Critical Illness Insurance: What You Need to Know

Critical Illness Insurance

What is critical illness insurance, and how does it work?

Critical illness insurance is a type of health insurance that pays out a flat sum if you get very ill.

What are the different sorts of ailments that critical illness insurance covers?

Critical illness insurance may cover a variety of illnesses and ailments, which vary from company to company.

  • cancer
  • attack on the heart
  • stroke \sblindness
  • Organ transplants for Alzheimer’s disease and multiple sclerosis
  • paralysis due to kidney failure

Coverage can also differ depending on the severity of an illness or disease and the circumstances that come with it. For example, you may not be entitled to file a claim if you are diagnosed with a malignancy that is curable and has minimal “down time.”

A pre-existing ailment or illness is not eligible for coverage.

It’s critical to read your policy thoroughly. Also, make sure to request a detailed explanation of your coverage from your insurance provider.

Is it necessary for me to purchase critical sickness insurance?

When calculating your critical illness insurance needs, consider the advantages you may already have access to through other insurance plans, such as life insurance and group health insurance. For example, in the event of a severe illness, the benefits supplied under your employer’s group disability plan may provide suitable and comprehensive coverage.

You should also examine your personal circumstances and the additional financial hardship that dealing with a serious illness or disease may cause. Day-to-day living expenses like as travel to and from treatments, home care, and child care are often not covered by public or commercial health insurance plans.

How much does it set you back?

In general, the lower the premium, the younger and healthier you are (cost). The cost, however, varies based on your age, medical condition, the level of coverage, the number of illnesses covered, and the insurance carrier.

It’s worthwhile to browse around for the best deal. Consider your income, financial obligations, dependents, and health-care demands while looking for a critical illness plan.

What is the procedure for filing a claim?

If a physician who is licensed to practice medicine in Canada and specializes in your sickness diagnoses you with a critical illness or disease covered by your insurance, you can file a claim.

When will I receive payment if my claim is approved?

In most cases, you will get a lump-sum compensation payment 30 days after your claim has been processed.
There are no limitations on how you can use the funds.
Your critical illness insurance policy will end after your claim is paid.

What if I don’t file a claim at all?

The premiums you paid may be reimbursed to your named beneficiary if you die for a reason not covered by the critical illness policy. If the policy matures without a claim, some plans will refund the cost or a portion of the premiums paid during the policy’s lifetime.

What if I completely recover?

Even if you recover completely, you are entitled to the entire benefit.

Is critical illness insurance the same as long-term care insurance?

No, long-term care insurance pays for long-term personal care if you require supervision or assistance with everyday activities due to a chronic illness, a debilitating condition, or cognitive impairment.

Long-term care insurance policies often reimburse expenses for various forms of care, such as nursing home or home health care, up to a certain limit, or pay a pre-determined benefit amount daily or monthly.

Is critical illness insurance the same as disability insurance?

No. Disability insurance, commonly known as “income replacement” insurance, pays a monthly income replacement payment if you become disabled and are unable to complete your regular job obligations. In most cases, the benefit is limited to a proportion of your usual income and ends whenever you earn money or no longer meet the contract’s definition of impairment.

Long-term disability policies may contain a waiting period from the commencement of incapacity, unlike critical illness insurance, which pays the full policy benefit in a lump sum payment upon diagnosis of a critical disease. Long-term disability payments, unlike critical illness benefits, may be influenced by alternative sources of income or your full recovery from the illness.

What is the best place to purchase critical illness insurance?

Critical illness insurance and other types of health insurance can be found with the help of a registered insurance agent or broker.

What happens if I have a question or a complaint about my life or health insurance?

The OmbudService for Life and Health Insurance (OLHI) is a non-profit organization that helps customers with complaints and issues regarding life and health insurance goods and services.

You can contact OLHI if you are unable to address an issue or complaint about any life and health insurance product or service, including critical illness insurance, through your insurance company: 416-777-9002 or 1-888-295-8112.