Critical illness cover is a benefit policy wherein a lump sum amount is paid on diagnosis of certain diseases as per the insurance cover. Earlier, people used to take life cover fearing premature death and leaving the family to cope without a breadwinner.
But due to the modern technology and advancement of treatments, most of the critical illnesses can be treated well and get cured.
This requires a huge financial support, for which medical insurance is the only solution for most of the ordinary public.
The importance of critical illness cover is rising due to the substantial increase in the number of patients suffering from illnesses like cancer, heart attack and organ failures.
Due to the longer treatment tenure and the cost of non-medical and medical expenses, the critical illness cover is required.
The sum insured is paid immediately subject to policy conditions. We get advanced treatment in various hospitals and the expenses, based on the facility provided by the hospitals.
In critical illness policy, insurers pay the sum insured in lump sum once the disease is diagnosed, subject to certain survival conditions.
So the patient can meet the expenses by this insurance even without a hospitalization.
An insured member can utilize the money for treatment of diseases, expense related to lifestyle change based on doctor’s advice, alternate medicines in India as well as outside country, organ donor expenses, etc.
It can be either standalone critical policy or rider/ add-on cover linked to a basic life or med claim. There is no difference between these two with regard to claim settlement.
The sum insured under critical illness policy will be paid in lump sum irrespective of stand alone or rider/add on.
As far as critical illness is concerned, the sum insured will be paid in lump sum on diagnosis subject to certain survival conditions.
Most of the insurance companies are insisting 30 days survival. In these kind of situations, under critical insurance lump sum plan, people may try for different mode of treatments even without hospitalization.
For the re-imbursement method, most of the insurers allow only allopathic medical expenses or impose specific conditions that may not be viable for the situation.
One should check the policy conditions, and the critical illnesses cover under the policy and sum insured (should be adequate).
Illness is always an uncertain event. It’s always better to go for multiple illness cover policy rather than go for one or two diseases. That would also provide the premium advantage.
Most of the life and general insurance companies provide critical illness policies. Reimbursement mode is applicable in standard mediclaim policies.
A few insurance companies are offering women specific critical illness insurance policies. For these products, the premium needs to be checked. It is up to the customer’s discretion to opt for them.
It’s always better to have a separate critical illness cover policy as it offers lump sum payment. Once the illness is diagnosed, the customer can decide the method or mode of treatment even without hospitalization, or multiple methods.
Since the critical illness cover offers lump sum payment, the insured person will have the liberty to meet the medical expenses at his convenience.