Need assistance in choosing the right insurance plan?

Need assistance in choosing the right insurance plan?Get a call from our Expert.

Are you an NRI?

Yes
No

+91 dropdown arrow

5 Reasons Why Term Plans Need A Critical Illness Cover

Key Takeaways:

  • A critical illness rider can provide financial support through a lump-sum payout, helping manage medical expenses, income loss, and ongoing financial commitments.
  • Adding critical illness cover to a term plan can complement health insurance by offering protection against the broader financial impact of serious illnesses.

Need assistance in choosing the right insurance plan?

Get 1 Crore Life Cover + 7% Digital Discount on Year 1 Premium

Are you an NRI?

Yes
No

+91 dropdown arrow

Select Plan
  • Term plans
  • Saving plans
  • Retirement plans
  • Wealth plans

Term insurance plans help secure the financial future of your loved ones, shielding them from the uncertainties of life. The uncertainties could vary, from loss of income, critical illness, or the untimely passing of a beloved family member. A term plan helps provide a financial buffer in the case of such unforeseen events. When you buy term insurance in India, you can choose to extend the protection you get by paying a slightly higher premium, providing more security to your family and yourself. You can also refer our term insurance buying guide for more details. 

What is a critical illness cover?

A serious illness can completely change a person’s life. In addition to the burden of treatment and recovery, there is also the worry of high medical costs, everyday expenses, and loss of income. Critical illness cover is a type of cover that provides the insured with a lump sum benefit upon diagnosis of a condition specified in the contract.

This type of insurance policy may be obtained separately or added to an eligible term insurance as a rider. When the policy conditions are met, that is, the insured is diagnosed with an illness stated in the policy; the insurance company covers part or all the costs.

The coverage provided depends on the insurance company and the policy selected, so it is important to carefully study the list of diseases, waiting period, survival period, and other features before buying.

Why is it critical to get critical illness cover with your term plan?

Term insurance offers financial protection to a policyholder's family in case of death during the policy term. A critical illness rider term plan can help. Explaining why term plans need a critical illness cover can help understand the benefits of the additional cover. The rider can help bear the medical expenses, household expenses, and/or loan EMIs to ease the financial burden. Having a term plan with critical illness benefit can go hand in hand with your health insurance, subject to the terms and conditions.

To make up for the Loss of Income

When the sole earning member of the family is diagnosed with a serious illness, prohibiting him or her from working and continuing to earn, the strain on the patient and the family members is intense. As the policyholder and the provider of the family, it is wise for you to provide for this contingency. Your family doesn’t need to scramble to make sure they can afford your treatment while taking care of household expenses. The critical illness cover will act as an income replacement, buying your loved ones time to get things in order while you focus on getting better.

Tax* concessions of the critical illness cover

As a bonus, when you couple your term plan with a critical illness cover, you get additional tax benefits. The term plan is covered under Section 80C of the Income Tax Act, 1961, while the critical illness cover is exempted under Section 80D of the act. The proceeds from these aspects of your term policy are exempted under Section 10(10D). You get the benefit of saving taxes on two counts.

Covering exorbitant medical expenses

With healthcare costs on the rise in India, any illness results in the patient and their family incurring large medical bills. From hospitalisation to expensive tests and medication, the expenses are endless. If you opt for the critical illness cover with your term plan, the lump sum amount will go a long way in covering your medical bills. Sometimes, mediclaim does not guarantee1 that you can avail of cashless claims. The lump-sum payment on diagnosis saves you and your loved ones the worry of collecting funds for your treatment.

Focus on Recovery

When you do not have to worry about your medical bills and the loss of income, you can focus all your energy on recovering. You can get the best care needed, be it physiotherapy or rehabilitation programmes that aid your recovery, and you can work towards getting physically stronger without the worry of any financial liabilities looming over your head. In cases where people do not have access to funds for medical expenses, they are forced to borrow or take on debts. Many times, people have to abandon treatment altogether as they can’t afford it. You can avoid these circumstances by opting for a critical illness cover along with your term plan.

The premium stays the same

When you opt for the critical illness cover benefits with your term plan, the insurance premium amount that you pay will remain the same during the entire period. If you are diagnosed with a critical illness during the policy tenure, your premium will not increase, as this has already been factored in during premium calculation.

Who benefits from a critical illness rider?

A critical illness rider may be useful for people who want additional financial protection against the impact of a serious illness. Its suitability depends on income, existing insurance, savings and family responsibilities.

1. Sole income earners

If a family depends mainly on one person’s income, a serious illness can affect its financial stability.

2. People with financial commitments

Individuals paying home loans, personal loans or education expenses may need extra support if their income is interrupted.

3. Self-employed professionals

Self-employed individuals may not have paid medical leave or employer-provided health benefits.

