Canada Critical Illness Insurance
Critical Illness & the Benchmark definition Challenge
By now most people have heard of "Critical Illness Insurance" an
insurance benefit that protects the individual while they are still
alive. This type of insurance plan pays a lump sum benefit tax-free in
the event that you survive one of the covered illnesses or conditions
(most plans have 20 plus covered conditions) by thirty days, in most
The more serious conditions are Heart Attack, Stroke, Cancer (life
threatening) Coronary bypass surgery, Kidney failure, Multiple Sclerosis
and a number of other conditions.
However, the real dilemma is whether you will actually get paid should
you suffer from one of the twenty plus covered conditions while your
policy is in force.
Would you believe that depending on where you are when you have a heart
attack, for instance, would determine when and if you get paid.?
The new standardized benchmark definitions that many of the Insurance
Companies are adopting may prevent some heart attack victims with a
critical illness plan from getting paid.
Let me explain why: Most Insurance Companies are adopting the definition
of heart attack that uses a test called "Biochemical Markers" which,
along with other factors, determine that a heart attack did happen. Some
hospitals, however, use a test involving "elevations in cardiac enzymes"
to determine that a heart attack did occur.
Those Insurance Companies that do not recognize the test showing
"Elevation of Cardiac Enzymes" will not honour the claim, when, in fact
the individual did have a heart attack.
So imagine you are in a large city near a hospital with a Cardiac Unit
and their test includes "Biochemical Markers" along with the rest of the
information that would indicate you had a heart attack, if you survived
the required thirty days your claim would be paid.
Now let's say you are in a small town hospital where the test used was
for "Elevation of Cardiac Enzymes" and you did indeed have a heart
attack, in this case your claim may be denied because your Insurance
Company states only "Biochemical Markers" testing will be acceptable.
Best-case scenario, you go to court and win the right to be paid, after a
lengthy and costly court battle.
We recommend, therefore, that you deal with an insurance company that
honors both tests.
Now let me share more discouraging information. There are many other
covered conditions that have been and will be modified by the new
Standard Benchmark changes that will definitely make it more difficult to
resolve a claim for a condition that the average person would think is
covered and yet does not qualify.
The attached table will show a number of covered conditions and how the
new Benchmark definitions apply.
If you have questions about an existing critical illness policy you own
or one that you are considering, please contact our office (866-341-3220)
and request a comparison of definitions of covered conditions.
The price difference between the worst and the best plans in most cases
is less than 15% and as an associate of mine has said in the past, "
There are two things you don't compromise on, the quality of your
parachute and the definitions in your Critical Illness Plan". Consider a
plan that is legally and medically sound; thereby reducing the chance for
a dispute at claim time.
Fore-warned is fore-armed
Are you being robbed?
Get the FREE report and learn what the big insurances companies are
trying to keep secret.
For instant quotes on Critical Illness Insurance visit http://www.assure-