Critical Illness Insurance

Critical illness insurance covers serious and long-term illnesses that require an expensive medical treatment. Most health insurance plans provide critical illness rider cover on payment of additional premium that helps the insured pay for exorbitant hospitalization and treatment expenses.

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      What is Critical Illness Policy?

      A Critical Illness Insurance policy covers the insured against life-threatening critical diseases such as cancer, heart attack, renal failure etc.This Critical Illness Policy provides a lump sum coverage amount that can cover exorbitant medical expenses for critical illnesses as covered under the insurance policy.

      Features of Critical Illness Insurance Plans

      Here are the features of critical illness insurance plans:

      • Critical Illness Coverage- Coverage is provided for up to 36 major critical illnesses such as a tumour, cancer, kidney failure, heart ailments etc.
      • Lump-sum Payment- The insurer provides the lump sum payment for the treatment of covered illnesses.
      • Easy Claim Processing- The claim can be easily processed based on the diagnosis report(s).
      • Waiting Period- Usually, the coverage is provided after the end of the waiting period.
      • Loss of Income- A part of the lump sum can be used as an income replacement.
      Read More

      Advantages of Critical Illness Insurance

      Have you ever wondered, what will happen to you and your family if you can’t earn as a result of a critical illness? On top of that, how will you take care of your incurred medical expenses?

      We don’t want you to get scared, we want you to be aware of the severe situations that a critical illness can bring along.

      Buying a critical illness best health insurance policy is a foolproof way of securing your future against critical illnesses. It will provide you with a lump sum amount upon diagnosis of covered critical illnesses.

      Tax Benefits under a Critical Illness Insurance Policy

      The policyholder can avail tax benefits under the Income Tax Act, 1961. Tax exemption of up to Rs. 15,000 can be availed under Section 80D of the Income Tax Act, 1961. Senior citizens can avail tax benefit up to Rs. 20,000 under the same section.

      *Tax benefit is subject to changes in tax laws


      *All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C apply.

      How to Select an Ideal Critical Illness Insurance Plan?

      The below parameters work like wonders when it comes to ensuring the right critical illness insurance plan:

      Parameters Details
      Sum Insured A lump sum amount equal to sum insured
      Waiting Period Initial 30 days from the policy start date
      Survival Period 30-90 days
      Number of Disease Covered 8-36 illnesses, depending on the provider
      Renewability Age Either maximum age or lifelong renewability

      *The above information is subject to change as per the norms of insurance provider

      Critical Illness Insurance Plan vs. Health Insurance Plan

      When Neeraj was diagnosed with a brain tumour, he was completely shattered.

      His health insurance policy having a sum assured of Rs. 10 Lakh took care of the incurred treatment expenses. Having said that, he was devastated when the revenues of his business started falling down. Due to the severity of his illness, he was unable to take care of his business. As a result, the financial health of business deteriorated (along with his health).

      There are many people like Neeraj who don’t know that a health insurance policy is different from a critical illness insurance policy.

      Here are the differences between a critical illness insurance plan and health insurance plan.

      Parameters Critical Illness Insurance Plan Health Insurance Plan
      Meaning It covers life-threatening diseases like tumour, permanent paralysis, etc. It provides comprehensive health insurance coverage including hospitalization expenses.
      Benefits Hospitalization is not required to avail policy benefits. Diagnosis is enough to get lump-sum payment. The insured can get the reimbursement of incurred hospitalization expenses by submitting bills. He can also avail cashless facility at network hospitals.
      Coverage It offers coverage for up to 36 critical illnesses. It offers extensive coverage, including pre-hospitalization expenses and post-hospitalization expenses
      Waiting Period There is a waiting period that depends on the severity of illness. There is a waiting period of 30 days.

