Key Features and Benefits of Critical Illness Insurance

Read how critical illness insurance provides financial support during medical emergencies.
Check Life Insurance Policies
3 min
30-May-2025
Critical illnesses can have a profound impact on your physical, emotional, and financial well-being. To mitigate financial stress during such challenging times, critical illness insurance acts as a vital safety net. This insurance provides a lump sum payout upon diagnosis of a covered illness, ensuring funds for treatment, recovery, and other expenses. Whether you’re securing your future or combining it with a critical illness and life insurance cover, understanding its features and benefits is crucial. Explore how this policy works and why it is an essential part of a robust financial plan.

Key features of critical illness insurance

Critical illness insurance offers comprehensive protection against a range of life-threatening medical conditions.

The policy is designed to provide financial aid for medical treatment, household expenses, and income replacement. It is especially beneficial when combined with a critical illness and life insurance cover, ensuring all-round security.

Key features include:

Lump sum payout:

Provides a one-time payment upon diagnosis of a listed critical illness.

Extensive coverage:

Covers major illnesses like cancer, heart attack, stroke, and kidney failure.

Flexible use of funds:

The payout can be used for medical or non-medical expenses.

Standalone or add-on:

Available as a separate policy or as a rider with life insurance.

Survival period requirement:

Claim is processed after a specific survival period post-diagnosis.

Key benefits of critical illness insurance

The financial advantages of critical illness insurance make it a cornerstone of a secure financial future.

The policy not only covers medical costs but also helps maintain financial stability during recovery. It ensures that your family’s needs are met without compromising long-term savings.

Key benefits include:

Financial security:

Covers expensive treatments for major illnesses.

Income replacement:

Provides funds to offset the loss of income during recovery.

Customisable coverage:

Offers tailored plans to suit specific needs and budgets.

Tax benefits:

Premiums qualify for tax deductions under Section 80D of the Income Tax Act.

Peace of mind:

Reduces financial stress, allowing focus on recovery.

Eligibility criteria for critical illness insurance

Understanding the eligibility criteria helps you choose a suitable policy that matches your needs.

Eligibility for critical illness insurance depends on factors like age, health status, and pre-existing conditions. Insurers evaluate your medical history to determine premium rates and policy terms.

Eligibility criteria include:

Age:

Policies are typically available for individuals aged 18 to 65.

Medical history:

Pre-existing conditions may influence coverage or lead to exclusions.

Occupation:

High-risk jobs may affect eligibility or premium costs.

Medical tests:

Some insurers require health screenings before approval.

Residency:

Available to Indian citizens and residents with proof of address.

What is the claim process for critical illness insurance?

Filing a claim under critical illness insurance is a structured process designed to ensure quick payouts.

The process begins with notifying the insurer upon diagnosis, followed by submitting the required documents. Adhering to the insurer’s guidelines helps expedite claim approval.

Steps for filing a claim include:

Inform the insurer:

Notify your insurer immediately upon diagnosis of a covered illness.

Submit documents:

Provide proof of diagnosis, medical reports, and identity documents.

Complete forms:

Fill out the claim form as per the insurer’s requirements.

Survival period compliance:

Ensure the survival period specified in the policy has been met.

Receive payout:

Upon verification, the insurer disburses the lump sum amount.

Can you make multiple claims for critical illness insurance?

Some critical illness insurance policies allow multiple claims, but this depends on the insurer and the terms of the policy. Generally, if a policy covers multiple illnesses, subsequent claims may be made for different illnesses, subject to conditions like survival periods and policy limits. Review your policy details to understand its claim provisions.

Conclusion

Critical illness insurance is a vital shield against the financial impact of life-threatening diseases. Whether availed as a standalone policy or alongside a critical illness and life insurance cover, it provides the dual benefits of financial security and peace of mind. By choosing a policy tailored to your needs, you ensure that both you and your family are well-prepared for life’s uncertainties.

Frequently asked questions

Which illnesses are generally included in critical illness insurance coverage?
Critical illness insurance usually covers severe conditions like cancer, heart attack, stroke, kidney failure, organ transplants, and major surgeries. The specific illnesses vary by insurer, so reviewing the policy’s list of covered conditions is essential.

