Critical Illness Insurance
What is Critical Illness Insurance?
While standard health insurance pays for your hospital bills, Critical Illness Insurance provides a
lump-sum cash payout upon the first diagnosis of a life-threatening illness listed in your policy. This
money is yours to use however you see fit—whether it's for advanced treatment, paying off debts, or
maintaining your family's lifestyle during a period of lost income.
Facing a major illness like cancer or a heart attack is stressful enough; DigiAssure's Critical Illness
plans ensure that financial worries don't add to your burden. Our policy acts as a powerful supplement
to your base health plan, providing a robust financial buffer that triggers immediately upon diagnosis
(following a short survival period). With coverage for up to 30+ major illnesses, we give you the
freedom to seek the best medical care available, anywhere in the world.
How It Protects You
1. Lump-Sum Cash Payout
Unlike health insurance, you receive the full sum insured in a single payment. This provides immediate liquidity to handle high treatment costs or urgent family needs.
2. Income Replacement
Major illnesses often lead to long absences from work. The payout acts as a financial bridge, ensuring your monthly expenses, EMI, and school fees are paid on time.
3. Specialized Treatment
Use the funds to access experimental treatments, specialized rehabilitation, or international specialists that may not be covered under your standard medical policy.
4. Debt-Free Recovery
The payout can be utilized to settle outstanding loans or mortgages, removing a significant source of stress during your recovery journey.
Key Features of Our Plans
30+ Illnesses Covered
Comprehensive protection against major life-threatening conditions including Cancer, Heart Attack, Stroke, and Kidney Failure.
Fixed Benefit Payout
The claim is settled based on the diagnosis alone, regardless of the actual hospitalization expenses incurred.
Second Medical Opinion
Access to world-class medical experts for a free second opinion on your diagnosis and proposed treatment plan.
Short Survival Period
The policy provides the lump sum benefit if the insured survives for 30 days after the initial diagnosis of the illness.
Tax Benefits
Premiums paid are eligible for tax deductions under Section 80D of the IT Act, enhancing your overall savings.
Waiver of Premium
Option to have future premiums waived if you are diagnosed with a critical illness, keeping your cover active at no further cost.
Critical Illness vs Standard Health
Understand the different roles each policy plays in your financial security.
| Feature | Critical Illness Policy | Standard Health Insurance |
|---|---|---|
| Purpose | Income Replacement & Financial Stability | Hospitalization & Medical Expenses |
| Payout Mechanism | Fixed Lump Sum | Indemnity (Actual Bills) |
| Basis of Claim | Diagnosis of covered illness | Admission to hospital |
| Hospital Bills Requirement | No | Yes |
| Global Treatment | Allowed (Lump sum is yours) | Usually limited to domestic network |
| Survival Period | Required (Usually 30 days) | Not Required |
| Waiting Period | 90 Days (Initial) | 30 Days (Initial) |
Major Illnesses Covered
A look at some of the primary conditions protected under our policy.
What is Covered
Typical illnesses in the 30+ list:
- Cancer (specified severity)
- First Heart Attack
- Stroke resulting in symptoms
- Kidney Failure (end-stage)
- Major Organ / Bone Marrow Transplant
- Multiple Sclerosis with symptoms
- Permanent Paralysis of limbs
What is NOT Covered
Standard policy exclusions:
- Illnesses diagnosed in first 90 days
- Death within the 30-day survival period
- Conditions due to substance/alcohol abuse
- Self-inflicted injuries or suicide attempts
- Pregnancy or childbirth related conditions
- HIV/AIDS and related complications
Valuable Add-Ons
Enhance your protection with these specialized covers.
Global Medical Expert
Get your diagnosis and treatment plan reviewed by world-renowned medical institutions in the USA or Europe, ensuring you have the best path forward.
Wellness & Preventive care
Includes free annual health check-ups and specialized screenings like Mammography or Cardiac stress tests to detect issues early.
Personal Accident Cover
Combines your illness protection with financial security against accidental death or permanent disability under a single policy.
Child Education Benefit
Provides an additional lump sum specifically for your child's education if you are diagnosed with a critical illness and become unable to work.
Factors Affecting Your Premium
How we calculate the cost of your critical protection.
1. Age of the Insured
Premium increases with age as the statistical risk of major illnesses like heart disease or cancer becomes higher.
2. Lifestyle (e.g. Smoking)
Tobacco users often pay a significantly higher premium due to the increased risk of cancer and cardiovascular diseases.
3. Family Medical History
A history of certain hereditary illnesses in your immediate family may impact the underwriting and premium calculation.
4. Sum Insured
The total payout amount you choose (₹10 Lakhs vs ₹50 Lakhs) directly determines the annual premium cost.
5. Number of Illnesses
Plans covering a wider range of illnesses (e.g., 30 vs 15) will have a higher premium but provide more comprehensive protection.
Documents Required
Simplified documentation for quick policy issuance.
Identity & Address Proof
- Aadhar Card
- PAN Card
- Passport / Driving License
- Recent Passport size photographs
Income Proof (for high Sum Insured)
- Last 3 months' Salary Slips
- Latest Form 16 / ITR
- Bank Statement for 6 months
Medical History
- Past medical reports (if any)
- Details of ongoing medications
- Pre-policy check-up reports (if required)
Nominee Details
- Nominee Name and Relationship
- Nominee Identity Proof
- Nominee Bank Account details
Lump Sum Claim Process
Simple and transparent steps to access your benefit.
Diagnosis
A specialist doctor confirms the diagnosis of a critical illness covered in your policy.
Intimation
Notify DigiAssure within 15 days of the diagnosis via our helpline or digital portal.
Survival Period
Maintain treatment. The benefit is payable if the insured survives for 30 days after the diagnosis.
Doc Submission
Submit the claim form with the pathology report, discharge summary, and specialist certificate.
Verification
Our medical team verifies the reports and ensures the condition meets the policy's severity criteria.
Approval
Once verified, the claim is approved for the full sum insured amount.
Lump Sum Transfer
The entire benefit amount is credited to your bank account in a single transaction.
No Bills Needed
You don't need to submit hospital bills for this payout. The money is yours to use for any purpose.
Frequently Asked Questions
Common queries about critical illness protection answered.
How is this different from standard health insurance?
Standard health insurance pays only for your hospital bills (indemnity). Critical illness insurance pays you a fixed lump sum (benefit) regardless of your hospital bills, providing money for lifestyle support, EMI, and lost income.
What is the 'Survival Period'?
The survival period is the time the insured person must live after the diagnosis of a critical illness (usually 30 days) for the claim to be payable. If the person dies within this period, the critical illness benefit is not paid.
Can I use the payout for treatment outside India?
Yes, once the lump sum is paid to you, there are no restrictions on how you use it. You can use it for treatment in the USA, Germany, or any other global medical institution of your choice.
Does the policy continue after a claim is paid?
Usually, a critical illness policy terminates once the full sum insured is paid out. However, some advanced plans offer a 'multi-payout' feature for unrelated illnesses or continue a base life cover even after an illness claim.
Is a medical check-up mandatory before buying?
For younger individuals (usually up to age 40 or 45) with no medical history, a check-up may be waived. For older individuals or those with existing health conditions, a medical screening is usually mandatory.
Are all stages of cancer covered?
Most policies cover 'Cancer of Specified Severity' (Major stage). Early-stage cancers or non-invasive tumors may have limited coverage or be excluded. Always check the specific definitions in your policy document.