      Comparison of Critical Illness Insurance Policies

      Health Insurance Company  Critical Illness Insurance Plan
      Age Criteria
      Sum Insured (in Rs.) Policy Term
      Aditya Birla   Health Insurance Activ Secure- Cancer Secure Min: 18 years 
      • 50% of SA for early stage
      • 100% for major
      • 150% for advanced stage 
      N/A
      Bajaj Allianz Health Insurance Critical Illness Insurance

      Min: 91 days 

      Max: 80 years

      Rs 1 lakh -Rs 50 Lakh 1 year
      Bharti AXA Health Insurance Critical Illness Insurance Plan

      Min: 3 months

      Max:  55 years

      - 1 year
      Care Health Insurance (Formerly known as Religare Health Insurance) Care Health Assure Insurance Policy

      Min: 5 years

      Max: 50 years

      Rs 10 Lakh - Rs 2 Crores 1/2/3 years
      Chola MS Health Insurance Critical Healthline Plan

      Min: 18

      Max:  65 years

      Rs 3 Lakh, Rs 5 Lakh, & Rs 10 Lakh 1,3,5 years
      Digit Health Insurance Cancer Health Insurance

      Min: 20

      Max:  65 years

      Rs 10 Lakh- Rs 50 Lakh 10-30 years
      Edelweiss Health Insurance Platinum Health Insurance - Up to Rs 1 Crore N/A
      Future Generali Health Insurance  Critical Illness Insurance Plan

      Adult:18- 65 years 

      Children 6-25 years

      Adult: Rs 1 Lakh- Rs 50 Lakh

      Children- Rs 1 Lakh – Rs 20 Lakh

      -
      Iffco Tokio Health Insurance Family Health Protector Policy

      Min: 18

      Max:  65 years

      1.5 lakh- 5lakhs N/A
      Kotak Mahindra Health Insurance Critical Illness Plus Rider Benefit

      Min: 18

      Max:  65 years

      Up to 5 lakhs N/A
      Niva Bupa Health Insurance (Formerly known as Max Bupa Health Insurance) Criticare Health Insurance Plan - Rs 3 Lakh to Rs 2 Crore 1-2 YEARS
      ManipalCigna Health Insurance Lifestyle Protection - Critical Care Health Plan - Up to Rs 25 Crore N/A
      National Health Insurance Critical Illness Policy

      Min: 18 years

      Max:  65 years 

      Rs 1 Lakh - 75 lakhs 1 year
      New India Assurance Health Insurance Cancer Medical Expn-Individual Plan Max: 70 years  Rs 50,000 – Rs 2 Lakh 1 year
      Raheja QBE Health Insurance Cancer Insurance

      Min: 1 year

      Max: 70 years

      Rs 1 Lakh- Rs 10 Lakh N/A
      Royal Sundaram Health Insurance Lifeline Elite Health Insurance Plan Min: 18 years Rs 25 Lakh - Rs 1 Crore N/A
      Reliance Health Insurance Critical Illness Plan

      Min: 18

      Max: 65 years

      Rs 5 Lakh, 7 Lakh, & 10 Lakh N/A
      Star Health Insurance Criti Care Plus

      Min: 18 years

      Max: 65 years

      Rs 2 Lakh – Rs 10 Lakh N/A
      SBI Health Insurance Critical Illness Insurance Policy Max: 65 years Up to Rs 50 Lakh 1-3 years
      Tata AIG Health Insurance Critical Illness Health Insurance Plan

      Min: 18 years 

      Max: 65 years

      Rs 2.5 Lakh - Rs 15 Lakh N/A
      United India Health Insurance UNI Criticare Health Insurance Plan

      Min: 21years

      Max: 65 years

      Rs 1 Lakh, 3 Lakh, 5 Lakh & 10 Lakh N/A
      Universal Sompo Health Insurance Critical IllnessHealth Insurance Plan

      Min: 5 years

      Max: 65 years

      Rs 2.5 Lakh – Rs 20 Lakh N/A
      See More Plans
      Disclaimer : *Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

      Illnesses Covered in Critical Illness Insurance

      Generally, critical illness insurance plans cover the following illnesses:

      • Cancer up to specified stage
      • Heart attack (first time)
      • Open heart coronary artery bypass grafting
      • Open heart replacement or repair of heart valves
      • Coma of specified severity
      • Kidney failure that requires regular dialysis
      • Stroke
      • Major organ transplant
      • Bone marrow transplant
      • Permanent paralysis of limbs
      • Motor neuron disease, also known as amyotrophic lateral sclerosis (ALS)
      • Multiple sclerosis
      • Aplastic anaemia
      • Bacterial meningitis
      • Loss of speech
      • End-stage liver disease
      • Deafness
      • End-stage lung disease
      • Fulminant viral hepatitis
      • Major burns
      • Muscular dystrophy

      Disclaimer- This list is only indicative and not exhaustive. Insurance companies cover various critical illnesses under different critical illness insurance policies.

