Critical Illness Rider

"Health is wealth," but when a critical illness threatens to drain that wealth, where does one look for help? That's precisely why this critical illness rider has proven very effective in providing a powerful source of financial protection when you need it most. Protect yourself and your loved ones from the financial burden of a serious illness. Get peace of mind and tax benefits with a critical illness life insurance rider.

"Health is wealth," but when a critical illness threatens to drain that wealth, where does one look for help? That's precisely why this critical illness rider has proven very effective in providing a powerful source of...
"Health is wealth," but when a critical illness threatens to drain that wealth,...

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Critical Illness Rider

A critical illness rider is an optional add-on that policyholders can add to their base life insurance policy. This unique and valuable rider covers critical and possibly life-threatening illnesses like cancer, a heart attack, or a stroke that demand expensive medical treatments. 

It is one of the most popular riders that provides a lump sum payout to help cover many of the enormous medical costs of treatment, allowing one to focus on rehabilitation without fear of money. Life insurance policyholders can add a critical illness benefit either during their policy purchase or at the time of its renewal. 

How does the Critical Illness Rider work?

A Critical Illness rider is like a financial safety net. It's not the same as regular health insurance but rather designed to help you with serious medical conditions that are costly to treat.  Here's how it works. 

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Get Critical Illness Rider

Many life insurance policies offer a Critical Illness Rider, either as part of the policy or as an optional add-on. This rider provides coverage for various critical conditions. You can add this rider when purchasing a new policy or during policy renewal. 

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Pay Premiums and Stay Protected

To keep the benefit of the rider available, make sure that you pay low-priced premiums along with life insurance premiums. 

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Ensure Peace of Mind and Get Tax Benefits

The rider assures that you are financially safeguarded and can claim tax exemptions under Section 80D of the Income Tax Act for the premiums paid.

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Get a Lump Sum (if diagnosed with a Severe Illness listed in the policy)

You will receive a lump sum to cover the treatment expenses so that you do not have any financial burdens when you are sick.

Let's Look at an Example to Understand This Rider Better

Adding a Critical Illness Rider to Your Plan

Reema, a 29-year-old, bought a term plan that provides coverage for a large ₹1 Crore for a 20-year policy term. Later on, she bought a critical illness rider that provides coverage of ₹10 Lakh and added it to her term life policy to cover the prevalence of various health issues. By choosing this rider, she increased her premiums from ₹655 to ₹845, which remained quite affordable, as you can see.

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Support During Health Crises

Reema's life took an unforeseen twist when she had a stroke, resulting in permanent symptoms (a health concern striking people in their 30s and 40s). During this challenging period, she received the sum assured from her critical illness rider. This was one of the benefits she received that allowed her to attain proper medical care and effectively address rising costs. What's more? Her term insurance plan remains effective until the term insurance policy expires.

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Critical Illness Rider Coverage

A critical illness rider typically covers a set list of serious medical illnesses. However, the specific illnesses covered may vary between insurers. The commonly covered critical diseases are cancer, heart attack, and stroke.

ACKO Life Critical Illness Benefit Rider covers 21 critical illnesses, including life-threatening common diseases among women, such as breast cancer, cervical cancer, fallopian cancer and ovarian cancer. 

Treating these illnesses is costly and affects your ability to work and earn money. This rider is like having a financial superhero to help you when battling a serious illness so you can heal and recover without worrying about money matters. 

ACKO Life Critical Illness Rider: List of Covered Critical Illnesses

Cancer of Specified Severity Myocardial Infarction (First Heart Attack Of Specific Severity) 
Open Chest CABGOpen Heart Replacement Or Repair Of Heart Valves
Coma Of Specified SeverityKidney Failure Requiring Regular Dialysis
Stroke Resulting In Permanent SymptomsMajor Organ /Bone Marrow Transplant
Permanent Paralysis Of LimbsMotor Neuron Disease With Permanent Symptoms
Multiple Sclerosis With Persisting SymptomsBenign Brain Tumor
BlindnessDeafness
End Stage Lung FailureEnd Stage Liver Failure
Loss Of SpeechLoss Of Limbs
Major Head TraumaPrimary (Idiopathic) Pulmonary Hypertension
Third Degree Burns
 

8 Benefits of Buying Critical Illness Rider

In case of a critical illness like cancer, heart attack or stroke - the critical illness rider comes to the rescue by providing financial support. The lump sum payout is for you to utilise however you see fit. It could be medical bills, paying off loans or even going on a much-deserved vacation to recover both mentally and physically; the choice is yours. Some of the pros to consider:

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Financial Security during times of serious illness 

Critical illnesses like cancer or heart disease are very costly to cure. It allows you to insure yourself against the worst-case scenario - ending up with a huge medical bill - and provides a financial backstop so that you can stay out of savings-draining or debt-inducing collections cases.

