27.03.2023

What’s the Difference Between Critical & Serious Illness Insurance?

What’s the Difference Between Critical…

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What Do I Need to Know About Critical Illness Cover?

  • Payment will be made on the specified condition, but if it’s not listed then no payment will be made.
  • Some conditions listed won’t pay out if the case is not deemed severe enough. For example, you could be ‘diagnosed’ with low grade prostate cancer, but unless the cancer meets a specific definition usually to do with seriousness it will not pay out.
  • You also need to know that once the lump sum is paid the policy will cease.

What If I Want to Insure More Conditions?

  • If you want to cover more conditions, you can consider ‘Serious Illness Cover’. This type of policy can cover over 170 conditions. The product will take into account the severity of a condition the less serious the condition the lower the payout, however, it is more likely to receive a payout from a serious illness policy than they would from a critical illness policy, as more conditions are eligible for cover.
  • The payout is based around the severity of the condition, less serious conditions can still qualify for a pay-out albeit at a lower rate.

What Do I Need to Know About Serious Illness Cover?

  • While this type of product can pay out on more conditions, it is possible that you could get a lesser payout than you would with critical illness cover.
  • For example, this could happen if someone was diagnosed with a cancer that is eligible for a payout even if the cancer is in its early stages and therefore easier to treat in this type of case, a critical illness plan would pay 100% of the claim. A similar claim with a serious illness cover plan could result in only a 25% pay-out, as it would take into account the severity of the condition.
  • Serious illness plans don’t cease after the first claim they will remain in force until the policy holder has claimed 100% of the insured sum.

What Should I Take Into Account When Deciding Between Critical Illness Cover & Serious Illness Cover?

  • Serious illness plans will cover more conditions and the severity of that condition will be taken into account effecting the payout. Critical Illness plans will pay out on fewer conditions but could pay out a higher sum as the severity isn’t taken into account.
  • Critical illness plans will cease after the first claim. 
  • Serious illness plans can continue to pay out (regardless of the number of claims made) until such time that 100% of the insured sum has been claimed. Some Serious Illness cover also gives you the ability to “top up” your cover back to the original sum assured after every claim without going through the underwriting process again.

Who can take out a Critical/Serious Illness Cover policy?

  • Anyone who would like to protect themselves, their family or their business against serious illnesses. Like a life insurance policy, a family could benefit from this type of payout to help them if a regular income is lost.
  • From a business perspective, it could receive a pay-out if a key member of staff was unable to work, enabling the company to cover the financial impact of such a loss. In this instance, a serious illness plan might be more appropriate, as the severity of the condition will most likely dictate the length an employee would be absent for, so the pay-out should probably reflect that.
  • All policies are subject to underwriting and factors, such as age, health and smoker status will determine the monthly premium to be paid and if terms can be accepted.
  • Critical illness cover
  • Serious Illness Cover
  • Protection Insurance
  • family

I am an Independent Financial and Mortgage Adviser and have worked in Financial Services for over 12 years. During my career I gained experience in assisting both individual and corporate clients.…

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