      Read More

      Exclusions in Critical Illness Insurance Policy

      Generally, critical illness plans don’t provide insurance coverage for the following:

      • Covered critical illness diagnosed within the waiting period
      • Death within 30 days of diagnosis of critical illness or surgery
      • Critical illness developed due to smoking, tobacco, alcohol or drug intake
      • Critical illness developed due to internal or external congenital disorder
      • Pregnancy or childbirth-related critical condition
      • HIV/AIDS
      • Illness caused/ developed due to war, terrorism, civil war, navy or military operations
      • Any dental care or cosmetic surgery
      • Infertility treatment/ treatment to assist reproduction
      • Hormone replacement treatment
      • Treatment underwent outside India
      Read More

      *All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C apply.

      The Need for a Critical Illness Policy

      Now, the need for a critical illness policy is more than ever. The sedentary lifestyle pf 21st-century is giving rise to all kinds of illnesses, most of which are critical in nature. Different studies indicate a steady rise in the number of people falling prey to critical illnesses. While the number of people developing/ contracting critical illness is increasing, the age at which people develop critical illnesses is consistently decreasing. This means that millennials are prone to developing critical illnesses as compared to the earlier generations.

      Who Can Benefit From Critical Illness Insurance Plan?

      Anyone and everyone stands to benefit from taking a critical illness policy. The modern-day hectic lifestyle is a harbinger of lifestyle-related illnesses including critical illnesses like cancer, heart attack, stroke, etc.

      A critical illness can reduce the ability of patients to earn. It is because the patient is often sick and home-bound. The reduced ability to work in some cases leads to not being able to work at all. This triggers a financial crisis.

      To prevent such situations, one can opt for a critical illness policy.

      Who Should Buy Critical Illness Insurance Policy?

      With hospitals spending heavily on super-speciality equipment, the treatment is getting better day-by-day. Due to this and medical inflation, the cost of treatment is increasing. When a person is hospitalized, incurred medical costs can go sky-high.

      For women having breast cancer, Herceptin (breast cancer drug) can cost a bomb. While undergoing the treatment, the patient needs at least 16 vials. You can imagine how much a patient needs to spend during the treatment.

      Keeping in mind the treatment expenses for critical illness, opting for the best critical illness plan seems to be a viable option.

      Here is who all can get benefitted from a critical illness policy:

      Those with a History of Critical Illness in Their Family

      Many critical illnesses are hereditary in nature, i.e. they run in families. One is at a much higher risk of developing a critical illness if there is a family history of the same. Those with a history of critical illness in their family should definitely opt for a critical illness insurance policy.

      Primary Breadwinners

      The role and importance of the primary breadwinner of a family are paramount. If something happens to them, the family’s financial future will be severely affected. The family may even have to face unpleasant financial situations.

      That’s why earning members of a family must buy critical illness insurance cover, especially if they have a medical history.

      Those Having High-Pressure Jobs

      Critical illnesses have a high correlation with high-pressure jobs. Various studies indicate that people working in high-pressure work environments are at increased risk of developing a critical illness. Employees having a job that puts high-pressure on them such should definitely opt for a critical illness policy.

      People Over the Age of 40 Years

      People over the age of 40 years are more susceptible to developing critical illnesses. It is advised that they buy a critical illness insurance policy in their late thirties. Moreover, they are likely to be in a better financial position and can pay policy premium easily.

      Read More

      Factors to Keep in Mind While Opting for a Critical Insurance Policy

      Here are various factors to check before opting for a critical illness insurance plan:

      • Sum Assured

        The amount of cover is essential to determine which policy works for you. Treatment for some critical illnesses costs comparatively lower than the others. Knowing how much coverage you want will help you choose the right plan for your needs. Get a critical illness insurance quote from our website to come across the critical illness insurance that works for your needs.

