Finding the best Critical Illness Cover can be a tricky decision to navigate. ‘Best’ can mean different things to different people. There are lots of elements to consider, and several different providers to choose from, each with their own approach.
So, how do you choose? In this guide, we’ll help you figure out the best Critical Illness Insurance policy for your needs.
What Is Critical Illness Cover?
Critical Illness Cover pays out a tax-free lump sum if you become critically ill. Each insurer has a list of serious illnesses that the Critical Illness policy covers. To be able to claim, you need to meet the severity of the condition in your provider’s terms and conditions.
Do I Need Critical Illness Insurance?
A severe illness or injury can result in a lot of financial expense. From being unable to work again to needing to make home or lifestyle changes, the costs can add up. Taking out Critical Illness cover is there to protect you in case the worst happens.
Want a rough idea of the cost? Use our handy online quote tool to compare instant quotes from all the top UK providers.
What Do The Best Critical Illness Policies Cover?
The best Critical Illness policies will cover the widest range of conditions, with the option to add more. And some providers aren’t as strict when it comes to their definitions of each illness, meaning your claims are more likely to be successful.
So what conditions are generally covered? Well, most insurance providers have a ‘core’ policy and a ‘comprehensive’ policy. Each one will offer a different extent of cover.
Core Critical Illness Cover
A core policy will tend to cost less and cover fewer conditions. The average number is typically around 35 or so critical illnesses. A core policy will cover conditions such as:
- Cancer (severe or advanced forms)
- Heart attack
- Stroke
- Alzheimer’s disease
- Parkinson’s disease, and Parkinson’s Plus syndromes
- Loss of a limb
- Major organ failure
- Permanent and irreversible loss of sight, hearing or speech.
Cancer, heart attacks and strokes are known in the insurance industry as the ‘big three’, as they make up around 80% of all Critical Illness claims.
Comprehensive Critical Illness Cover
Comprehensive policies can cover as many as 80 or 90 conditions in total. This might include 50 full conditions, which would pay out your total benefit. Insurers also tend to offer Critical Illness Cover for 30 or more less severe illnesses, which pay out a smaller, extra lump sum.
If you claim for one of these additional conditions, your full amount remains available for a claim in the future, should you need it. Comprehensive Critical Illness Cover often includes:
- Less advanced forms of cancer, such as carcinoma in situ of the breast, larynx, testicles and prostate
- Skin cancer
- Less severe heart surgeries
- Diabetes mellitus type 1
- Partial loss of hearing or sight.
Core Vs Comprehensive Cover
We only ever recommend policies offering full cover to our clients. In our experience, the extra protection you get (for just a few pounds more per month) makes it more than worthwhile.
We’ve had people enquire with us about Critical Illness Cover and then apply on their own without taking advice. In one such case, a gentleman was sadly unable to claim for testicular cancer because he’d taken out a core policy for a lower premium. At the time, he wasn’t aware that less advanced forms of cancer weren’t normally covered by Critical Illness standard policies.
How To Choose The Best Critical Illness Insurance
By now, you have a good idea of what a Critical Illness Cover policy is, how it works, and what kind of cover you can get. But how can you make sure you end up with the best policy for you?
Here’s the aspects you need to consider:
Provider Reputation
Each provider has their own Critical Illness policy offering. Factors vary between insurers, such as number of conditions covered or the types of definition they use.
Alongside the policy itself, it’s a good idea to research the provider in more detail. Ask yourself the following:
- What’s their financial reputation?
- Do they have good customer reviews?
- Do they pay out?
Policy Definitions
It’s not just the number of conditions that you’ll need to consider, but how each Critical Illness Cover provider defines those conditions. Some insurers have better definitions than others. For example, most insurers need you to meet a certain severity or treatment in order to claim. But there are one or two that will pay out on any cancer diagnosis.
To help clarify what definitions are suitable, the Association of British Insurers (ABI) set out model definitions of conditions. This means all insurers have to meet the ABI’s standard as a minimum.
ABI+ Definitions
Many insurers go above and beyond for some conditions, offering what’s known as an ABI+ definition. All this means is that they offer a definition that’s better than the ABI’s minimum standard.
