Critical Illness Cover

Critical illness cover offers a financial safety net if you're diagnosed with a serious medical condition. But who needs it, how much does it cost and what does it cover?

critical illness cover

KEY INFORMATION

Critical illness cover: At a glance

  • Critical illness cover pays out a tax-free lump sum if you’re diagnosed with a serious medical condition specified in the policy.
  • It offers a financial safety net which you could use to pay off your mortgage, cover living expenses or pay for medical treatment, while you focus on your recovery.
  • The cost of a policy depends on the amount of cover you want plus factors like your age, health, occupation and whether you smoke.
  • The easiest way to find the right cover for you is to speak to an expert protection adviser.

What is critical illness cover?

Critical illness cover is a type of insurance that pays out a tax-free lump sum if you’re diagnosed with a serious medical condition listed in your policy.

Being diagnosed with a critical illness can have a major impact on your finances. You may not be able to work for a long period plus, you may face additional costs as a result such as paying for private medical care.

Critical illness cover, also known as critical illness insurance, is designed to help ease this financial burden, leaving you to focus on your recovery.

Common uses of critical illness cover payouts include:

  • Paying off your mortgage or covering rent
  • Covering daily living expenses
  • Paying for private medical treatment or rehabilitation
  • Modifying your home for accessibility needs
  • Providing for your family if you can’t work

If you’re not sure whether critical illness cover is right for you, it’s a good idea to talk it over with an expert. Our partners at LifeSearch offer fee free advice. They will compare quotes from a range of major UK insurers and all quotes given are without obligation.

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What does critical illness cover?

Each insurer has its own list of critical illnesses covered, so it’s important to speak to an (ADD CTA LINK) expert protection advisor before taking out a policy.

However, most policies cover, but aren’t limited to:

  • Heart attacks
  • Cancers
  • Strokes
  • Multiple Sclerosis (MS)
  • Parkinson’s

You may need to be diagnosed to a certain severity for your policy to pay out and you may need to live for a certain number of days following the diagnosis to be covered.

So it’s important that you thoroughly read your policy documents to determine exactly which illnesses you are covered for, and to what severity.

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What critical illness isn’t covered in a policy?

Your policy documents should make it clear what conditions and illnesses are covered. And if it’s not listed in the policy then it won’t be covered.

While each insurer is different, conditions that generally aren’t covered include:

  • Pre-existing conditions
  • Hereditary illnesses
  • Diagnosis of a terminal illness
  • An illness arising within the first 14 days of taking out your policy
  • Some types of cancers

If you want cover for a certain illness, speak to an expert protection advisor who can recommend a suitable insurer.

Is critical illness insurance worth it?

Critical illness insurance can be invaluable if you suddenly can’t work for several months or longer due to a serious illness.

You may need critical illness cover if:

  • You have a mortgage or rent payments
  • You’re self-employed or don’t have generous sick pay
  • You have dependants relying on your income
  • You don’t have enough savings to fall back on

You might not need it if:

  • You have comprehensive employee benefits that will cover you for long-term sickness
  • You have significant savings
  • You already have a life insurance policy that includes critical illness

How does critical illness cover work?

  1. Start by choosing a critical illness insurance policy. The easiest way to find the right policy for you is to speak to an expert adviser.
  2. Make your monthly or yearly insurance repayments to ensure you’re covered
  3. If you’re injured or diagnosed with an illness that’s specified in the policy, you can make a claim for a pay out.

Our partners at LifeSearch offer fee free advice. They will compare quotes from a range of major UK insurers and all quotes given are without obligation.

Types of critical illness cover

When you take out a life insurance policy, you can choose from three different types of cover:

Level term

With level term critical illness cover, the amount of cover and your premiums stay the same throughout the term.

  • For example, if you have a level term critical illness policy worth £100,000 over a 25 year term, the pay out will be £100,000 whether you die in year 1 or year 24.

Pros of level cover

  • You’ll know exactly how much of a payout you’ll get if you make a claim
  • Your monthly payments will remain the same

Cons of level cover

  • Level cover tends to be more expensive than decreasing cover

Decreasing cover

The amount of cover drops over time although the premiums stay the same.

Pros of decreasing cover

  • Tends to be cheaper than level cover
  • May be a good option if you took the cover out to pay off a debt that reduces over time such as a repayment mortgage.