      • Standalone Critical Illness Insurance Policy or Critical Illness Insurance Rider

        Since a standalone policy attracts a higher insurance premium as compared to a rider, it offers comprehensive coverage. The scope of coverage offered by a standalone critical illness insurance plan is higher as compared to a rider. Though, a rider may provide the insurance against the same set of critical illnesses, the amount of cover or the sum assured will be way lesser.

        This is due to the fact the rider is actually dependent on the base policy. For instance, if the healthcare policy or mediclaim is for Rs. 2 lakh, then the critical illness rider will provide insurance coverage only for Rs. 2 Lakh.

        To enjoy a comprehensive insurance coverage, insurance experts recommend opting to opt for a standalone plan.

      • Sub-Limits

        Checking the sub-limits under a critical illness insurance policy is important as they have repercussions on the costs you would have to bear. Sub-limits are applicable to the total sum assured under a critical illness insurance plan.

        For instance, if a critical illness insurance policy having Rs. 5 Lakh sum assured comes with a sub-limit of Rs. 1.5 Lakh for tests and Rs. 2 Lakh for surgery, will cover up to 3 Lakh. Depending on the incurred expenses, you will have to pay up to 2 Lakh from your own pockets.

        Some critical illness insurance policies offer a higher amount of cover for surgeries while others may have a higher cover for tests. It is important that you have fair information about the limitations before opting for a critical illness insurance plan

      • Inclusions and Exclusions

        Though the general inclusions and exclusions of a critical illness insurance policy are mentioned above,  you should check the exact inclusions and exclusions in the policy brochure. It will help you get a better understanding of the plan.

        For instance, a critical illness insurance policy focusing more on cardiovascular diseases may have exclusions such as cataract or cancer. If you are looking for a specific set of illnesses to insure against, please make sure you check the details beforehand.

      • Age

        The critical illness insurance policies catering to senior citizens offer wider coverage and attract a higher insurance premium. This is because senior citizens are at a higher risk of developing critical illnesses as compared to young adults.  

        The insurance experts recommend opting for a critical illness insurance plan as per your age group.

      • Maximum Renewal Age

        Some critical illness insurance policies provide coverage up to a specified age while others provide lifelong coverage. You ought to know the exact age up to which you, as an insured, can renew the plan. For some plans, you can’t renew beyond, say 60 years.

        The insurance experts recommend opting for a critical illness insurance plan with a maximum renewal age.

      • Waiting Period

        Generally, critical illness insurance policies come with a waiting period. This means that the policyholder can avail insurance coverage for covered critical illnesses after the end of the waiting period.

        The insurance experts recommend opting for a critical illness insurance plan with a low waiting period.

      Read More

      How to File a Claim for Critical Illness Policy?

      If there is a need to file a claim, contact your insurance company and register your claim. Usually, the following documents are required to file a claim:

      • Duly filled claim form
      • Photocopy of ID card
      • Medical certificate obtained from a doctor confirming the dia gnose of critical illness
      • Detailed discharge summary

      After receiving the above documents, the claim team would verify the details. Based on the verification, your claim will be approved or disapproved. Whatever the case may be, it will be intimated to you.

      Note: The insured may have to provide additional documents depending upon the claim.

      Read More

      How Can PolicyBazaar Help You?

      Treatment for a critical illness can wipe out your savings in a single go. You can opt for a critical illness plan and secure your financial future. You can compare and find the best critical illness plan in a matter of a few clicks at PolicyBazaar.

      We can help you evaluate available insurance policies according to your insurance needs. We will help you come across the plan that offers the best insurance benefits at best insurance premium. Our trained customer care executives will guide you so that you’ll get the right protection you need.

      At PolicyBazaar, you can avail the following benefits:

      • Get free quotes from leading insurers
      • Critical illness plans at lowest premium
      • Instant issuance of critical illness policy online
      Read More

      FAQ’s

      • Q.1 What is Critical Illness?

        Ans: Critical Illness cover comes as a rider as well as a stand-alone plan. It provides the insured with a lump sum, in case he/she gets diagnosed with a critical illness such as cancer, multiple sclerosis, heart attack, paralysis, kidney failure, etc. The insured has to bear 30 days waiting period before the first diagnosis can be claimed.
      • Q: Why do we need Critical Illness Insurance Cover?

