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​While questions do very between companies,  here are the 10 most commonly asked health questions on Medicare supplement applications today. 

Health history form
  • Are you confined to a wheelchair or motorized mobility device?

  • Are you currently hospitalized, confined to a nursing home or assisted living facility?

  • Are you currently receiving occupational or physical therapy?

  • Have you ever been diagnosed with or been treated for any of the following?

    • Chronic kidney disease or kidney failure

    • emphysema, COPD, or other pulmonary disorder requiring oxygen

    • Alzheimer’s, Dementia, or other cognitive disorder

    • parkinsons, multiple sclerosis, or lou gehrig’s disease

    • AIDS or organ transplant

    • osteoporosis

  • Do you have diabetes with complications including retinopathy, neuropathy, or any related heart disorder? 

  • Do you have a cardiac defibrillator implanted

  • In the past 2 years have you been treated or advised by a doctor to have treatment for any of the following?

    • coronary artery disease, angina, heart attack, cardiac angioplasty, bypass surgery, or stent placement

    • cardiomyopathy, congestive heart failure, aortic or cardiac aneurysm, peripheral vascular disease, endarterectomy, cartoid artery disease, heart or heart valve disorder, atrial fibrillation, other heart rhythm disorder, or pacemaker implanted

    • alcoholism or drug abuse

    • internal cancer, lymphoma or melanoma

    • stroke or TIA

  • Have you been advised by a medical professional that surgery may be required within the next 12 months for cataracts? 

  • Do you currently have any lung or respiratory disorder and currently use tobacco products? 

  • Has a doctor recommended any further treatment, surgery, or tests that has not yet been completed?