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The best Critical Illness Insurance providers will tend to offer the most ABI+ definitions.
Total Permanent Disability
Critical Illness policies often include Total Permanent Disability cover as well. This condition pays out if you become completely and permanently disabled. In other words, if you become too unwell to perform your job ever again.
But, not all insurers include it in their conditions as standard. With some providers, you need to add it on for an extra premium. For other insurance companies, it’s only available when you take out a policy through a financial adviser.
Children’s Cover
A question we get a lot is: “Are my children covered for Critical Illness?” All providers offer cover for your children, which will pay out if they develop a critical condition. But the type of cover they provide can vary. Here’s what to look out for:
- How much will they pay if your child gets sick?
Providers impose a payout limit for children’s cover. So for example, they might pay out 50% of your Critical Illness Cover amount, but only up to a threshold of, say, £30,000. It’s important to check this.
- Is it included for free?
There are providers who include it within their adult policy as standard, and providers who charge extra to add child cover. So you need to think about what you’re paying as well as what you’re getting in exchange.
- What conditions are your children covered for?
Some providers insure certain child-specific illnesses or pregnancy complications, so look out for these if you’re concerned about them.
- Can you upgrade?
If a provider’s standard child cover doesn’t meet your needs, it might be possible to upgrade it. If it’s an option, it will always cost a little more. Enhanced cover often means a higher benefit limit, and many more conditions covered.
- What’s the age limit?
Finally, you should check what age the child cover expires. Some providers will cover your children until they’re 18, or in some cases until age 21 if they’re still in full-time education. However, there are one or two that’ll continue your coverage until age 22 or 23.
Maximum Benefit
Most insurers have a maximum benefit they’ll cover you for. The limit is often around £3 million, but there are some providers who offer unlimited Critical Illness Cover.
For the vast majority of people, a limit of up to £3 million is more than enough. The cost you’ll pay for cover of this amount would also be much higher.
Partial Payouts
Some providers pay out on a sliding scale if you don’t quite meet the definition for a claim. Some illnesses need to be of a certain severity outlined in your policy documents before they’ll pay out.
For example, if you develop a low-grade cancer and catch it early, the insurer may not pay the full benefit. This would be because you don’t meet the full definition of cancer in the policy documents.
Other insurers offer a proportionate benefit, often the lower of £25,000 or 25% of your benefit, if you develop a less serious illness. In some cases, these are ‘additional’ illnesses that aren’t as severe as the main conditions the policy covers.
Survival Period
This is the amount of time you will need to survive for after making a Critical Illness claim before it pays out. It’s normally 10 or 14 days. It’s always best to check this before taking out a policy as you’ll want it to pay out as quickly as possible after making a claim.
Add-Ons
Finally, you might want to take up the option of adding extra paid features onto your policy. Features like Total Permanent Disability or Children’s Cover can sometimes come at an extra cost. But there are few more options for you to enhance your Critical Illness Cover.
- Waiver of Premium
This means your provider will waive your policy premiums if you’re signed off work after a certain period – often 6 months
- Fracture Cover
You’ll get a small, lump sum payout if you fracture a certain bone. Sometimes this includes torn ligaments or ruptured tendons, too
- Life Cover Buyback
If you take out a Combined Life and Critical Illness policy, you might be able to ‘buy back’ the Life Insurance part of your policy following a Critical Illness claim – without needing to go through the underwriting process again. You’ll usually need to choose this at the start of your policy.
Additional Benefits
To find the best policy, you need to look beyond the core offering. Where the best Critical Illness Insurance providers stand out is in the extra benefits they offer.
These benefits often include:
- Digital GP services
- Mental health support
- Second medical opinions
- Support after a critical diagnosis, such as with your recovery, improving quality of life or accommodating a new disability
- Hospitalisation benefit.
If you can find good core cover with a number of providers, then it’s merely a case of choosing between the most attractive extra benefits. Think about what you’d get the most use out of to help you decide.
How To Get The Best Critical Illness Premiums
This is not an easy question to answer because your cover will be based on your own personal circumstances and the policy options you choose. To help give you a rough idea of cost though, we look at the different factors affecting it below.
