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What Is Critical Illness Insurance?

Whereas life insurance has been readily available for literally hundreds of years, critical illness insurance is a relatively recent development.

There are a wide range of Canadian insurance companies who offer a critical illness policy. The terms and conditions will vary from company to company, but the following ailments are insurable by virtually all insurers (Base Coverage):

1.

Heart Attack


2.

Coronary Bypass Surgery


3.

Prostate Cancer

                                      
4.

Stroke


5.

Breast Cancer


6.

Other life threatening cancer

                                

 

In Addition, the following conditions are insured, depending on which insurance company is chosen (Enhanced Coverage):

1.

Multiple Sclerosis


2.

Kidney Failure


3.

Major Organ Transplant


4.

Aorta Graft Surgery


5.

Benign Brain Tumour


6.

Coma


7.

Heart Valve Surgery


8.

Pre Senile Dementia (Alzheimer's)


9.

HIV Assault with Needle


10.

Loss of Independent Existence


11.

Loss of Speech

                                      
12.

Parkinson's Disease


13.

Paralysis/Paraplegia


14.

Severe Burns


15.

Balloon Angioplasty


16.

Blindness in both eyes


17.

Coronary Artery Disease


18.

HIV through Blood Transfusion


19.

HIV Medical Profession


20.

Loss of Hearing


21.

Loss of Limb


22.

Motor Neurone Disease

                                  

 

As not all critical illness policies are the same, it is important to seek out professional advice and guidance in choosing your policy. We can help.

 

Why do I need Critical Illness Insurance?

Almost everyone has a relative or friend who has suffered from a major, possibly fatal, illness. It is a sad truth. Protect yourself and your family.

The numbers, speak for themselves:

Critical Illness Statistics

1.

Of 10 Healthy male adults, 3 will have a critical illness before age 65


2.

Of 10 healthy female adults, 2.7 will have a critical illness before age 65

 

             

Insure against Heart Attack

(From the Heart and Stroke Foundation)

1.

1 in 4 Canadians will contract some form of heart disease


2.

75,000 Canadians suffer heart attacks each year


3.

Heart disease costs the Canadian economy approximately $19 billion every year in medical services, hospitalization expenses, loss of income and loss of productivity


4.

The rate of death among patients hospitalized for heart attacks has been decreased by half, from 16 per cent to 8 per cent


5.

1 in 2 heart attack victims are under the age of 65

 

Insure against Stroke Who know by the Stroke of Luck this coverage may help to pay on the Road To Recovery

(From the Heart and Stroke Foundation)

1.

50,000 Canadians suffer a stroke each year


2.

75% survive the initial event


3.

strokes are the leading cause of neurological disability


4.

1/3 of stroke victims are under the age of 65


5.

60% of stroke victims will be left with a disability

 

                                       

Insure against Cancer

(From the Canadian Cancer Society)

1.

more than 130,000 Canadians will be diagnosed with cancer this year


2.

over 60,000 people in Canada will die this year from the disease


3.

1 in 3 Canadians will develop cancer in their lifetime


4.

1 in 9 women will develop breast cancer


5.

1 in 3 women and 1 in 2.5 men will develop cancer in their lifetime.

 

                                   

Insure against Coronary Artery Bypass Surgery

(From the the Heart and Stroke Foundation of Ontario/Canada)

1.

bypass surgery is performed more on men than women by a ratio of nearly 4 to 1


2.

there are approximately 11,000 bypass surgeries performed in Canada each year


3.

the rate at which bypass surgery is performed on people age 65 and older has increased

 

Insure against Multiple Sclerosis

(From the Multiple Sclerosis Society of Canada)

1.

More than 50,000 Canadians have Multiple Sclerosis


2.

MS is the most common neurological disease among young Canadians


3.

Canadians have one of the highest rates of MS in the world.


4.

Women are twice as likely to develop MS as men

 

Insure against Parkinsons Disease

(From the Parkinson's Foundation of Canada)

1.

30% of all Parkinson's patients are under 50


2.

20% of all Parkinson's patients are under 40


3.

there are approximately 80,000 - 100,000 Canadians suffering from Parkinson's

 

Insure against Paralysis

(From the National Spinal Cord Injury Association of Canada)

1.

There is an estimated 900 Canadians who sustain a spinal cord injury each year


2.

More than 30,000 Canadians suffer from paralysis of 2 or more limbs


3.

Most persons who suffer spinal cord injury are between 16 and 30 years of age


4.

The most common causes of spinal cord injury are car collisions and falls

 

 

Insure against Alzheimers Disease

(From the Canadian Alzheimer Society)

1.

Alzheimer Disease is the fourth leading cause of death in Canada


2.

Every year approximately 10,000 Canadians die from Alzheimer's


3.

Approximately 1 in 100 Canadians suffer from Alzheimer's disease


4.

There are approximately 22,000 people in Metro Toronto with Alzheimer's


5.

The disease occurs in 8% of the general population over 60

 

 

Insure against Kidney Failure

(From the Kidney Foundation of Canada)

1.

