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5 Critical Illnesses in India You Must Know About

Key Takeaways:

  • Critical illnesses such as cancer, kidney failure, heart disease, stroke, and Alzheimer’s disease can create significant medical and financial challenges.
  • Critical illness insurance provides a lump-sum payout that can help cover treatment costs, income loss, and other financial obligations during recovery

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It's unfortunate, but along with prosperity, the modern world also witnesses a higher incidence of critical illnesses, especially of the non-communicable variety, every year. Treatment and management of these diseases drain your savings, and you may even suffer income loss while convalescing. Hence, getting critical illness cover or critical illness insurance supplements your savings plan and lets you meet your financial obligations with minimum tension.

What is critical illness?

A critical illness meaning is a serious health condition that may require specialised medical treatment, prolonged recovery, or ongoing care. It may affect a person's ability to work, manage daily activities, and meet regular financial commitments. Conditions such as cancer, kidney failure, heart disease, stroke, and certain neurological disorders may have serious consequences for a person's health and finances.

Critical illness covered under insurance pays a lump sum upon the diagnosis of any of the listed illnesses that are specified in the policy, providing the claimant fulfills the claim conditions. This payout can assist the insured in meeting treatment costs, settling their household expenditures, loans, and other financial obligations during their time of need. The benefit is generally separate from hospitalisation expenses covered under a health insurance policy.

The illnesses covered, medical definitions, exclusions, waiting periods, and survival periods vary between policies. These details should be reviewed before choosing critical illness cover.

Isn't health insurance enough?

Critical illnesses can sometimes lead to out-of-control expenses. Health insurance covers pre- and post-hospitalisation expenses, and in some cases, day care procedures and OPD consultations. You can avail of them by claiming on indemnity basis.

Critical illnesses tend to last a lot longer, and apart from the above expenses, there can also be income loss, travel expenses and the cost of boarding and recuperative care. Critical illness cover provides a lump sum amount at one go for the eligible illnesses, that can be spent as you see fit.

5 critical illnesses you should get insured for

We will list out some of the common health problems in India that get categorised as critical illnesses. They are serious, long-term, or chronic conditions requiring great care and usually have to be managed for one's entire life. Critical illness insurance policies generally specify the exact illnesses that are eligible for coverage. The following is the list of critical illnesses in India that insurance company often mention in their policy:

Cancer

Contrary to popular belief, cancer is not just one disease but an umbrella term for a group of conditions. Most of them involve vastly different genes but a few common triggers include DNA damage, carcinogen exposure, etc. Cancer is an incredibly expensive illness. Treatment works well only when diagnosed at the early stages. There are several kinds of expenses related to getting scans, radiation therapy, chemotherapy, diet and so on, with each round costing anywhere between ₹ 50,000 and ₹ 2 Lakh. Cancer insurance can help in dealing with these, but you should also get savings insurance to protect against loss of income.

Kidney failure

Kidney failure is also called End-Stage Renal Disease. When the loss threshold drops below 15%, the kidneys are said to be failing and the patient will need dialysis and/or transplant. Kidney failure is commonly a complication arising from diabetes, other infections and sometimes chemotherapy.

The cost of dialysis can range from ₹ 12,000 and ₹ 20,000 per month, apart from OPD charges and income loss, as it is a very debilitating illness. A kidney transplant costs over Rs 5 Lakh and requires lifelong caution as the patient will need immunosuppressants and can be vulnerable to other diseases. Travel expenses can also become a significant financial burden.

Critical illness cover or a life insurance monthly income plan with a critical illness rider* can be useful.

Heart problems and coronary artery bypass surgery (CABG)

When there are blockages due to clots or narrowing of arteries due to accumulation of plaque, the blood flow to the heart gets restricted. The response to this blockage can get progressively more severe, from angina (chest pain), shortness of breath to heart attack where the heart muscles start dying because of oxygen deprivation.

While it may help to be on a healthy diet designed to minimise chances of experiencing this problem, sometimes even fit and disciplined people end up suffering heart attacks. The usual treatment option in very severe cases is coronary artery bypass surgery. The surgery involves grafting a healthy artery or vein to bypass the blocked one. It's a major surgery with a long and arduous recovery journey during which stress and overwork are a strict no-no.

The cost of CABG can vary from ₹ 1.5 Lakh to over ₹ 6 Lakh. Then there are post-operative care, travel expenses, costs of having a healthy diet and physiotherapy to recover well.

Stroke and paralysis

As we age, the chances of having strokes increase. A stroke occurs when the blood flow to the brain is interrupted by a blood clot, causing oxygen deprivation. These blood clots may migrate from a different part of the body, it’s called thrombosis. Symptoms of a stroke include face drooping, arm weakness and slurred speech and require immediate medical attention.

