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Article #22: Critical criticism

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Critical illness insurance is designed to is quite common. Most cases don't even
pay out a lump sum if you are unfortunate need treatment and clear up, never to
enough to be diagnosed with one of a list return. Years later you may decide to
of medical conditions specified in the take out some critical illness cover. Do
policy documents. you even remember the pregnancy problems,
There is a wide variation in the length let alone imagine they could make a
of the lists, some covering as few as difference to an unrelated illness? Yet
eight illnesses and one a staggering 140, this failure to disclose could be the
but this is a slightly different version, reason for an insurer refusing to pay out
which pays various sums, according to the on a later, unrelated, critical illness.
severity of the condition. Heart disease How many times do you come out of the
and cancer head the list on all the Doctor's surgery clutching some pills,
policies. Very few policies will cover unsure of the actual name the doctor gave
illness caused by stress or mental to the condition for which you're now
problems. Back problems are rarely being treated? It will be there, on your
covered either. records, but years later and with the
Whilst some people consider critical condition long cleared up, who can
illness cover essential and enjoy the honestly say that they remember, and
peace of mind being insured offers them, record, every minor illness.
it is interesting to note that a great In the event of a dispute regarding
many claims are turned down. It is non-disclosure, if the Financial
believed that this figure is 20%. The Ombudsman Service gets involved, they
most common reason for this being will try to establish whether the
non-disclosure of a previous illness. consumer told deliberate lies or whether
Insurance companies are quite entitled to they had omitted details because, for
do this and the first thing that will example, the questions on the proposal
happen, in the event of a claim, is that form were poorly worded.
the insurance company will ask for your One way in which the situation could be
full health records. They will go through improved would be by insurers carrying
these very thoroughly and if they find out more detailed investigations prior to
any proof of failure to tell them about a issuing cover or if they were to agree
previous illness or condition, whether or not to scour medical records if a claim
not you consider it to be relevant to the is made after an agreed and reasonable
current condition, they can legally period.
refuse to pay out on the claim. The law If you're considering taking out
states, quite clearly, that if a customer critical illness insurance, it is
has failed to disclose information sought obviously very important to read the
by the insurer, the provider is entitled policy very carefully and make sure you
to scrap the cover. tell the truth, the whole truth and
What this means, in effect, is that if nothing but the truth. Only make the
you fail to tell the insurers, at the final decision to go ahead when you're
time of making the application for sure you're totally confident regarding
critical illness cover, of even minor your choice of insurer.
ailments, then the whole policy will not An on-line broker will be able to offer
be worth the paper it's written on. you a choice of policies and lots of
This appears to be an impossible advice. There are some special internet
situation. Minor illnesses, long discounts, too.
forgotten, may come back to haunt you. Critical illness,critical illness
For the Mums' out there - can you insurance cover Critical illness
remember the "oddities" of your safeguard can protect your family. Visit
pregnancy? Your blood pressure may have this site for information on critical
been raised; you may have suffered the illness policies and life insurance
usual morning sickness, backache and what cover.
is known as "gestational diabetes". This






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