Who is eligible to apply for critical illness insurance, and what documents are required?
Eligibility is typically for individuals aged 18–65. Required documents include proof of identity, age, address, and income, along with medical history or test reports if requested by the insurer during the application process.

What is the procedure for making a critical illness insurance claim?
Inform the insurer immediately upon diagnosis, submit necessary documents like medical reports and identity proof, complete the claim form, and ensure the survival period (if applicable) is met. Once verified, the insurer disburses the payout.

How can you maximise the benefits of your critical illness insurance policy?
Understand the policy coverage thoroughly, disclose accurate health information, choose add-ons if needed, and pay premiums on time. Regularly review the policy to ensure it aligns with your health and financial needs, ensuring optimal utilisation.

Show More Show Less

Bajaj Finserv App for All Your Financial Needs and Goals

Trusted by 50 million+ customers in India, Bajaj Finserv App is a one-stop solution for all your financial needs and goals.

You can use the Bajaj Finserv App to:

Apply for loans online, such as Instant Personal Loan, Home Loan, Business Loan, Gold Loan, and more.

Explore and apply for co-branded credit cards online.

Invest in fixed deposits and mutual funds on the app.

Choose from multiple insurance for your health, motor and even pocket insurance, from various insurance providers.

Pay and manage your bills and recharges using the BBPS platform. Use Bajaj Pay and Bajaj Wallet for quick and simple money transfers and transactions.

Apply for Insta EMI Card and get a pre-approved limit on the app. Explore over 1 million products on the app that can be purchased from a partner store on No Cost EMIs.

Shop from over 100+ brand partners that offer a diverse range of products and services.

Use specialised tools like EMI calculators, SIP Calculators

Check your credit score, download loan statements and even get quick customer support—all on the app.

Download the Bajaj Finserv App today and experience the convenience of managing your finances on one app.

Do more with the Bajaj Finserv App!

UPI, Wallet, Loans, Investments, Cards, Shopping and more

Disclaimer

*T&C Apply - Bajaj Finance Limited (‘BFL’) is a registered corporate agent of third party insurance products of Bajaj Allianz Life Insurance Company Limited, HDFC Life Insurance Company Limited, Life Insurance Corporation of India (LIC), Bajaj Allianz General Insurance Company Limited, SBI General Insurance Company Limited, ACKO General Insurance Company Limited, HDFC ERGO General Insurance Company, TATA AIG General Insurance Company Limited, ICICI Lombard General Insurance Company Limited, New India Assurance Limited, Chola MS General Insurance Company Limited, Zurich Kotak General Insurance Co. Limited , Star Health & Allied Insurance Co. Limited, Care Health Insurance Company Limited, Niva Bupa Health Insurance Company Limited , Aditya Birla Health Insurance Company Limited and Manipal Cigna Health Insurance Company Limitedunder the IRDAI composite CA registration number CA0101. Please note that, BFL does not underwrite the risk or act as an insurer. Your purchase of an insurance product is purely on a voluntary basis after your exercise of an independent due diligence on the suitability, viability of any insurance product. Any decision to purchase insurance product is solely at your own risk and responsibility and BFL shall not be liable for any loss or damage that any person may suffer, whether directly or indirectly. Please refer insurer's website for Policy Wordings. For more details on risk factors, terms and conditions and exclusions please read the product sales brochure carefully before concluding a sale. Tax benefits applicable if any, will be as per the prevailing tax laws. Tax laws are subject to change. BFL does NOT provide Tax/Investment advisory services. Please consult your advisors before proceeding to purchase an insurance product. Visitors are hereby informed that their information submitted on the website may also be shared with insurers. BFL is also a distributor of other third-party products from Assistance Services providers such as CPP Assistance Services Pvt. Ltd., Bajaj Finserv Health Ltd. etc. All product information such as premium, benefits, exclusions, sum insured, value added services, etc. are authentic and solely based on the information received from the respective insurance company or the respective Assistance service provider company.

Note – While we have made all efforts and taken utmost care in gathering precise information about the products, features, benefits, etc. However, BFL cannot be held liable for any direct or indirect damage/loss. We request our customers to conduct their research about these products and refer to the respective product’s sales brochures before concluding their sale.

Show All Text