How it works

Step by step, without the jargon.

Check the list of illnesses

Every policy names the illnesses it covers. The list and the exact definitions vary significantly between insurers.

Check the survival period

Many policies require the insured to survive a stated number of days after diagnosis before the benefit is paid.

Submit the diagnosis documents

The claim requires medical evidence that meets the definition written in the policy.

Receive the lump sum

Once approved, the benefit is paid as a lump sum and can be used without restriction.

Who might consider it

  • People with a family history of serious illness
  • Self-employed individuals without employer group cover
  • Families that would lose income during a long treatment and recovery period
  • Anyone wanting a supplement to their existing health policy

Key benefits to look for

  • Lump-sum payment that can be used for treatment, recovery or daily expenses
  • Provides additional financial support alongside a health insurance plan
  • Simple benefit structure based on a diagnosis rather than bills
  • Some plans offer a second-claim or multi-claim benefit for separate illnesses

Important limitations to understand

These points appear in most policies of this type. The exact wording, limits and waiting periods vary by insurer and by plan.

  • Only the illnesses named in the policy are covered — others are not
  • A survival period may apply before the benefit becomes payable
  • Diagnosis must match the policy’s definition exactly, including severity and staging
  • Pre-existing conditions and certain lifestyle-related illnesses may be excluded
  • Some policies reduce the payout if the diagnosis occurs in the first policy year
Back to all insurance

Questions

Critical Illness Insurance — frequently asked

Is critical illness cover the same as health insurance?
No. Health insurance reimburses or settles actual medical expenses. Critical illness insurance pays a fixed lump sum on a valid diagnosis, which you can use however you need.
Why do policy definitions matter so much?
Because the payout depends on whether your diagnosis matches the insurer’s exact written definition. A condition that sounds similar but does not meet the stated criteria may not qualify.
Is the benefit paid immediately after diagnosis?
Usually not. A survival period — often stated in days — is common, and the claim documents must first be verified by the insurer.
Should I replace my health policy with this?
No. The two products serve different purposes. Many families consider holding both, so that treatment bills and income loss are both addressed.

Ready when you are

Let’s understand your protection and investment options together.

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