There is another kind of stroke called the hemorrhagic stroke where there is bleeding in the brain. People may also have transient ischemic attack (TIA), a kind of mini stroke which is typically a warning sign of a future stroke. The TIA stroke resolves on its own and the symptoms go away but it should not be overlooked.

People with high blood pressure, high cholesterol, diabetes, smoking habits and heart rhythm disturbances have a higher risk of getting strokes. Treatment for strokes involves administering blood thinners or thrombolytics that can restore the blood flow. Depending on the severity of the damage, speech therapy, physiotherapy and other therapies may be needed. The average treatment cost for 6 months can be over ₹ 80,000.

Strokes can also lead to income loss. Therefore, income insurance is necessary.

Alzheimer’s disease

Dementia or Alzheimer’s Disease is one of the most unfortunate progressive brain degeneration conditions that is on the rise across the world. The brain cells atrophy and the brain matter shrinks. The disease begins with forgetfulness and ends with multiple organ failure as important life functions can no longer be performed.

This condition cannot be cured. The risk factors are suspected but not well documented and caring for dementia patients is mentally and physically very taxing. While critical illness insurance can help with the funds, getting life insurance with a monthly income plan is very important to pay for the caregiving and therapeutic interventions.

Why are critical illnesses very serious?

Critical illnesses may affect more than a person's immediate health. Their treatment, recovery, and long-term effects may also influence family responsibilities and financial stability.

Prolonged treatment and recovery

Some conditions require surgery, specialised treatment, rehabilitation, or continued medical supervision. Recovery periods may vary depending on the illness and the person's health.

High medical expenses

Treatment may involve consultations, medicines, procedures, and follow-up care. The overall expenses depend on the condition, treatment requirements, and available medical facilities.

Impact on income

A serious illness may prevent a person from working for a period or affect their ability to earn regularly. This may make it harder to manage household expenses and existing financial commitments.

Long-term care requirements

Certain illnesses may result in lasting physical or cognitive limitations. The person may need rehabilitation, assistance with daily activities, or ongoing support.

Effect on family members

Family members may take time away from work to provide care or manage additional responsibilities. This may affect household routines and finances.

Conclusion

Critical illnesses may involve extensive treatment, long recovery periods, and changes to a person's financial circumstances. Cancer, kidney failure, serious heart conditions, stroke, and Alzheimer's disease are examples of conditions that people may consider when reviewing critical illness cover. However, coverage depends on the illness definitions, exclusions, and claim conditions specified in the policy. Understanding these details helps people compare critical illness insurance with their existing health insurance and assess the financial protection available for treatment, recovery, and other expenses.

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1.

How many critical illnesses are there in India?

There is no defined limit to the number of critical illness in India. The conditions covered under a policy depends on the insurance company and policy concerned.

2.

What is the most common critical illness in India?

Cancer and cardiovascular diseases are some of the major health issues in India. The most common critical illness, however, varies with the condition, age group and population under consideration.

3.

Is health insurance enough to cover critical illness?

Health insurance generally covers eligible medical expenses, subject to policy terms. Critical illness insurance provides a lumpsum benefit for specified conditions when the claim requirements are met. The two serve different purposes.

4.

What are the top 5 critical illnesses covered under insurance in India?

Some of the covered illnesses include cancer, renal failure, cardiac conditions, stroke and paralysis. Insurance coverage depends on the insurance company and policy concerned; hence, the listed illnesses and their medical definitions should be checked.

5.

What is the waiting period for critical illness insurance in India?

The waiting period varies by policy. During this period, claims for specified illnesses may not be payable. The policy document should be checked for the applicable waiting period and other claim conditions.

6.

When does a doctor say a patient is critical?

A doctor may describe a patient as critical when the condition is severe, potentially life-threatening, or requires intensive monitoring and treatment. This medical assessment does not automatically qualify the patient for a critical illness insurance claim, which depends on the policy's definitions and conditions.

 

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  • This blog is for information and illustrative purposes only and does not purport to any financial or investment services and do not offer or form part of any offer or recommendation. The information is not, and should not be regarded as investment advice or as a recommendation regarding any particular security or course of action.

  • Please know the associated risks and the applicable charges, from your Insurance agent or the Intermediary or policy document issued by the insurance company.

  • Every effort is made to ensure that all information contained in this document is accurate at the date of publication, however, the Tata AIA Life shall not have any liability for any damages of any kind (including but not limited to errors and omissions) whatsoever relating to this material.

  • *Rider is not mandatory and is available for a nominal extra cost. For more details on benefits, premiums, and exclusions under the Rider, please contact Tata AIA Life's Insurance Advisor/ branch