Critical Illness Insurance


Critical Illness Insurance pays a lump-sum tax-free benefit to the insured 30-90 days after the occurrence of an illness specified in the policy. Critical Illness Insurance can be purchased as a stand-alone policy or a rider to a life Insurance policy. The medical conditions covered and the extent to which they are covered vary by policy.




  • —Alzheimer’s Disease
  • —Aplastic Anaemia
  • —Aortic Surgery
  • —Bacterial Meningitis
  • —Benign Brain Tumour
  • —Blindness
  • —Cancer (Life Threatening)
  • —Coma
  • —Coronary Artery Bypass Surgery
  • —Deafness
  • —Heart Attack
  • —Heart Valve Replacement
  • —Kidney Failure
  • Loss of Independent Existence
  • —Loss of Limbs
  • —Loss of Speech
  • —Major Organ Failure on Waiting List
  • —Major Organ Transplant
  • —Motor Neuron Disease
  • Multiple Sclerosis
  • —Occupational HIV Infection
  • —Paralysis
  • —Parkinson’s Disease
  • —Severe Burns
  • —Stroke

Do I need critical illness insurance?

In determining your need for critical illness insurance, you should consider benefits that may already be available to you through other insurance policies, such as life insurance and group health insurance. For example, the benefits offered through your employer’s group disability plan may provide appropriate and adequate coverage in the event of a critical illness.

You should also consider your personal circumstances and the added financial strain that could be brought about by dealing with a serious illness or disease. Public and private health insurance plans typically do not provide coverage for day-to-day living expenses such as travel to and from treatments, home care and child care.

How much does it cost?

Generally, the younger and healthier you are, the lower the premium (cost). However, the cost varies depending on your age, medical condition, the amount of coverage, the number of illnesses covered by the policy, and the insurance company.

It pays to shop around to get the best rate. When shopping for a critical illness plan, you should consider your income, financial obligations, dependents, and health care needs.

How can I make a claim?

You can make a claim if a physician, licensed to practice medicine in Canada and specializing in your particular illness, diagnoses you with a critical illness or disease covered by your policy.

If my claim is approved, when will I receive payment?

Generally, a lump-sum benefit payment will be made to you 30 days after the claim has been approved.

There are no restrictions on how you use the money.

Once your claim is paid, your critical illness insurance policy ceases.

What if I never make a claim?

If you die for a reason not covered by the critical illness policy, the premiums you paid may be refunded to your named beneficiary. Some plans will return the premium or a portion of the premiums paid during the life of the policy if the policy matures and no claim has been paid.

What if I make a full recovery?

You are entitled to collect the entire benefit even if you make a full recovery.

Is long-term care insurance the same as critical illness insurance?

No. Long-term care insurance provides for personal care on a long-term basis if you need supervision or assistance with daily living activities due to a chronic illness, disabling condition or cognitive impairment.

Long-term care policies generally reimburse, up to a specified limit, the expenses incurred for various types of care, such as nursing home or home health care; or they pay a pre-determined benefit amount on a daily or monthly basis.

Is disability insurance the same as critical illness insurance?

No. Disability insurance, also known as “income replacement” insurance, provides a monthly income replacement benefit if you become disabled and can no longer perform the normal duties of your work. Generally, the benefit is limited to a percentage of your regular income and ceases once you earn an income or you no longer meet the definition of disability in the contract.

Unlike critical illness insurance which provides the full policy benefit in a lump sum payment on diagnosis of a critical illness, long-term disability policies may have a waiting period from the onset of disability. Unlike critical illness benefits, long-term disability benefits may be affected by other income you receive or by your full recovery from the illness.

What should I do next?

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