Critical Illness Insurance—What you Must Know when Shopping for One
Critical illness insurance is becoming increasingly attractive to individuals looking to secure their financial health in the event of illness. A number of companies now offer this type of insurance, each with its own set of conditions. Take some time to familiarize yourself with the main features of this type of insurance ,so that you can better compare the various offers when shopping for it.
- How Critical Illness Insurance is Sold
- Illnesses Covered, Restrictions and Exclusions
- Refund of Premiums
- Insuring other People
- Optional Benefits
How Critical Illness Insurance is being Marketed:
• Some critical illness policies are sold alone or combined with other types of critical illness or life insurance coverage.
• You can also take critical illness insurance under a universal life policy and thereby enjoy greater benefits and flexibility.
• An increasing number of insurance products now combine the payment of benefits in the event of critical illness along with the payment of a death benefit. This type of product is generally less expensive than buying life and critical illness coverage separately since the benefit amount normally payable at death is reduced by the amount paid in case of critical illness.
However, before choosing this combined product, ask yourself if you want your death benefits to remain the same following a critical illness. If so, then purchasing separate critical illness insurance coverage is the better choice.
Features of Critical Illness Policy:
Coverage Age and coverage limits: The limits vary from product to product and from company to company. For example,
• The amount of critical illness insurance you can purchase; and
• The age of the insured. (Insurers use two main ways to determine age: some use the age of the insured on their last birthday and others use their age on their closest birthday.)
Duration and type of coverage:
Different options are available. For example,
• Is the amount of coverage fixed or does it decrease with time? Is it the same for all the illnesses covered?
• At what age does coverage end?
• If you choose a policy whose premiums increase over time so as to maximize your protection in the short term based on your available budget, can you change the policy later to freeze your premiums without having to provide evidence of insurability?
Illnesses Covered, Restrictions and Exclusions:
Find out which illnesses and surgeries commonly covered by insurance companies are provided under that particular critical illness insurance policy you want to purchase, for example, heart attack, stroke, coronary bypass, cancer, kidney failure, organ transplant, major organ failure on waiting list, multiple sclerosis, blindness, deafness, coma, Alzheimer’s disease, Parkinson’s disease, loss of speech, loss of limbs, paralysis, etc.
It is also good to know that the definitions of these medical conditions are based on standards of medical practice and that the diagnosis of a condition by a qualified physician practicing in Canada usually entitles the insured to benefits.
However, some restrictions and exclusions apply, depending on the company and the illness or surgery in question: For example:
• In the case of paralysis, some insurers require that the condition persist for 180 days while others only require that it last for 90 days. Other exclusions are systematically written into almost all contracts available on the market.
• These exclusions pertain to self-mutilation or the diagnosis of cancer within the first 90 days of the contract taking effect.
Refund of Premiums
Many companies automatically refund premiums upon death if no benefits were paid out. But some companies offer more generous refunds than others. For this reason, it is important to clarify the following:
• Does the refund include interest at a predetermined rate?
• Is the refund subject to a maximum limit?
In exchange for a premium surcharge, some companies also offer premium refunds at a specific age. What are the main criteria for refunds, other than not having received benefits?
• Does the refund apply only at a given age?
• Is it paid in full or in part?
• Does it include interest at a predetermined rate?
Insuring other People
Perhaps you would like several other people, such as your spouse or your business partners, to be covered under your critical illness insurance policy.
Ensure is it is possible to provide them with individual critical illness coverage under the same contract?
There are certain premium-related features you should inquire into:
• Up to what age are premiums payable?
• Are they fixed or will they change after a predetermined period?
• Are they guaranteed right up to the end of the payment period or, if applicable, for each of the terms?
Insurers offer a variety of premium payment methods:
• Can the payments be made on a monthly, quarterly, semi-annual or annual basis? It’s important to compare premiums with the same frequency because one policy may be more competitive than another at one frequency, but not at a different frequency.
• Can you make your payments by preauthorized bank withdrawals, credit card, check, etc.?
How to Compare Premiums
Premiums vary from product to product and from company to company based on the features outlined above: the sex of the person to be insured, their health status, whether or not they smoke, whether they have a high-risk occupation, etc. A set fee for policy administration costs is also generally included in your total premium. It is therefore quite complicated to compare premiums from one institution to another on a uniform basis. For this reason, it’s important to get good advice to ensure that the product you acquire is the right one for your needs and financial resources.
Companies may offer several optional benefits besides critical illness insurance.