  • Secondary Progressive MS is a secondary phase of relapsing-remitting MS and can develop years to decades following the initial onset of symptoms.
  • Primary Progressive MS is diagnosed in approximately 10-15% of people with MS and is characterised by a progressive worsening of symptoms and disability right from the beginning, without periods of recovery or remission

Is there a cure for MS?

While there is currently no known cure for multiple sclerosis, there are many medications that can help reduce the frequency and severity of episodes and flare-ups (but do not slow the progression).

Living with an MS diagnosis means living with uncertainty and learning to manage that process.

Getting life insurance when you have a Multiple Sclerosis diagnosis

Now that we’ve covered the basics of multiple sclerosis, let’s talk about getting life insurance when you're living with a diagnosis of MS.

Each insurance company will ask its own set of questions regarding your symptoms to determine your eligibility. Most insurance underwriters use the Expanded Disability Status Scale rating (EDSS), to quickly assess the disability level you have to manage, when you’re living with MS.

The good news is that living with an MS diagnosis doesn’t have to mean an automatic rejection from all life insurance companies, but you will need to help of an Unusual Risks Insured expert advisor to help guide you through the minefield that can be, Getting Life Insurance when you're living with an MS diagnosis.

What is the Expanded Disability Status Scale (EDSS)?

The Expanded Disability Status Scale (EDSS) is used by Neurologists to monitor changes in the level of someone’s disability over time. The EDSS has a range from 0 to 10. Scores are in half-unit steps — 3, 3.5, 4 and so on. The greater the level of disability, the higher the score out of ten.

EDSS score methodology

What's the future for folks living with MS? “The truth is that 15 years after the onset of MS, only about 20% of patients are bedridden. Another 20% may require a wheelchair, or use crutches, or a cane to walk, but fully 60% will be walking without assistance and some will have little deficit at all. Perhaps as many as 1/3 of all patients with MS go through life without any persistent disability, and suffer only intermittent, transient episodes of symptoms - National Center for Biotechnology Information: Multiple Sclerosis: It's Not The Disease You Thought It Was

What insurance options are available for people living with MS?

When preparing for a pre-assessment for life insurance, these are the key factors we would look for:

  1. The type of MS you’re living with
    • clinically isolated syndrome (CIS)
    • relapsing-remitting MS,
    • primary progressing MS, and
    • secondary progressive MS.
  1. The date of your original diagnosis
    • Early treatment for MS can push out the period of time in which they may ultimately need assistance with walking – or the time they may need to use a wheelchair.
    • If you are considering a policy, time is a factor. It is easier to get life insurance within the first two years after diagnosis and if you have mild MS symptoms.
  1. The symptoms and course since diagnosis
    • Occasional attacks with long periods of remission
    • More frequent attacks but overall still fully functioning
    • More severe where day-to-day life and movement require external assistance
  1. Your current treatments and medication and how you have responded to them
    • Living with MS is all about managing uncertainty and sticking to your recommended medication plan is a positive sign you're proactively managing your health

Pro Tip: For our Unusual Risks Insured clients living with MS, we’ve created an MS Questionnaire to help guide the initial conversation.

Multiple Sclerosis is a lifelong disease and may cause a varied combination of symptoms. No one can tell you at the outset what course your MS will take, it’s an unpredictable condition with no clear prognosis. For many people living with MS there are still life insurance and income protection options available and the team behind Unusual Risks Insured is ready to help you explore them.

Stay connected to your GP and MS educator

Living with MS is a lifelong journey and a surprise diagnosis can mean you have to make some additional lifestyle changes to manage and minimise the flare-ups.

Stay connected with your risk insurance advisor

Our part to play in your journey is to help you get your Life Insurances sorted, as soon as possible even when you are living with an MS diagnosis, so you can protect your income, safeguard a home mortgage, and look after family, partners, and whoever may depend upon you financially.

Then you can get on with living a bigger life.

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About Us

Unusual Risks Insured provides support to those people who big insurance companies leave behind. We believe in giving every person the power to use life insurance products to protect & provide for their loved ones, their businesses, and their legacy — free from barriers of stigma and discrimination.

We know, as an LGBTQIA+ person (or someone who goes without labels entirely), you probably have specific financial advice, life insurance, and privacy needs.

  • We're committed to serving the LGBTQIA+ Community and its Allies.
  • For us, it's about change leadership and #AdviceEquality.

Why not make us part of your story, so if the unexpected happens to you or whoever is family to you, you'll have a backup plan in place to help you financially recover and life can still get better for somebody you love.

#LoveTakesAction  #AdviceEquality  #PrideInAdvice

contact drew browne advisor Unusual Risks Insured and Sapience Financial

Drew Browne, Senior Advisor

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