Kidney disease ranks sixth among diseases causing death in Canada


2.

Each day an average of 8 Canadians learn that their kidneys have failed


3.

Approximately 2000 Canadians are on a waiting list for kidney transplant


4.

351 kidney transplants were performed in Ontario in 1995


5.

1 in 10 will develop kidney stones at some point in their lives

 

 

Insure against Deafness

(From the Canadian Hearing Society)

1.

280,000 Canadians are deaf


2.

1,120,000 Canadians are hard of hearing


3.

1,400,000 do not use amplification


4.

There are more than 2,800,000 Canadians with hearing loss

 

Insure against Occupational HIV

(From the Canadian Aids Society)

1.

Approximately 4.4 million health care workers suffer 800,000 needle sticks and other injuries from sharp objects annually


2.

An estimated 16,000 of these objects are contaminated with HIV

Options & Riders

Three Basic Types of Critical Illness Insurance

Lump Sum Payment: This is  the traditional type of critical illness insurance where one typically gets a lump sum payment 30 days after the diagnosis of a covered illness.  These funds can then be used to pay for treatment outside the country or any other purpose you choose


Medical Treatment Only: One company now offers $1 million to cover the cost of  medical treatment anywhere in the world.  Once a critical illness is diagnosed, you put in touch with "Best Doctors" and they will provide you and your doctor with their recommendation on what medical treatment would be best for your illness wherever that is offered in the world.  The policy will pay for the "best doctors" opinion and then up to $1million for this treatment wherever in the world it is offered.  There is also an allowance for family travel and expenses.   If you choose to stay in Canada for the treatment, it pays out $25.000.

The premiums are very reasonable (family of four with parents in their early 40's) would be about $125 to $150 per month.  However, there are some limitations to this policy and you need to review it carefully before deciding which would be best.  I can help you with this review.

Lump Sum Payment and $1 million for Medical Treatment: One company now offers the traditional Critical Illness coverage at competitive rates plus a rider you can purchase which covers the $1 million if you and the doctors feel you would benefit by going outside the country for treatment.

 

Options and Riders

Return of Premium: Upon death, most policies will return all premiums to your beneficiary as part of the policy - no additional charge


Pay Back of Premium Rider: Many policies offer this option on the policies that have a level premium to age 65, 70 or 75. For an extra premium, if you do not have a claim, you will get all your premiums back at the policy ending age 65, 70 or 75, depending on the insurance company and policy purchased.

Children's Rider: Coverage is offered to children ages 2-17 and, in some cases for children that you have in the future starting at birth. It will pay a lump sum, usually $25,000 on the diagnosis of a critical illness and the one premium frequently covers all children in the family.

 

                     

Basic Policy Time Frames

Ten Year Renewable Term: Similar to ten year renewable term life insurance. Rates are guaranteed in the policy but they do go up every ten years until the policy ends at age 65, 70 or 75. Generally useful if the need is limited to 15 years or less. One use is to provide cash to complete retirement plan should the insured become ill. The policy lasts to the age given and the premiums remain the same throughout this time period.

Level to Age 65,70,75: This is one are of concern. Clearly the greatest likelihood of claim is between age 65 and 75 so the longer term policies will cost a little more but could be worth the extra cost. This is an important area

Permanent or To Age 100: These ones are designed to last a life time so the chances of collecting are high as so is the premium. Also, be careful that at age 100 the policy is still in place. While this has some uses, if money is short, one should look at getting the coverage to age 75.

                     
               

The History

Critical Illness Insurance was developed by Dr. Marius Barnard (the brother of Christian Barnard, the doctor who performed the first successful open heart transplant surgery) in South Africa in 1983. Dr. Barnard saw an need for insurance that paid a "living benefit" to those who survived a major illness to offset lost income and pay additional expenses.

It is inspiring to hear him tell stories of delivering a Critical Illness benefit check to the wife of a farmer who had a heart attack (they would have lost their farm without the Critical Illness benefit payment), or to a young, single mother who had breast cancer (and couldn't afford the medical treatment and the after-treatment expenses without the benefits paid from her critical illness policy).

He is a consultant to Canada Life in Canada and had an impact on the design of their product

While Critical Illness Insurance was introduced in Canada five years ago which is realatively early for generating statistics. However, it has an established track record in South Africa, United Kingdom, Australia and Japan. Because of its broad appeal, Critical Illness Insurance is very successful wherever it has been introduced: In 1987 Critical Illness plans were successfully launched in England.

More than 70 U.K. insurance companies sell a Critical Illness policies and more critcal illness insurance is sold in the UK than life insurance. This is primarily due to the linking of critical illness insurance and mortgage insurance. This makes sense as 46% of forclosures in Canada are due to major illnesses. Critical Illness was introduced in Australia in 1990 and almost all Australian life insurance companies now offer a Critical Illness policy.

They recently introduced a Critical Illness policy in Japan that only covers heart attack, stroke, and cancer. Over 500,000 policies were sold in just 10 months and there were over 6 million policies sold by the end of its fourth year!

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