THE FLORENTE GUIDE · HEALTH INSURANCEA different kind of benefit
A critical illness policy may pay a fixed amount when a listed condition meets the policy definition. This is different from reimbursement of hospital bills.
Read the exact definitions
Review the covered conditions, severity definitions, survival periods, exclusions, and benefit limits before deciding.
Check the benefit conditions, not hospital bills.
Covered conditions
Check the exact diagnosis and severity definitions for each listed illness.
Survival period
Check whether a stated survival period applies after diagnosis.
Waiting periods
Check when cover starts and whether any condition-specific waiting period applies.
Exclusions and payout
Read the exclusions, claim evidence requirements, and whether the benefit is paid once or in stages.
A diagnosis alone may not trigger a payout.
Two critical illness policies may list the same condition but use different severity definitions, survival periods or exclusions. Compare those terms and the lump-sum benefit before deciding.
Bring these to your conversation.
- The listed illnesses and their exact policy definitions.
- Your existing critical illness or life cover, if any.
- Questions about waiting and survival periods, exclusions and claim evidence.
- The benefit amount you would need if work or income is interrupted.
Your next step
Use the checklist, review the insurer’s current policy documents, and write down anything you want clarified before you choose.
Open your checklist