Critical illness cover is a type of insurance that pays out a tax-free lump sum if you are diagnosed with a serious medical condition listed in the policy.
It is designed to support you financially during a time when your health may prevent you from working or managing everyday costs as usual.
You can use the payout however you choose. That might be to cover your mortgage, everyday bills, medical treatment, or even to give you breathing space while you recover.
Unlike income protection, which pays monthly, this is a one-off payment intended to help you adjust to the impact of a major illness.
People often take out critical illness cover alongside life insurance, especially if they have a mortgage or young family.
It is about protecting your lifestyle and giving you the freedom to focus on your health, knowing you have something in place if things change suddenly.
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Critical illness cover pays out once, in full, if you are diagnosed with a condition covered by your policy.
Each provider sets clear definitions for the illnesses they cover, and a claim will only be approved if your diagnosis matches those terms.
Once approved, the payout goes directly to you. It is yours to use in whatever way helps most, whether that is covering your mortgage, household expenses, or any extra care you might need.
The policy ends after the payout, and it does not usually cover every health issue, just the specific conditions listed at the time you take it out.
If you are unsure how different insurers assess claims, we can explain how the process works and help you find cover that feels right for your situation.
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Most critical illness policies include a core set of serious conditions such as cancer, heart attack, stroke, multiple sclerosis, and major organ failure.
Many providers also cover other long-term illnesses like Parkinson’s disease or motor neurone disease, and some include additional payouts for earlier-stage diagnoses.
Each insurer sets their own criteria, and it is not just the name of the illness that matters, but how advanced it is or how much it affects your ability to live and work.
For example, not all types of cancer will be covered, and some conditions may only trigger a partial payment.
We will talk you through what is included in each policy and help you understand the differences, so you can choose cover that fits your health history and the level of support you want in place.
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More on Critical Illness Cover
Critical illness cover is a type of insurance designed to support you financially if you are diagnosed with a serious health condition.
It pays out a lump sum, which you can use however you need, whether that is covering household bills, paying for private treatment, or giving yourself time to recover without rushing back to work.
The term “critical illness” refers to conditions that are severe and life-altering. These often include cancer, heart attacks, strokes, and other illnesses that can impact your ability to work or live independently. Each insurer has a defined list, and the condition must meet their specific criteria to trigger a payout.
This type of policy is often used alongside life insurance or income protection to give you more complete coverage, so you are supported whether the challenge is temporary, long-term, or life-threatening.
Critical illness cover provides financial support at a time when your health may prevent you from earning. If you are diagnosed with a serious medical condition, the payout can help protect your lifestyle and ease the pressure on your family.
Many people use the money to pay off a mortgage or cover essential bills. Others may put it towards treatment, recovery time, or home adaptations. It is designed to give you options and stability when life becomes more complicated.
Rather than relying on savings or support from others, this cover can help you maintain control and focus on your health without added financial strain.
The cost of life and critical illness cover depends on your age, health, lifestyle, job, and how much cover you want. Combining both types into one policy is usually more affordable than buying them separately, but the premium still varies based on your individual circumstances.
You will pay more for a higher payout amount, a longer policy term, or if you have pre-existing conditions. Smokers and people in higher-risk jobs may also pay more. Critical illness cover adds to the overall cost of life insurance, but for many, the added support is worth it.
We can help you understand the balance between cost and cover, so you are not paying more than you need for the peace of mind you want.
No, critical illness cover and payment protection insurance are completely different. Critical illness cover pays out a lump sum if you are diagnosed with a serious medical condition. PPI is tied to specific debts, such as loans or credit cards, and is designed to cover your repayments if you cannot work due to illness or redundancy.
PPI only supports loan payments for a set time and has limited flexibility. Critical illness cover is broader and pays money directly to you, allowing you to use it however you see fit.
If you want to protect your income and lifestyle during a serious health issue, critical illness cover is the more comprehensive option.
You are not required to have critical illness cover when applying for a mortgage, but it can be a sensible option. If you were to become seriously ill and could not work, the mortgage would still need to be paid. A critical illness policy can provide a lump sum that helps pay off the remaining balance or gives you extra support while you recover.
Many people combine this with life insurance to protect the home whether they pass away or face a serious diagnosis. It is a way to protect the roof over your head if your health takes an unexpected turn.
Critical illness cover is not about predicting the worst. It is about having something in place in case life changes suddenly. A serious illness could leave you unable to work, and without support, the financial impact can be immediate.
The payout can help keep your home secure, cover your usual expenses, or allow you to step back from work while you recover. It gives you more choice and flexibility at a time when your focus should be on your health, not your bank balance.
For many people, this kind of cover offers reassurance that they will not need to rely on savings or support from others if illness strikes.
Yes, you can take out critical illness cover on its own without life insurance. Some people choose to do this if they are more concerned about protecting their income and lifestyle during illness than they are about leaving behind a payout after death.