We have opted for a combined Life and Critical Illness policy because, as a rule of thumb, we don’t tend to recommend standalone Critical Illness Cover unless you have ample Life Insurance elsewhere.The quotes are based on an individual who:
- wants Life and Critical Illness cover
- £100,000 life benefit
- £100,000 critical illness benefit
- works in a low risk job
- 35 years old
- wants a 25 year term and level cover.
Policy Factors
Here, we’ll look at the specific decisions you’ll make to your policy that affects the price of your insurance.
Provider
Each provider will view risk differently. Because of this they will each charge different premiums. So when comparing quotes it’s important to look at the providers and what they offer in detail.
Level or Decreasing Cover
With Level Cover, the benefit stays the same for the policy term. But Decreasing Cover falls over the policy term, reaching zero by the end. As the risk to the insurer is fixed with Level Cover, it’s more expensive.
Sum Assured
This is the total tax-free lump sum you’ll be entitled to claim if you become critically ill. The higher the amount, the higher your premiums
Policy Term
This is how long you want the policy to last. The longer you need your policy for, the higher your premiums will be. This is due to the increased risk of illness we face as we grow older
Personal Factors
There are also some personal factors which affect the cost of Critical Illness Cover, which are usually outside of your control.
Age
The older you are when you take out the policy, the more it will cost. Again, this is down to the higher risk of illness as we get older.
Health and Medical History
Your current health is a big factor for insurers, and they’ll look at things like your height, weight, and your medical history. If you have pre-existing conditions, the insurer may either exclude them from the insurance, or charge higher premiums to cover the extra risk.
Smoker Status
Smokers are more likely to become seriously ill during their lifetime. As such, providers charge smokers more than non-smokers, because they’re seen as a higher risk to insure.
Occupation
If you work in a high-risk environment (such as on a construction site or hazardous facility), you’re at a greater risk of serious injury than a typical desk worker. These jobs generally mean higher premiums.
Our expert in-depth review of each of the UK's leading providers
Compare UK’s 10 Best Critical Illness Insurance Providers 2024
As an independent insurance broker, we compare all of the UK’s top insurers for our clients. The one that’s right for you will all depend on your situation, but it can be helpful to get an overview of the different providers.
So let’s compare the UK’s top 10 Critical Illness Cover providers in 2023.
In addition to this expert guide, we’ve also written individual reviews of each of the top UK Critical Illness Insurers, which you can check out below.
Which Critical Illness Insurance Companies Have The Best Payout Rates?
One more area it’s important to consider is making sure the provider you choose is likely to pay out a claim when you need it the most. It’s actually quite hard to distinguish one provider from another in this area. Payout rates across the industry are not only higher than many people assume, but are also fairly uniform.
As you can see in the table below, in 2020 almost all insurers paid out on more than 90% of the claims they received.
EXPERT TIP 🤓
You shouldn’t use payout statistics alone to decide which insurer offers the best critical illness cover. Instead, use them as a rough guide to compare successful claims across the industry as a whole.
How To Get The Best Critical Illness Insurance
You have two options when it comes to getting the best Critical Illness Cover policy. You can either go directly to an insurer, or buy cover through an adviser, such as Drewberry™. Bear in mind that one provides you with far more protection than the other.
Go Direct To An Insurer
With this method, you’ll need to approach every UK insurer and compare quotes/policy details from all of them to get the best deal.
Once you have some figures, you’ll also need to compare critical illness policies by the number of conditions covered and the definitions used. This involves a lot of fine print, and needing to know medical and insurance jargon.
EXPERT TIP 🤓
Buying Critical Illness Cover directly from an insurer is classed as a ‘non-advised sale’ by the FCA. This means there’s no financial protection if it’s unsuitable later on. The responsibility is on your shoulders.
Get Independent Advice
This is the smart choice. An independent adviser (like our Drewberry experts) will consider your circumstances fully to make sure you get the best Critical Illness Cover for your needs.
We do all the hard work for you, comparing every insurer on your behalf so you can be sure you’ve got the best deal. And because it’s an ‘advised sale’, we’re responsible for any policy we arrange for you, giving you more protection and peace of mind. Plus, you won’t pay us a penny.