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Peace of Mind

Nobody needs more stress when dealing with a serious illness - but the last thing you need to worry about is having enough money. Critical Illness Insurance provides financial stability to allow you to recover without worrying about your money.

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Income Replacement

Your illness can also have an impact on your family, even if you are not the main breadwinner. True to its name, this insurance gives a one-time payout that will assist your family in maintaining itself as it is and cover the daily costs even when you are not in a place to work. 

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Access to Quality Care

Specialised and necessary long-term treatments are expensive for critical illnesses. This insurance coverage will allow you to receive the best medical help as fast as possible, giving your body the best chance of making a full recovery.

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No Waiting for Pre-existing Conditions

Unlike many health insurance policies in India that have waiting periods for pre-existing conditions, Critical Illness Insurance typically doesn't have such waiting periods. This makes it accessible to most people, regardless of their health history.

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Financial Planning Continuity

It acts as a safety net in your financial plan, allowing you to continue working toward your financial goals, such as buying a home or saving for your children's education, even if you face a major health setback.

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Affordable Premiums

With the ever-increasing cost of healthcare and the unpredictable nature of life, getting critical illness coverage is a wise decision. Pay an extra small amount above your base insurance premium and stay protected.

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Tax Benefits

The premium you pay for your Critical Illness Insurance is eligible for a tax deduction under Section 80D of the Income Tax Act. You can get a deduction of up to ₹25,000 per year if you're under 60 years old. If you're over 60, this limit goes up to ₹50,000. 

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Who Should Buy a Critical Illness Rider?

Imagine you're a person who works hard to take care of your family and yourself. You're healthy and doing well, but life can be unpredictable. This is where a Critical Illness Insurance Policy comes in.

Breadwinners

By being the breadwinner of the family, one risks being incapacitated from performing his/ her duties if he/ she falls sick. Critical illness insurance can provide money to cover medical expenses and help your family when you can't work.

People with a Family History of Serious Illnesses

If your parents or close relatives had critical illnesses, the chances of getting the same would be higher. This type of insurance can work to your advantage as it will help you feel safe and secure if you are in the same position.

Self-Employed Individuals

If you run your own business or work freelance, you might not have the same benefits as salaried employees. Critical illness insurance can cover you during times when you can't work and need expensive treatments.

Individuals Without Substantial Savings

A critical illness can put you in a tough spot if you don't have a lot of savings.  A critical illness rider can help with expenses such as health care costs and other expenses, so you do not have to borrow.

People With High-Stress Jobs

Stress can contribute to health problems. If you have a high-pressure job, having this insurance can be a good idea because it can provide financial support when you need it most.

To sum it up, if you're the main provider for your family, have a history of serious illnesses in your family, work independently, don't have significant savings, or have a high-stress job. You might want to consider getting a critical illness insurance policy.

Buy ACKO Life Critical Illness Benefit Rider Online

Here's how you can easily buy ACKO Critical Illness Rider online.

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Download the ACKO app

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Share the Necessary Information

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Medical Checkup (if required)

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Payment

After completing the form and any required medical checkup, you'll need to make the premium payment. And that's it! You've successfully purchased a Critical Illness Plan online in India. Remember that having this coverage can provide financial security and peace of mind during challenging times.

What Documents are Required at the Time of Claim?

You may need the following documents when raising a claim against your critical illness rider.

  • Identity Proof: A valid government-issued ID to verify your identity.
     
  • Claim Form: Completed claim form, if applicable, as per the insurance provider's requirements.
     
  • Test Results and Prescriptions: Relevant test results along with the initial consultation prescriptions that confirm the diagnosis.
     
  • Medical Certificates: A certificate from the attending physician confirming the diagnosis and stating that the illness is not related to any pre-existing condition.
     
  • Additional Documents: Any other documents requested by the insurer to process the claim.

How to File a Claim for a Critical Illness Insurance Policy?

With ACKO, policyholders do not have to struggle through all the steps involved in the insurance claim process. Below are the procedures to follow to raise a claim.

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Open Your Policy and Initiate the Claim

Within the app, navigate to the claim tab.
 

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Upload the Necessary Documents and Submit

Next, you’ll be asked a few basic questions and requested the essential documents. Take a moment to verify all the details and ensure you have answered all the questions correctly, then proceed to submit your claim.
 

