Critical Illness Insurance

Critical illness insurance is designed to offer coverage for severe and prolonged illnesses that necessitate costly medical treatments. Many health insurance plans offer the option to add a critical illness rider by paying an extra premium. This rider provides financial support to the insured, assisting them in managing exorbitant expenses associated with hospitalization and treatments.

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What is Critical Illness Insurance?

Critical illness insurance is a type of insurance policy that provides financial protection if you are diagnosed with a serious illness. It is designed to help cover the costs associated with expensive medical treatments and other expenses that may arise during your illness.

Here's how it works: When you purchase a critical illness insurance policy, you pay a premium (a certain amount of money) on a regular basis, like monthly or annually. If you are diagnosed with a critical illness covered by the policy, such as cancer, heart disease, or stroke, and you survive a waiting period, the insurance company will pay you a lump sum of money.

Key Features of Critical Illness Insurance Plans

Critical illness insurance plans in India typically offer the following features:

Coverage for Major Illnesses

Critical illness insurance plans cover a specific list of major illnesses, such as cancer, heart attack, stroke, kidney failure, major organ transplant, paralysis, and more. The policy will specify the illnesses covered, and the coverage amount is paid as a lump sum upon diagnosis.

Lump Sum Payout:

If you are diagnosed with a covered critical illness, the insurance company pays a lump sum amount that is predetermined at the time of policy purchase. This lump sum payout can be used at your discretion, whether it is for medical expenses, treatment costs, lifestyle adjustments, or other financial obligations.

Survival Period:

Critical illness insurance plans have a survival period or waiting period, typically ranging from 30 to 90 days. This means that you need to survive for a specified period after diagnosis before becoming eligible for the policy payout.

No Requirement of Hospitalization:

Unlike traditional health insurance plans, critical illness insurance does not require hospitalization to make a claim. The payout is made upon diagnosis of a covered critical illness, regardless of whether you receive treatment in a hospital or not.

Additional Riders:

Some critical illness plans offer optional riders that can be added to enhance the coverage. These riders may include benefits like premium waiver, income replacement, or coverage for specific illnesses not covered under the base policy.

Renewable Policy:

Critical illness insurance plans are typically renewable, allowing you to continue the coverage by paying the premium on time. However, it's important to review the policy terms and conditions regarding renewability and any age restrictions that may apply.

Tax Benefits:

Premiums paid towards critical illness insurance plans are eligible for tax deductions under Section 80D of the Income Tax Act, subject to specific conditions and limits set by the government.

Importance of Critical illness Insurance?

In today's uncertain world, the importance of critical illness insurance cannot be overstated. It serves as a vital financial safety net, providing protection and peace of mind during challenging times. Here's why critical illness insurance is so crucial:

  • Financial Security: Dealing with a critical illness can result in substantial medical expenses, loss of income due to inability to work, and an increased financial burden on you and your family. Critical illness insurance offers a lump sum payout that can help cover these costs, ensuring you have the necessary funds to receive quality medical care and maintain your financial stability.
  • Enhanced Treatment Options: Critical illnesses often require specialized treatments, medications, and therapies that may not be covered by standard health insurance plans. With critical illness insurance, you have the financial means to explore and access a wide range of treatment options, including advanced medical procedures, experimental treatments, or seeking medical expertise globally, if necessary.
  • Lifestyle Support: A critical illness can significantly impact your lifestyle and daily routine. It may require modifications to your living environment, such as making your home accessible or hiring assistance for daily activities. Critical illness insurance provides you with the means to make these necessary adjustments, ensuring your comfort and maintaining your quality of life.
  • Stress Reduction: A critical illness diagnosis can be emotionally overwhelming for both you and your loved ones. By having critical illness insurance, you can alleviate some of the stress associated with the financial aspect of the illness. This allows you to focus on your recovery and spend quality time with your family, knowing that your financial concerns are taken care of.
  • Peace of Mind: Knowing that you have a safety net in place through critical illness insurance brings peace of mind. It provides reassurance that you are prepared for the unexpected, should a serious illness strike. This peace of mind allows you to live your life with confidence, knowing that you have taken proactive steps to protect yourself and your loved ones.