        Ans: More often than not, critical illness is considered as an exclusion in a standard health insurance policy. Even if covered, the lump sum paid out is simply not enough to suffice the whopping expenses incurred in the treatment of such critical illness. So, getting a critical illness insurance plan is imperative to ensure your financial security.
      • Q: What are its key features of critical illness insurance?

        Ans: It covers major illnesses which are usually excluded from a standard health insurance policy. It provides a lump sum to the insured upon the diagnosis of the covered illness. For most critical illness insurance plans, no medical check-up is required up to 45 years of age. It provides tax benefits and no-claim benefits.
      • Q: How much critical illness cover do I need?

        Ans: Your age, lifestyle pattern, city of residence and annual income are vital parameters that help to determine the appropriate coverage required for you.
      • Q: What are the documents required for critical illness insurance?

        Ans: Generally, age proof, address proof and identity proof are required. Additionally, specific documents may be required in case the insurance buyer needs to undergo medical tests.
      • Q: Does life insurance cover critical illness?

        Ans: Yes, under add-on rider, life insurance plans offer coverage against specific critical illnesses.
      • Q: Can I get critical illness cover after cancer?

        Ans: Most insurers provide coverage to insured having insurance prior to the diagnosis. Varying from one insurer to another, there are some plans that offer coverage after the diagnosis as well.
      • Q: How much cover do I need?

        Ans: Your age, lifestyle pattern, city of residence and annual income are vital parameters that help to determine the appropriate coverage required for you.
      Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.
      Average Rating
      (Based on 33 Reviews)

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      Critical Illness Insurance Reviews & Ratings
      4.6 / 5 (Based on 33 Reviews)
      (Showing Newest 10 reviews)
      Karun
      Kanpur, August 19, 2021
      Great benefits
      one of my relative suggested me to buy a health insurance. i bought critical illness insurance that covers serious illnesses. they are providing me great benefits at low premium rate
      Falguni
      Udagamandalam, February 18, 2021
      Parkinson's disease Cover
      I was so afraid, but your team gave me a health plan that covers Parkinson disease also. I got tired and couldn’t find anything. But you saved my time and effort. You guys are awesome.
      Harshika
      Habra, February 18, 2021
      Best HDFC Ergo Critical Illness Plan
      I am so happy and relaxed as this policy provides financial support for any lost income due to a decreasing ability to earn. And it has a survival period of 30 days only. It was Policybazaar who helped me buy this plan. Thank you!
      Gamini
      R.udayagiri, February 18, 2021
      Standalone Critical Illness Policy
      It is so easy to compare critical illness plans on my phone. It is only you guys who can make buying health insurance such an easy task.
      Ekta
      G.mahisani, February 18, 2021
      Critical illness with Advantages
      I got paid in a lump sum amount, which I utilized for the treatment. Claim is processed based on the diagnosis report, and hospitalization is not mandatory. It is so simple and convenient.
      Aayushi
      Yashwant Nagar, February 18, 2021
      Wide coverage under critical illness Insurance
      I got the best critical illness policy from Policybazaar. I compared Provides coverage for life threatening diseases like kidney failure, heart ailments, tumor, cancer etc.
      Ojasvi
      R.k.nagar, August 31, 2020
      Survival plan
      The time is so wrong and we don’t know what will going to happen. So, I preferred to get the critical illness plan for myself and my wife. It will save us from certain problems and at the right time we can claim for the same. Kudos to policybazaar.
      Opal
      Waghai, August 31, 2020
      Important policy
      I find it that the critical illness policy is really good and important as it can save me from the certain financial constraints. So, that’s why I bought the health insurance plans and it is really nice. All thanks to policybazaar.
      Omya
      Ichoda, August 31, 2020
      Comparison
      It is very easy to compare the plans on the website of the policybazaar. I have research and checked a lot many plans and got the best one. Thank you policybazaar.
      Harshini
      Odagoan, August 28, 2020
      Quick resolution
      The customer care team of the policybazaar is really nice and they helps in providing with the quick and best resolution to their customers. I got the same and I am highly impressed. Thank you team Policybazaar.
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