Exclusions of a Critical Illness Insurance Policy

Imagine you have a Critical Illness Insurance policy. It's like a safety net that helps you financially if you get sick with certain severe illnesses. However, there are some situations where this safety net won't catch you, and those are called "exclusions." Exclusions are the things that the insurer doesn’t cover. Here are some of the exclusions of a Critical Illness Rider.

Pre-Existing Conditions

If you had a medical problem before you got the insurance and it's related to the critical illness you claim, it won't be covered. So, if you have a heart issue and buy the insurance, the insurer won’t pay for heart-related problems.

Waiting Period

There is a waiting period when you purchase the policy; it can be 30 days to 180 days, depending on your policy. You cannot claim any policy benefits during this time period. For instance, the rider won't protect you in the event that you become ill. 

Non-Disclosure

It is important to tell the truth when you buy your policy. Not disclosing your health history or putting down false information can deny the claim. 

Risky Activities

If you are a thrill-seeker doing something risky in your spare time (such as extreme sports) and have an accident, your insurance might not cover that. Do your research before you buy to avoid any surprises during the claim process. 

Experimental Treatments

If you decide to try an experimental treatment for your illness that isn't widely accepted in the medical community, your insurance won't pay for it.

Alcohol or Drug Abuse

If your illness is connected to alcohol or drug abuse, the rider may not cover it. So, it's essential to take care of your health.

Conclusion

When buying a term plan, those looking for insurance must consider the option of adding a critical illness insurance plan (rider). This rider can provide financial support if you're diagnosed with a covered critical illness. Although the critical illness claim process is straightforward, it is also crucial for you to thoroughly understand the rider’s inclusions and exclusions. Remember, health can be unpredictable, and adding a critical illness rider can provide crucial financial protection during challenging times.

Frequently Asked Questions

Here are some common questions about Critical Illness Insurance.

Critical illness cover is an insurance policy that provides financial protection in case you're diagnosed with a critical illness like cancer, heart attack, or stroke. It offers a lump sum payout to cover medical expenses. This coverage is typically available as part of term insurance for critical illness riders.

Yes, some term insurance plans in India offer a Waiver of Premium (WOP) benefit with Critical Illness riders. This means that if you are diagnosed with a critical illness covered by your policy, you won't have to pay the premiums for the remaining term of the policy, but your coverage continues. It's like a safety net during challenging times.

The claiming procedure for a critical illness policy varies. However, some of the common documents required include a claim form, medical certificate that the patient needs special treatment confirming the critical illness diagnosis, original bills and medical records, ID and address proof and policy documents.

Always check your policy for specific document requirements, and keep these ready for a hassle-free claim process.

Yes, many term insurance policies offer a critical illness rider that provides coverage for specified life-threatening diseases. If diagnosed with a critical illness, the rider waives the premiums, but your coverage remains intact. It's an essential benefit for added protection.

The critical illness benefit is a lump sum amount paid to the policyholder upon diagnosis of a critical illness covered by the policy. This financial aid helps cover medical bills and supports your recovery. It can be added through a critical illness rider in term insurance.

A critical illness rider is an add-on benefit that can be attached to your term insurance policy. It provides coverage against specific critical illnesses, paying out a lump sum if diagnosed. This rider ensures you get extra financial support during tough times.

In insurance, critical illness refers to a list of severe and life-threatening diseases covered under a policy. These conditions typically include cancer, heart attack, and strokes. Critical illness insurance helps mitigate the financial burden of medical treatment.

Critical illness coverage is an insurance benefit that pays a lump sum on the diagnosis of a covered critical illness. It ensures that you have the financial support needed for medical treatment and recovery. You can include this as a rider in term insurance plans.

Unfortunately, you cannot buy critical illness insurance after being diagnosed with a covered disease. It’s essential to secure this coverage when you are healthy to ensure financial protection in case of critical illness.

Critical illness insurance is a policy that provides coverage for severe diseases like cancer, kidney failure, or heart attack. It pays out a lump sum amount upon diagnosis. This insurance ensures you don’t face financial hardship during a critical illness recovery.

Disclaimer: The content on this page is generic and shared only for informational and explanatory purposes. It is based on industry experience and several secondary sources on the internet, and is subject to changes. Please go through the applicable policy wordings for updated ACKO-centric content, and before making any insurance-related decisions.

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Written by Neviya Laishram

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Reviewed by Vaibhav Kumar Kaushik Author info Icon

A professional Life Insurance writer, editor, and copywriter with a background in magazines, healthcare, education, and insurance.