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Critical Illness and Life Insurance

What is critical illness cover?

A life insurance policy with a critical illness element works just like normal cover in that it will pay out to your beneficiaries if you die during the term.

However, in addition, the critical illness element will also pay out a lump sum in the event you are diagnosed with one of the illnesses covered by your policy.

It is possible to take out critical illness cover both as a separate standalone product or as part of a life insurance policy.

When critical illness is included as part of your life insurance, you pay a single premium. This monthly premium is generally much cheaper than paying for 2 separate policies, however, it will only pay out once.

A standalone critical illness policy does not pay out when you die, just if you are diagnosed with an illness detailed in the policy, during the term.

Critical illness cover

Common uses for a critical illness pay out include:

Critical illness protection expires after a pay out, or when the policy term ends and there is no cash-in value.

A key benefit of critical illness cover is you can spend the pay out as you wish, at a time when you may need access to significant funds.

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Do not confuse critical and terminal illness cover – the latter pays out if you are diagnosed with a terminal illness and are predicted to die within 12 months. Often terminal illness cover is included as standard on a life insurance policy.

Why might you need critical illness cover?

As with all life insurance, it is a case of weighing up your individual circumstances and making a choice.

Even if you have no financial commitments or dependents, the added protection of critical illness may cover your lost income and help maintain your lifestyle if unable to work.

If you have dependents who rely on your income, you are even more likely to want the reassurance that your loved ones would be protected, if you are unable to work due to ill health.

Questions to ask yourself if you were unable to work due to illness:

Having critical illness cover can also reassure yourself, that should you fall ill, you could concentrate fully on your recovery and not have to worry about financial pressures.

Critical illness claims reached 15,464 in 2016, with 92.2% of claims being paid out, at an average value of £67,733.74 – (source:

If you want protection against critical illness, but think your family would benefit more from a regular income, as opposed to a one-off pay out, family income benefit with critical illness may better suit your needs.

Before finalising how much cover you need, it is a good idea to establish how much sick pay you would be entitled to from your employer.

Which critical illnesses are covered?

Illnesses which are considered ‘critical’ and covered by the policy can vary from one insurer to the next.

So, it is important you check exactly what is covered under your particular policy and the severity of the condition required for it to pay out.

However, most critical illness policies will cover certain illnesses/conditions, such as:

Cancer (by far the most prevalent illness), heart attack, stroke and multiple sclerosis make up the vast majority of critical illness claims. 85% according to and 87% according to

Generally, most illnesses which result in long-lasting and major changes to your lifestyle will be covered by a critical illness policy. Some insurers may even pay out a proportion of the sum insured for less severe illnesses.

Remember, if you smoke you’re at greater risk for a wide range of serious illnesses, including a stroke, heart attack, emphysema and heart disease. All of which are highly likely to impact on your ability to work.

“By 2020 almost half of Britons will get cancer in their lifetime – but 38% will not die from the disease” – (source:

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Cost of critical illness cover

Your monthly premium will be determined by a number of key factors, including current health, age, lifestyle, the amount of protection and the length of term you require.

However, as a general rule:

Your critical illness cover will be priced based on the information you provide. So, although it may be tempting to hide facts about your health, it is important you are honest. Failure to disclose accurate information may affect a future claim.

Visit Money Advice Service budget calculator, to help you establish how much cover you require to protect your loved ones.

Guaranteed or reviewable premiums?

You have the option of taking out either a guaranteed or reviewable premium.

Reviewable premiums tend to start out cheaper. However, they are reviewed at regular intervals and your insurer may increase the cost during the term.

In contrast, guaranteed premiums are generally more expensive initially. However, remain fixed for the duration of the policy and the monthly cost is guaranteed not to increase.

Your medical history

You will be required to give some details about your medical history in order to get critical illness cover.

This is so that an insurer can determine how much of a risk you represent, and calculate an accurate premium. This may involve contacting your GP or undergoing a medical exam.

Please note, you may not be covered for certain pre-existing health conditions you suffered prior to taking out the policy.

As with any life insurance application, it is really important you are open and honest from the outset.

Critical illness cover in summary:



Why use Reassured to secure the best critical illness cover?

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