Critical Illness Insurance:
Critical illness insurance is a long-term insurance policy
designed to pay a lump sum or income on the diagnosis of certain
life-threatening or debilitating (but not fatal) conditions such as a heart
attack, stroke, certain types/stages of cancer, multiple sclerosis and loss of
limbs.
The illnesses covered will be specified in the policy along with any exclusions
and limitations – these differ between insurers. Critical illness policies
usually only pay out once, so are not a replacement for income. You can use the
payout to pay for medical treatment, pay off your mortgage or anything else.
Many people buy critical illness insurance when they take on a major commitment
such as a mortgage. This is something you can discuss with our mortgage adviser.
Otherwise, you can buy it through a financial adviser who advises on critical
illness insurance, taking account of your wider financial circumstances (that's
where we can assist), or directly from insurance companies.
It is worth remembering that if you buy from a Company they will only be able to
tell you about their own product.
Not all insurance company firms will give you advice about whether it is
suitable for you. They should tell you whether they will be offering advice and
recommending a policy, or giving you information only. If they only give
information, you will need to consider the information they give you and make
your own decision as to whether the product is right for your needs, or seek
independent financial advice.
Before you take out cover, here are some things to consider: Critical illness
insurance pays out if you are diagnosed as suffering from one of the specified
illnesses. Policy summaries will often set out a list of illnesses covered, but
this is only a guide and full details will be in the policy document. This will
also set out the criteria that have to be met before the insurer will pay a
claim, including defining the level of severity of the illness.
As an example, in the case of cancer, not all cancers or stages of cancer are
covered. And for heart attacks, many insurers will need to have medical evidence
of the severity of the condition before paying a claim. So make sure you check
which illnesses are covered.
It does not cover simply any sickness that affects your ability to work – it is
specific about which illnesses are covered.
Some insurers exclude all pre-existing conditions but others will decide on the
basis of your personal medical history.
It differs to other types of protection insurance such as [income protection-
link to 3] or payment protection, so make sure you understand what it does and
whether it is right for you.
Before you take out the cover, we will explain the contract and provide you with
a Key Features document. This will set out the key features and benefits, as
well as any significant or unusual exclusions or limitations. If you have any
queries about these we will be happy to explain the cover in more detail. This
will help you make an informed decision on whether to take out the cover.
Many insurers now provide a plain English guide to the illnesses covered. If the
insurer imposes any other conditions, perhaps because of your own or family
medical history, you should be told what they are before you take out the
policy. Detailed policy terms and conditions will be provided in the policy
document the insurer will send you after you take out the cover – make sure you
read it so that you know what you're covered for.
When taking out critical illness insurance it's essential that you give full,
honest answers to questions you are asked about both your own and family medical
history. Giving incomplete or wrong information could invalidate your policy and
any claim you make on it.
If you are not sure, it is better to mention things. Otherwise you will not be
aware of what the policy may or may not pay out until you make a claim.
Many insurers will allow you to send medical information directly to their
Medical Officer, so if you do not want to discuss personal or sensitive
information with our adviser,ask about this.
Bear in mind that the premium illustrated at the atart of the process is only an
estimate. The insurer will confirm the actual premium, and the terms, after it
has considered your medical history declared in the application and the premium
may change.
Make sure you understand what the policy covers, when it will pay out and when
it will not.Read the documents you are given and ask questions if you don't
understand anything ask us to explain in more detail, we want you to understand
exactly what you are arranging.
The premiums are typically cheaper the younger you are, but will also depend on
your medical history and that of your close family. Some policies may offer to
reduce the premium if they exclude a pre-existing condition, such as cancer,
while some do not offer reduced premiums for exclusions.
Some policies will cover more illnesses than others or may offer different
benefits, such as waiver of premiums, which may make it more expensive. Some
policies may be combined with life cover, which may make the critical illness
element cheaper.
Some policies may give you the option of reviewable or guaranteed premiums.
Guaranteed premiums are more expensive, but you know payments will remain level
throughout the life of the policy. Reviewable premiums may be lower, but prices
could rise if, for example, new screening methods result in more claims.
We explore the whole market and then make a recommendation based upon your
personal circumstances and needs. With Critical Illness it is vital to choose a
plan with superior definitins that cover as many conditions as possible even if
the cost is slightly higher when a claim is made it is nice to know you are
likely to be covered.
If you already have critical illness insurance you should think carefully before
you cancel your existing policy and take out a new one. You might find that by
replacing a policy you lose some of the benefits if you have developed any
illnesses since you took out the first policy. This is because, pre-existing
conditions may not be covered under the new policy. You may be able to get
cheaper cover if you switch to another company but the cover might not meet all
of your needs.
So think very carefully before you replace or switch your policy. Also cost
increases with age. Some policies allow you to increase your cover –
particularly after lifestyle changes such as marriage, moving home or having
children. Please ask us for information.
If you cannot increase the cover under your existing policy you could consider
taking out an additional policy just to 'top up' your existing cover.
You can cancel within 30 days of taking out the policy and get your money back –
provided you have not made a claim. After the first 30 days, you can still
cancel the policy at any time under most contracts, but you may not be entitled
to a refund of the premiums you have paid. Your cancellation rights should also
be set out in the key policy information. We are always able to provide a no
obligation illustration based on details you provide.
For more information please click
here.*