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What does Critical illness Insurance do?

Critical Illness Insurance is insurance that pays out a lump sum if you are found to have an illness defined as being "Critical". Within the booklet you get with your application form the insurance company always provides a list of illnesses which it defines as “critical illnesses”. You will find a typical list of such illnesses below. For example, these illnesses normally include loss of a limb, third degree burn, heart attack, stroke and many other serious illnesses.

The crucial point with a “Critical Illness” is that many people survive the illness for very many years. During that time your earning power may well be a fraction of what it was previously or even nothing. Unless you can find a way of coping with a big drop in income and a probable increase in your living expenses, the financial effects on your family could be devastating.

Many think that “it won’t happen to me” and we sincerely hope that it doesn’t happen to you - but please consider the following facts: -

  • 1 in 5 men suffer a critical illness before their normal retirement age.
  • 1 in 6 women suffer a critical illness before their normal retirement age.
  • 46% of women and 35% of men who develop cancer survive at least 5 years
  • 78% of stroke victims survive more than 12 months.

Are you so sure that it couldn’t happen to you?

Could you cope with the financial effects of critical illness? Critical Illness Insurance is the way to protect you and your family from the financial consequences of such a possibility.

Just a word of advice. Terminal Illness Insurance is not the same as Critical Illness Insurance. First of all Terminal Illness is included free of charge on all good the life insurance policies whereas Critical Illness cover can be quite expensive.

So is Critical Illness Insurance worth the cost?

The essential difference between Terminal Illness Insurance and Critical Illness Insurance is that Critical Illness pays out immediately you are diagnosed with a serious illness (as defined within the company’s list of critical illnesses). On the other hand, Terminal Illness Insurance only pays out if you are expected to die from an illness within 12 months of diagnosis.

Now consider again the fact that 35% of women and 46% of men who develop cancer will survive at least 5 years. You could be one of those and still live for years. Terminal Illness cover would not pay out but Critical Illness cover would. We think you will now appreciate the merits of Critical Illness Insurance.


What illness is classified as Critical Illness?

There are normally two alternative levels of cover. Standard Critical Illness Cover (often known as 'Basic Cover') and Comprehensive Critical Illness Cover.

Standard Critical Illness Cover covers illnesses that are usually terminal but which you could survive for many years.

Comprehensive Critical Illness Cover includes a much wider list including serious conditions that might not necessarily be terminal, but which would certainly have a huge impact on your working life.

The critical illnesses included within Comprehensive Critical Illness Cover do vary between insurance companies but a typical list is shown below: -

Alzheimer’s disease
Angioplasty
Aorta graft surgery
Aplastic anemia
Bacterial Meningitis
Benign brain tumour
Blindness
Cancer
Coma
Coronary artery by-pass
Creutzfeldt-Jakob disease
Deafness
Dementia
Heart attack
Heart valve replacement or repair
AIDs or HIV from a blood transfusion, occupational duties, accident or assault
Keyhole heart surgery
Kidney failure
Loss of independent existence
Loss of limbs
Loss of speech
Major organ transplant
Motor Neurone disease
Multiple Sclerosis
Paralysis/Paraplegia
Parkinson’s disease
Stroke
Third degree burns
Total permanent disability
And some companies will include some cover for your children.


What is a “survival period”?

With Critical Illness insurance for a valid claim you have to survive for a minimum number of days. This normally 28 days following diagnosis of a critical illness. However, we are aware that some Insurance Companies have reduced this to 14 days. You should check your proposed policy. The vital point is that if you die within the survival period you cannot claim.


Employment Cover

When you buy Critical Illness Insurance you also need to decide what kind of “employment cover” you require. Before the Insurance Company will pay out, they will want to be certain that the illness prevents you from working normally. The issue is what kind of work does the illness prevent you from following?

To make things a bit more complicated, you may come across four alternative definitions: -

  • Critical Illness that prevents you from continuing your current own occupation.
  • Critical Illness that will not allow you to follow any occupation.
  • Critical Illness that will not allow you to follow any employment to which you otherwise would be suited.
  • A less common alternative is called “Work and Life tasks”. Basically the insurance company lists six “work tasks” (such as talking and walking) and six “life tasks” (such as feeding and washing). If you are cannot do any two tasks from the “work tasks” or any three from the “life tasks” then the illness qualifies you to claim.


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