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What is the difference between a Critical Illness Rider and a Critical Illness Plan?

There are differences between a critical illness rider and a critical illness plan. Find out more about the similarities and the dissimilarities between the two.

Apnainsurance.com Research Bureau

05 Dec 2007

A critical illness rider can be purchased as an additional benefit on your health insurance policy. You can make a claim even if you are hospitalized due to an accident or an injury or a disease i.e. for hospitalization and other expenses arising from causes other than a critical illness.

Furthermore, in plans that provide the rider along with the health insurance plan, the sum assured is automatically doubled. For example, suppose a person purchases a health plan with a critical illness benefit for Rs. 2 lakh and subsequently suffers a heart attack. Let's assume his expenses come up to Rs. 3.5 lakh. Because his health plan includes the critical illness benefit, he then can claim cost/expenses (including post-hospitalization costs) up to Rs. 4 lakh (2 lakh health plan plus 2 lakh critical illness benefit). Whereas, if he just had the health insurance plan without the critical illness rider, he would have had to be satisfied with a claim up to just the sum assured i.e. Rs. 2 lakh.

On the other hand, if you have just a critical illness plan, you can make a claim for the pre-defined critical illnesses only and not any other injury or disease.

In case of a critical illness plan, typically, the insured receives the sum insured on either immediately or within a few days of diagnosis, irrespective of the actual expenses.

See also:

What are the different aspects that I should consider when buying a health insurance policy?

What is the difference between a Health Insurance policy and a critical illness policy?

Illnesses covered by Critical Illness plans

Floater plans

When does the Critical Illness plan not cover the illnesses?

Miscellaneous Health Insurance FAQs

Health Insurance FAQs about Coverage

Health Insurance FAQs about Claims

Health Insurance FAQs about Premiums

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