Critical Illness Insurance Policy

The following list showcases the best critical illness plans provided by the best health insurance companies in 2024 in India:

Disclaimer: The list is organized in alphabetical order based on the names of standalone insurers. InsuranceDekho neither endorses, rates nor recommends any specific insurer or insurance product offered by any insurer. The insurance plans included herein represent products offered by our partner insurers. For a comprehensive list of insurers operating in India, please refer to the official website of the Insurance Regulatory and Development Authority of India (IRDAI) at www.irdai.gov.in.

The common eligibility criteria and the waiting period for critical illness policy is given below:

1. Age Requirements

The usual age range for applicants to buy a Critical Illness Policy is between 18 and 65 years. This age range guarantees coverage for people during health emergencies. It is best to properly read through the policy information before making a selection as different insurance providers have different qualifying requirements and coverage alternatives.

2. Waiting Period

A 90-day waiting period is usually in place before the coverage for Critical Illness Policies takes effect. As part of the policy's terms and conditions, it's important to understand the facts of this waiting period while considering your possibilities for coverage.

Note: The eligibility and waiting period can vary in different plans.

Critical Illness Health Insurance provides the customers with coverage during very serious illnesses which can be financially and emotionally draining. Read below to learn about the importance of critical illness insurance:

• Covers Major Illnesses: If you receive a diagnosis of a major medical condition, such as cancer or a heart attack, critical illness insurance will make payments. This means that you will have money to support yourself when you're ill.
• Treatment and Recuperation Coverage: Your insurance helps pay for any necessary speciality care as well as the price of your therapies. This can cover surgeries, hospital stays, and prescription drugs, so you won't need to worry about money for medical treatment.
• Protection Against Non-Medical Costs: In addition to medical expenditures, you may have other expenses such as room rent, ambulance costs, therapy costs, and diet plans. You may utilise the money from critical illness insurance for any kind of expense, not only medical costs.
• Early Preventions: Checkups and early detection are covered under some insurance plans. Early diagnosis and treatment can simplify medical procedures and improve prognosis.
• Economic Stability: If you get a major illness, you might not be able to work for long, which could have an impact on your income. You can concentrate on recovering without having to worry about money thanks to this insurance, which helps restore a portion of your lost income.
• Modern therapies: You can afford the newest and greatest therapies with money from critical illness insurance. This might include cutting-edge procedures or novel drugs that are not covered by standard health insurance.

The following are a few of the critical illnesses are covered under Critical Illness Health Insurance:

• Alzheimer's Disease
• Cardiomyopathy
• Cancer
• End-stage lung disease
• Cardio Artery Surgery
• Pericardiectomy
• Pulmonary Thromboembolism
• Implantation of Pacemaker of the Heart
• End-stage liver disease
• Surgery for cardiac arrhythmia
• Benign brain tumour
• Heart Valve Replacement/repair
• Paralysis
• Surgery to Place Ventricular Assist
• Devices or Total Artificial Hearts
• Primary (Idiopathic) Pulmonary
• Hypertension
• End-stage renal failure
• Bacterial meningitis
• Coronary Artery Bypass Graft

Customers can purchase critical illness health insurance as an add-on or as a separate plan. Read below to know more about the options:

As a Standalone Plan

Critical Illness Health Insurance is available as a stand-alone policy. A plan created especially to cover serious illnesses. This plan provides enhanced benefit coverage for a variety of conditions. Customers can personalise it to suit their needs, including changes to the coverage, waiting periods, and conditions of the insurance. If you get critical illness health insurance as a stand-alone policy, the premium is lower.

As an Add-On

Critical illness insurance is available to customers as an add-on to their base health insurance policy. Since you simply need to add the add-on to your plan, there will be less premium. However, this coverage only covers a certain number of serious illnesses, which might pose an insufficiency in the future.

Follow the steps given below to buy the critical illness health insurance from InsuranceDekho:

Online Process

Step 1:- Visit InsuranceDekho's official website.