Cons of decreasing cover

  • The amount of payout you’ll receive goes down over time

Protecting critical illness cover from inflation

You may choose to take out increasing cover. This means the amount of critical illness cover increase over time.

Although premiums are usually more expensive and will increase over time too.

How much critical illness cover do I need?

To calculate the amount of critical illness cover you need, consider:

  • Your mortgage balance or rent costs
  • Dependants who rely on your income
  • Outstanding debts, such as credit cards and car loans
  • Day-to-day living expenses

One rule of thumb for calculating how much critical illness cover you need, is to multiply your annual income by three. This means you’d be covered financially if you had to stop working for three years due to serious illness.

  • For example, if your annual income is £50,000 you may choose to take out a critical illness cover for £150,000.

However, even a small amount of critical illness cover is better than nothing if you’re worried about how you’d cope financially if you become seriously ill in the future.

The easiest way to calculate how much critical illness cover you need is to speak to an adviser who can help you estimate a suitable amount.

When should I update my critical illness insurance policy?

It’s important to review your cover regularly, especially after life changes like:

  • Buying a house
  • Getting married or divorced
  • Having children

You may need to increase your cover or switch to a more suitable policy. So speak to our  to make sure you have the right cover.

What’s the difference between critical illness and income protection?

While both policies offer financial support if you’re ill, they work differently:

  • Critical illness cover pays a one-off lump sum if you’re diagnosed with a listed serious illness.
  • Income protection insurance offers a regular income if you’re unable to work due to an accident or illness and will pay out until you return to work, you retire or the policy expires. Read more in our guide on Income protection insurance.

If you’re not sure whether critical illness cover is right for you, it’s a good idea to talk it over with an expert protection advisor.

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What is combined life insurance and critical illness cover?

A combined life insurance and critical illness policy pays out either on death or diagnosis of a critical illness, whichever happens first. This can be more cost-effective than taking out separate policies.

These policies generally only pay out once. However, some policies may give a partial critical illness pay out for a condition and severity that could be deemed less severe. When this happens, it tends to be 25% of the policy is paid out, but the full sum assured is still in place for any future ‘full’ claim.

You may prefer to buy two separate policies, one life insurance and one critical illness insurance policy.

  • For example, you may want a life insurance policy to pay off your mortgage should you pass away, but only want a small amount of critical illness insurance to boost your family’s income for a number of months if you fall ill.

How much does critical illness cover cost?

How much you’ll pay for critical illness cover depends on the amount of cover you want and your circumstances.

Generally, the older you are the more expensive the policy will be. But your lifestyle will be taken into account too. For example, a non-smoker could expect to pay less for critical illness cover than someone who smokes.

What affects the cost of critical illness cover

FactorHow it affects premiums
Amount of coverThe higher the lump sum you could claim, the higher the premiums are likely to be
AgeThe older you are, the higher premiums are likely to be
Health & lifestyleThis includes smoking and alcohol consumption as these can increase your risk of getting certain serious illnesses
Occupation & high risk hobbiesThe higher your risk of injury, the higher your premiums may be
Length of coverThe longer your policy is in place for, the greater your chance of claiming
Type of coverYou’ll pay more if you take out an increasing or level term policy, compared to a decreasing term

Cost of critical illness cover examples

Example 1. For a 30 year old office worker, who’s healthy, here’s how much premiums may be for combined level term assurance with guaranteed critical illness over a 25 year term.

Smoker?SumMonthly premium
No£50,000£13.49
No£100,000£24.16
Yes£50,000£18.03
Yes£100,000£33.57

Example 2. For a 50 year old office worker, who’s healthy, here’s how much premiums may cost for combined level term assurance with guaranteed critical illness over a 25 year term.

SmokerSumMonthly premium
No£50,000£58.18
No£100,000£116.37
Yes£50,000£96.61
Yes£100,000£193.21

Compare quotes from leading UK insurers with our partners at LifeSearch. Get no obligation quotes now.

How common is critical illness insurance?

Despite the benefits of these policies, new research from LifeSearch and HomeOwners Alliance reveals 36% of mortgage holders in the UK have no form of life insurance, income protection, or critical illness cover – equating to roughly 2.34 million* mortgage holders nationwide.