4. Individuals with limited emergency savings

People with no substantial emergency funds may find it difficult to address unexpected expenses.

Exclusions for the critical illness benefit under a term plan

A critical illness rider does not cover each and every diagnosis. The insurers outline what illnesses are covered and on what terms, an individual could file a claim. It is vital to understand critical illness rider exclusions before purchasing a policy.

1. Pre-existing medical conditions

Some policies limit claims concerning medical conditions that began before the policy inception, depending on the terms and disclosures. The applicants should provide accurate health information while purchasing a policy.

2. Illnesses not listed in the policy

Only the specified conditions included in the rider are covered. A serious diagnosis may not qualify if it does not meet the insurer’s definition of a covered illness.

3. Waiting period restrictions

A rider may have a waiting period for certain diagnoses to be ineligible for a claim. The terms and conditions of coverage that apply to riders differ depending on the insurer and the policy.

4. Survival period requirements

Some riders provide that the insured person must survive a waiting period after diagnosis for the benefit to become payable. The exact requirements should be looked into the policy document.

5. Non-disclosure or incorrect information

Failure to disclose pertinent medical history or submitting incorrect information can affect a claim's evaluation. Individuals applying should look over their application and provide accurate information.

How to choose the right critical illness rider?

Choosing a suitable rider involves more than comparing premiums. The coverage should match the individual’s financial responsibilities and provide benefits that meet their needs.

1. Check the list of covered illnesses

Review the diseases covered under the policy and the terms used to define the diseases. Some illnesses are covered against specific criteria.

2. Compare the coverage amount

Decide on the amount of coverage on the basis of income, liabilities, savings, and expenses. The coverage amount must serve as a significant source of income, but at the same time, it should not burden the policyholder with extra premiums.

3. Understand the waiting and survival periods

Check the waiting period and if the claim is payable only if the insured survives after the diagnosis. Such factors should also be taken into consideration.

4. Review premiums and policy conditions

In addition, the extra premium should be compared, along with the exclusions, renewal terms, and terms of the rider. It is necessary to examine whether claiming the rider benefits reduces the basic life cover or any other benefits.

5. Read the claim process

Understand which medical documents are required, how diagnoses are assessed and how claims must be submitted. Clear claim requirements can help avoid confusion during an already difficult period.

Conclusion

Term insurance with critical illness benefits include a lump sum payout on top of the original policy benefits. This rider helps in meeting daily needs, paying loans and other bills, and also aids in the treatment process. But the rider's benefits are dependent on the list of illnesses it covers, the ones it excludes, and the terms attached to the claim. Therefore, to determine which rider to buy, it's essential to study one's own insurance plan and identify what benefits he or she wants to cover.

Looking to buy a new insurance plan?

Our experts are happy to help you!

Are you an NRI?

Yes
No

+91

1.

What is a critical illness rider in term insurance?

Critical illness rider in term insurance is an additional benefit attached to a policy that pays a lump sum after diagnosis of a specified critical illness, subject to policy conditions.

2.

Does a critical illness rider affect my term insurance death benefit?

It depends on the policy. Some riders reduce the base sum assured after a claim, while others may have different conditions. Check the policy document.

3.

What illnesses are covered under a critical illness rider?

Covered conditions may include certain cancers, heart attacks, strokes, kidney failure, and major organ transplants. 

4.

Can I claim both health insurance and critical illness rider benefits?

Depending on your plan, you may be able to file a claim for both health insurance and critical illness rider benefits. Health insurance may cover eligible medical expenses while the rider covers a lump sum payment if your claim meets its specific criteria.

5.

What are the tax benefits of a critical illness rider?

Tax benefits are decided by policy structure and tax laws. It is advisable to go through the relevant sections and consult a tax expert.

6.

What is the waiting period for a critical illness rider?

The waiting period is the initial period during which claims for certain illnesses may not be covered. The specific duration and terms apply to a particular policy.

7.

Is it worth adding a critical illness rider to my term plan?

It may be ideal for people who want extra financial support in the case of a diagnosis. Think about existing coverage, personal financial situations and responsibilities and whether this rider will be affordable.

 

  • Insurance cover is available under the product.

  • The products are underwritten by Tata AIA Life Insurance Company Ltd.

  • The plans are not a guaranteed issuance plan, and it will be subject to Company’s underwriting and acceptance.

  • For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale.

  • 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 blog 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

  • *Income Tax benefits would be available as per the prevailing income tax laws, subject to fulfilment of conditions stipulated therein. Income Tax laws are subject to change from time to time. Tata AIA Life Insurance Company Ltd. does not assume responsibility on tax implications mentioned anywhere in this document. Please consult your own tax consultant to know the tax benefits available to you.

  • 1Guaranteed Returns/Payouts depend on Plan Option, Policy Term, Premium Payment Term and Age at entry