Step 2:- Fill in your details on the page.

Step 3:- Select the opted Critical Illness plan.

Step 4:- Finish payment to finalise your purchase.

Step 5:- To confirm the issuing of your insurance, an InsuranecDekho adviser will give you a call.

Offline Process

Contact an expert at InsuranceDekho at 7551196989 to acquire a health insurance policy. Additionally, InsuranceDekho provides clients with in-house support so they can have all of their questions and concerns answered.

There are 2 types of claims that the customers can file, reimbursement and cashless claims. Both may have different processes. Read below to find more information about both the claim’s processes:

Reimbursement Claim

1. Claim-related intimation: Notifying your insurer of the occurrence and the claim that you are requesting help is the first step in the claim procedure. Give them all the details of the occurrence, including the kind of loss that happened.

2. Basic Details Required: Give them the essential information needed for the process to proceed, such as:

• Name of the insured
• Policy Number
• Date of Birth
• Email Address
• Local Contact Number
• Claim amount bifurcation

3. Submission of documents: Send in the necessary needed to file your reimbursement claim:

• Claim form
• KYC as per passport or Aadhar details
• Cancelled cheque of the proposer
• Discharge summary
• Final bill along with break up
• Payment receipts
• All investigation reports

4. Claim Investigation: Before accepting or denying the claim, the insurer will carry out a comprehensive investigation.

5. Claim Amount Confirmation: The funds will be released by the specified separation when the accuracy of the information submitted has been confirmed.

Cashless Claim:

• Provide the information about your travel insurance to InsuranceDekho's Claim Assistance Cell by email or a toll-free phone when reporting a claim.
• After that, start the GOP (Guarantee of payment) procedure with the hospital that is handling your continuing medical care.
• Following a thorough evaluation of the claim, InsuranceDekho will forward the paperwork to your insurer for approval, rejection, or investigation.
• The Insurer will approve and then send an email with a verification letter.
• The GOP will be released straight to the hospital following the sum specified throughout the claim procedure.
• The hospital's extra requirements will be immediately handled by InsuranceDekho.
• documentation will be forwarded straight to the InsuranceDekho claim support staff upon discharge, and the hospital will get the settlement documentation.

Health insurance plans and critical illness can have certain differences. The features given below describe the difference in detail:

Coverage Focus:

• Health Insurance Plans: Primarily cover medical expenses related to hospitalisation, surgeries, doctor visits, medications, preventive care, and sometimes dental and vision care. They provide comprehensive coverage for a wide range of medical conditions and treatments.
• Critical Illness Plans: Specifically cover a predefined list of serious illnesses, such as cancer, heart attack, stroke, and organ failure. They pay out a lump sum benefit upon diagnosis of a covered condition, regardless of actual medical expenses incurred.

Payment Structure:

• Health Insurance Plans: Direct payments are paid to healthcare providers, or policyholders get reimbursement upon the submission of claims.
• Critical Illness Plans: Pay the policyholder a lump amount promptly once they are diagnosed with an insured serious illness. The policyholder may choose to spend this lump payment for living expenditures, other financial requirements, or medical costs.

Purpose and Usage:

• Health Insurance Plans: The goal is to shield people from the unpredictability of high medical bills and to make healthcare services accessible to them at a minimal cost.
• Critical Illness Plans: During a serious health emergency, provide a lump sum payment to aid with urgent expenses or to make up for missed income from illness.

Scope of Coverage:

• Health Insurance Plans: Include a broad variety of medical ailments and therapies, such as accidents, acute and chronic diseases, and preventative care.
• Critical Illness Plans: Pay close attention to the essential diseases specified in the insurance, which are often serious and perhaps fatal ailments.

Claim Process:

• Health Insurance Plans: Entail filing claims to get paid for medical bills you incur as a result of receiving services or treatments that are covered.
• Critical Illness Plans: Need to be diagnosed with a qualifying sickness to receive the lump sum payout, which is independent of actual medical costs.