Types of mortgage protection cover

The research also found women were more vulnerable to sudden income loss than men. When asked how quickly they’d feel the financial impact if their income stopped due to illness or injury: 14% of women say they would fall behind on mortgage payments immediately, compared to just 6% of men.

Within two months, 27% of women surveyed said they would be in difficulty, nearly twice the proportion of men (14%). And after six months, over half of women (51%) would struggle to keep up, compared to 39% of men.

So if you don’t have protection insurance in place, it’s a good idea to speak to an expert adviser who can explain your options.

Pros and cons of critical illness cover

Pros

  • Provides financial support if you become seriously ill
  • Can be used for any purpose, there are no restrictions.
  • Offers peace of mind

Cons

  • Doesn’t cover all illnesses or early stage conditions
  • Premiums can be high, especially if you’re older and a smoker
  • No payout if you don’t meet illness definition

Can I get critical illness cover with a pre-existing health condition?

  • It can be difficult to get critical illness cover if you have a pre-existing condition, such a diabetes, asthma or you’ve had a heart attack. This is because insurers may consider you a higher risk of becoming critically ill due to this condition. 
  • However, you may be able to get critical illness cover with an added exclusion, which means you’ll be able to claim a payout for an illness that has nothing to do with your pre-existing condition.
  • Or you may be able to get cover but may have to pay a higher premium due to the increased risk. 
  • If you have a pre-existing health condition, start by speaking to an expert protection adviser who can explain your options.

Children’s critical illness cover

  • Critical illness insurance is designed to offer you a financial safety net if your child becomes critically ill.
  • This could help you financially if you need to take off long periods from work or even leave your job to care for them. You may also need to cover the cost of trips across the country or even abroad to see specialists.
  • Most critical illness policies cover children automatically although some charge a fee, while some don’t cover them at all. Pay outs for children are typically smaller than for adults. Find more information by speaking to an expert protection adviser.

How to save money on critical illness cover

There are some steps that may reduce the cost of critical illness cover:

  • Living a healthy lifestyle such as not smoking may reduce your premiums.
  • Consider a combined critical illness cover and life insurance policy. This may be cheaper than taking out two separate policies.
  • Think about choosing decreasing cover. These premiums are usually cheaper.
  • Shop around for the best deal. The easiest way to do this is by speaking to an expert protection adviser.

Where can I buy critical illness insurance?

You can buy critical illness insurance by speaking to our partners at LifeSearch

Get Life Insurance Quotes

Get fee-free advice and quotes from leading UK insurers

Get advice & quotes

Frequently asked questions

Can I have more than one critical illness policy?

Yes, you can have multiple policies with different insurers. Each will pay out if their conditions are met.

Will I get a pay out if I can’t work?

Only if your inability to work is due to a listed illness. You may also wish to consider income protection insurance, which offers a regular income if you’re unable to work due to an accident or illness and will pay out until you return to work, you retire or the policy expires. 

Am I eligible for critical illness cover?

Each insurer will have its own criteria but you’ll usually need to be a permanent UK resident and be over 18 years old. Although upper age limits may apply.

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How this site works

HomeOwners Alliance Ltd is registered in England, company number 07861605. Information provided on HomeOwners Alliance is not intended as a recommendation or financial advice.

Mortgage service provided by London & Country Mortgages (L&C), Unit 26 (2.06), Newark Works, 2 Foundry Lane, Bath BA2 3GZ, authorised and regulated by the Financial Conduct Authority (FRN: 143002). The FCA does not regulate most Buy to Let mortgages. Your home or property may be repossessed if you do not keep up repayments on your mortgage.

HomeOwners Alliance Ltd is an Introducer Appointed Representative (IAR) of LifeSearch Limited, an Appointed Representative of LifeSearch Partners Ltd, authorised and regulated by the Financial Conduct Authority. (FRN: 656479).

Independent Financial Adviser service is provided by Unbiased, who match you to a fully regulated, independent financial adviser, with no charge to you for the referral.

Bridging Loan and specialist lending service provided by Chartwell Funding Limited, registered office 5 Badminton Court, Station Road, Yate, Bristol, BS37 5HZ, authorised and regulated by the Financial Conduct Authority (FRN: 458223). Your property may be repossessed if you do not keep up repayments on a mortgage or any debt secured on it.

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