Critical Illness
A critical illness or disease in insurance is a major health condition which can be fatal or life-threatening and requires immediate medical intervention. However, there is no standard definition of a critical illness. Different insurance companies use different ways to classify and categorise critical illnesses. The only way to know if a health condition is deemed a critical illness by your insurer is to look up the list specifying all the crucial illnesses in your policy document.
Regular health insurance plans in India cover all illnesses on an indemnity basis other than those specifically excluded. Critical illness insurance, specifically designed to provide financial support to people with major health conditions, covers only critical illnesses which are listed under the policy and usually pays out a lump sum benefit on the diagnosis of a listed critical illness.
Critical illness insurance provides support only in case of diagnosis of a listed critical illness. It does not cover other health issues. Hence, critical illness insurance can be used to supplement your base health insurance cover. It cannot be a replacement for your base health insurance policy.
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A
- Accident
- Acute Care
- Acute Condition
- Age Limit
- Agent
- Ambulance Cover
- Annual Health Checkup
- Annual Renewal Date / Renewal Date
- Any One Illness
- AYUSH Treatment
B
C
- Cancer Insurance
- Cashless Facility
- Chronic Condition
- Claim
- Claim Assessment
- Claim Rejection / Claim Repudiation
- Claim Settlement
- Claim Settlement Ratio
- Comorbidity
- Congenital Anomaly
- Consumables
- Continuity Benefit / No-Lapse Benefit
- Contract
- Convalescence Benefit
- Copayment
- Critical Illness
- Cumulative Bonus / No-Claim Bonus (NCB)
D
- Daily Hospital Cash / Daily Cash
- Day Care Treatment
- Deductible
- Discharge Summary
- Domiciliary Hospitalisation
- Durable Medical Equipment
E
F
G
H
I
- Illness
- Indemnity
- Injury
- Inpatient Care / Inpatient Hospitalisation
- Insurance Ombudsman
- Insured Person
- Insurer
- Intensive Care Unit (ICU)
- IRDAI
L
M
N
O
P
- Personal Accident Cover
- Planned Hospitalisation
- Policy Document
- Policy Schedule
- Policyholder
- Portability
- Post-Hospitalisation Expenses
- Pre-Authorisation (of Cashless Claims)
- Pre-Existing Disease (PED) / Pre-Existing Condition
- Pre-Hospitalisation Expenses
- Pre-Policy Medical Check-Up
- Premium
- Proportionate Deduction
R
- Reasonable and Customary Charges
- Reimbursement
- Renewal
- Renewal Premium
- Restoration Benefit / Automatic Restoration
- Rider / Add-on Cover
- Room Rent Limit
S
- Shared Accommodation
- Sub-Limit
- Sum Insured
- Super Top-Up Health Insurance Plan
- Surgery or Surgical Procedure
- Survival Period
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