What is Total Permanent Disability (TPD) Cover?
Total Permanent Disability Cover (TPD) pays out if you are left totally and permanently disabled and unable to work due to illness or injury.
To make a TPD claim, you must suffer a severe life-changing disability that has no medical prospect of improvement. There are fairly strict criteria to make a total permanent disability claim.
Can You Combine Critical Illness Cover With Life Insurance?
Yes, you can add Life Insurance to your Critical Illness policy, we always recommend getting a policy that covers both.
The most popular option is to take out a Combined Life And Critical Illness policy. This means your policy will pay out in either event: death, or serious illness. Once your policy pays out, your cover will end unless you add life cover buyback. So if you claim for a critical condition, you’ll lose your life protection. But, it’s a cost-effective way of getting full Critical Illness Cover.
Separate Critical Illness And Life Insurance Policies
Another option is to take out two separate policies – one for serious illness cover only, the other for Life Insurance. In terms of cover, this option gives you the best of both worlds, paying out in either event. It also means that if you claim for a Critical Illness, you’ll keep your Life protection. But, this will cost a fair amount more than your other options.
Standalone Critical Illness Cover
Your other option is to take out Critical Illness Insurance only, with no Life Protection attached. Not all providers offer this option, as it’s less common. As a rule of thumb, we don’t tend to recommend standalone Critical Illness Cover unless you have ample Life Insurance elsewhere. Taking out a combined policy might cost a touch more, but it gives you more protection.
What's The Difference Between Critical Illness And Terminal Illness?
Terminal Illness Insurance is usually included free with Life Insurance. It pays the policy benefit early if the policyholder becomes terminally ill (where a doctor has said they have less than 12 months to live).
Critical Illness Insurance, on the other hand, pays out if you develop a critical illness of a specified severity, such as cancer, heart attack or stroke.
The two options sound similar but are in fact very different and not interchangeable. It’s possible to recover from a critical illness, for example, whereas that’s not the case after a terminal prognosis.
Do You Pay Tax On A Critical Illness Cover Payout?
No, you don’t typically pay tax on a Critical Illness Insurance payout. This is because you usually pay premiums from income you’ve already paid tax on, i.e. your wages. That means HMRC has already effectively taxed you once and therefore allows you to receive a Critical Illness Insurance claim tax-free.
Is Critical Illness Insurance Better Than Income Protection?
Critical Illness Insurance and Income Protection both pay a benefit if you become ill. It can therefore be hard to tell them apart or know which one would work best for you.
Critical Illness Insurance pays a lump sum of your choosing, while Income Protection Insurance pays a monthly benefit of a proportion of your earnings.
With Critical Illness Cover, to claim you must develop a critical condition in the policy at a severity your insurer dictates. On the other hand, Income Protection pays out simply if you can’t do your job after any accident or sickness.
Find out the difference between Critical Illness Cover and Income Protection here →
Why Are Some Policy Features Only Available Through a Financial Adviser?
Critical Illness is a complicated product. And insurance providers do just that – they provide the cover. It’s very rare that insurance companies will also give financial advice to consumers.
Instead, they withhold certain complicated aspects of cover from consumers. It’s part of their due diligence, to try and prevent their financial products from being mis-sold.
Financial advisers undertake a lot of education and training in order to perform their jobs. And the advice they give is regulated by the Financial Conduct Authority (FCA). This also means that when you take out a policy through an insurance adviser, you have financial protection. In other words, if your policy turns out to be unfit for purpose later on, the FCA can investigate the company in question and work towards a positive resolution on your behalf.
Compare Critical Illness Insurance Quotes & Get Expert Advice
With around ten major UK Critical Illness Insurance providers to compare, this involves sifting through a lot of information.
Finding the right Critical Illness Cover – at the best price – can be overwhelming. Luckily, we live and breathe insurance, and are ready to chat about what’s best for you.
No fees, just independent advice and access to the most competitive rates. Give us a call on help@drewberry.co.uk
Why Speak to Us?
We started Drewberry™ because we were tired of being treated like a number.
We all deserve a first class service when it comes to issues as important as protecting our health and our finances. Below are just a few reasons why it makes sense to talk to us.