Factors to Consider When Buying Critical Illness Insurance

When purchasing critical illness insurance in India, it's important to consider several factors to ensure you choose the right plan for your needs. Here are some key factors to consider:

  • Coverage and Illness List: Review the coverage provided by the policy. Check the list of critical illnesses covered by the plan and ensure it includes the specific illnesses you are concerned about. Look for comprehensive coverage that includes major critical illnesses like cancer, heart disease, stroke, organ failure, etc. Sum Assured: Evaluate the sum assured or the amount that will be paid out if you are diagnosed with a covered critical illness. Consider your financial obligations, potential treatment costs, and income replacement needs to determine an appropriate sum assured that provides adequate financial protection.
  • Waiting Period: Pay attention to the waiting period specified in the policy. This is the period you need to survive after the diagnosis of a critical illness before you become eligible for the claim. Choose a plan with a shorter waiting period to ensure you can access the benefits sooner.
  • Renewability and Age Limits: Check the policy's renewability terms and the maximum age up to which you can renew the plan. Opt for a policy that offers lifetime renewability, allowing you to continue coverage even as you age.
  • Premiums and Affordability: Consider the premium amount you will need to pay for the critical illness insurance. Assess your budget and ensure the premiums are affordable in the long term. Remember that premiums may vary based on factors like your age, health condition, and sum assured.
  • Exclusions and Limitations: Carefully review the policy's exclusions and limitations. Understand which conditions or situations are not covered by the plan. For example, some policies may exclude pre-existing conditions or have specific waiting periods for certain illnesses.
  • Policy Term: Determine the duration of the policy term. Decide whether you want coverage for a specific period or if you prefer a long-term policy that provides protection for a significant part of your life.
  • Additional Benefits and Riders: Explore any additional benefits or riders available with the critical illness insurance policy. These can include features like premium waiver, income replacement, or coverage for specific illnesses not covered under the base policy. Assess if these optional riders align with your needs.
  • Insurer Reputation: Research the reputation and credibility of the insurance company offering the critical illness insurance plan. Consider factors such as their claim settlement ratio, customer service, and overall financial strength.
  • Policy Terms and Conditions: Read and understand the policy terms and conditions thoroughly. Pay attention to the claim procedures, documentation requirements, and any other policy-specific details to ensure you are fully aware of your rights and responsibilities.

Buy Critical Illness Insurance Online

Here are three steps to buying a health insurance plan online:

Step 1

Research and compare: Start by researching and comparing different health insurance plans offered by various insurance companies. Use online resources to access plan details, coverage benefits, premiums, and customer reviews.

Step 2

Fill out the application: Once you have shortlisted a few plans that meet your requirements, fill out the application form online. You will need to provide personal information such as your name, age, occupation, and medical history. Be sure to read the terms and conditions carefully and understand the coverage benefits, exclusions, and limitations of the plan.

Step 3

Make payment and receive policy: After submitting the application, make payment through a secure payment gateway using your preferred mode of payment. Once the payment is confirmed, you will receive an email confirmation and a copy of your policy documents. Make sure to keep the policy documents in a safe place and read them carefully to understand the coverage benefits and the claims process.

Frequently Asked Question

Ans. Critical illness insurance is a type of insurance policy that provides a lump sum payment if you are diagnosed with a covered critical illness. It is designed to help cover the costs associated with expensive medical treatments and provide financial support during challenging times.

Ans. The illnesses covered can vary between insurance providers and policies. However, common covered illnesses include cancer, heart attack, stroke, organ transplant, kidney failure, paralysis, major organ failure, and certain types of surgeries.

Ans. Yes, the lump sum payout from critical illness insurance can be used at your discretion. You can use it to cover medical expenses, treatments not covered by regular health insurance, living expenses, mortgage payments, debt repayments, or any other financial obligations that may arise during your illness.

Ans.Unlike traditional health insurance plans, critical illness insurance does not usually require hospitalization to make a claim. The payout is made upon diagnosis of a covered critical illness, regardless of whether you receive treatment in a hospital or not.

Ans. No, critical illness insurance is different from health insurance. While health insurance provides coverage for medical expenses, critical illness insurance provides a lump sum payout upon the diagnosis of a covered critical illness, which can be used for various purposes, including medical expenses.

Ans. The amount of coverage you need depends on various factors, such as your financial obligations, lifestyle, and potential medical expenses. Assess your specific needs, including existing health insurance coverage and potential income loss, to determine an appropriate coverage amount.

Ans. Pre-existing conditions are generally not covered by critical illness insurance. It's essential to review the policy terms and conditions to understand the specific exclusions and waiting periods related to pre-existing conditions.

Ans. Yes, you can purchase critical illness insurance even if you have health insurance. Critical illness insurance provides an additional layer of financial protection specifically for major illnesses not covered by regular health insurance.

Ans. To make a claim, you usually need to submit a claim form along with relevant medical documents and diagnostic reports confirming the diagnosis of a covered critical illness. Follow the claim procedures outlined in your policy and contact your insurance provider for guidance and assistance.
Critical Illness Insurance

Critical illness insurance is designed to offer coverage for severe and prolonged illnesses that necessitate costly medical treatments. Many health insurance plans offer the option to add a critical illness rider by paying an extra premium. This rider provides financial support to the insured, assisting them in managing exorbitant expenses associated with hospitalization and treatments.

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