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Guides · Health and critical illness

A diagnosis is not enough. The contract requires a precise definition and a waiting period.

How critical illness insurance works, why the contractual definition matters more than the name of the illness, and what the survival period means.

The CompareTaux teamReading: 6 min

How the product works

A single lump sum, in cash, on diagnosis of a condition covered by the contract. The money is unrestricted: income, treatments not covered publicly, home adaptation, paying down debt. It is not a reimbursement of medical expenses.

The number of conditions is not the test

Contracts advertise a number — sometimes four, sometimes more than twenty-five. Three conditions account for the bulk of claims: cancer, heart attack, stroke. A contract covering more conditions is not necessarily better if its definitions are stricter.

The contractual definition governs

Each condition is defined technically: stage, severity, test results, deficits persisting after a set period. An early-stage cancer, or certain skin conditions, may be excluded or pay only a partial benefit.

The survival period

Most contracts require the insured to survive a number of days after diagnosis — often thirty — for the benefit to be payable. A death within that period falls to life insurance, not to this contract.

The cancer waiting period

A cancer diagnosed in the first months after the policy takes effect is generally excluded, and may in addition end the cancer coverage going forward. This clause is standard and poorly known.

Return of premium

Some contracts offer, as an option, a refund of premiums at maturity or on death if no claim was made. The option has a cost: weigh it against insuring a larger benefit for the same premium.

No rate, price, or recommendation on this page. Amounts and limits change: verify them with official sources before deciding.