Standalone critical illness cover works the same way as when it is combined with life insurance. If you are diagnosed with a serious condition listed in the policy, you receive a lump sum. This can help you manage bills, cover medical costs, or reduce financial stress while you recover.
That said, many people do choose to take both together, especially when arranging a mortgage or supporting a family. It often comes down to personal preference, budget, and what matters most to you.
Decreasing critical illness cover is a type of policy that reduces in value over time, usually in line with a repayment mortgage. It is designed to pay off your mortgage balance if you are diagnosed with a serious illness during the policy term.
This type of cover is often chosen by homeowners who want to protect their property but do not need a fixed payout amount. Because the level of cover reduces over time, the premiums are usually lower than a level-term policy. It is a cost-effective way to make sure your home is protected if your health takes an unexpected turn.
You can take it out on its own or alongside life insurance as part of a broader protection plan.
The amount of critical illness cover you need depends on your lifestyle, financial commitments, and what you want the payout to do for you. Some people choose enough to clear their mortgage, while others want to replace their income for a year or two while they recover.
It is worth thinking about your regular outgoings and any debts or financial responsibilities your family would still need to manage. If you are the main earner, or if your household would struggle without your income, a higher level of cover may be right for you.
There is no fixed amount you must have, but having some cover in place is usually better than none at all. We can help you work out a figure that fits your circumstances and feels manageable for your budget.
For many people, yes, critical illness cover is worth it. Serious illness can strike at any age, and the impact on your ability to work, earn, and maintain your lifestyle can be immediate. This type of cover gives you the financial support to cope during what is already a very difficult time.
It is especially valuable if you have a mortgage, a family, or if your employer does not offer long-term sick pay. Even a smaller payout can give you enough breathing space to focus on recovery without having to worry about falling behind on bills or relying on savings.
Whether it is worth it for you depends on your situation, but if illness would cause financial stress in your household, having a safety net in place can make all the difference.
The “Big 5” critical illnesses usually refer to the five most commonly claimed conditions under these types of policies. These are:
These conditions make up the majority of successful claims, and most policies include them as standard. That said, insurers may cover more than 30 conditions in total, and the specific definitions can vary.
Some policies also offer partial payouts for earlier stages or less severe forms of these illnesses. We can walk you through what each policy includes, so you are clear on what is covered and how the claims process works.
Critical illness cover pays out when you are diagnosed with a serious illness that is specifically listed in your policy and your diagnosis meets the criteria set by your insurer. This is usually based on the severity of the condition and how it affects your ability to function or recover.
Once you have a confirmed diagnosis and supporting medical evidence, you can start a claim. If approved, the payout is made as a lump sum and can be used however you need, whether that is covering living costs, paying for treatment, or adjusting your work and home life.
The policy only pays once and ends after the payout, so it is important to understand what conditions are covered before you take it out. If you are unsure, we can explain how different policies work and what to look for.
Most policies do not have a strict time limit from the date of diagnosis, but it is important to start the claim process as soon as you can. The longer you wait, the more difficult it may become to gather the necessary medical evidence or confirm your eligibility.
You usually need to be diagnosed with the illness during the active term of the policy. If your diagnosis comes after the policy has ended, even by a short time, the claim will not be accepted.
We always recommend contacting your insurer or speaking to us as soon as you receive a diagnosis that might qualify. That way, we can help guide you through what information is needed and ensure the process goes as smoothly as possible.
Critical illness cover is for anyone who wants to protect their income or financial commitments in case of serious illness. It is especially popular with people who have a mortgage, children, or others who depend on them financially.
Many take out cover when buying a home, starting a family, or becoming self-employed. Even those with some sick pay from work often use it to add an extra layer of protection.
It is not about expecting the worst. It is about being realistic. If a serious health condition would cause financial strain in your household, this type of cover can make a big difference.
Both types of cover provide support when your health affects your ability to work, but they do it in different ways. Critical illness cover pays out a one-off lump sum when you are diagnosed with a specific condition listed in the policy. Income protection provides regular monthly payments if you are unable to work due to illness or injury, no matter the diagnosis.
Critical illness cover helps with larger expenses or life changes, like clearing a mortgage or paying for treatment. Income protection is better for maintaining your monthly outgoings, like rent, bills, and everyday living costs.
Many people choose to have both, so they are covered for both short-term income loss and long-term health issues. We can help you understand how each type works and which might suit your circumstances.
Critical illness cover is one part of a wider set of protection options. You might also consider life insurance, which pays out a lump sum if you pass away during the policy term. This can support your family financially or help pay off a mortgage.
Income protection is another popular option, offering regular payments if you are off work due to illness or injury. For those with children, family income benefit pays out as a monthly income rather than a lump sum.
Each type of cover does something different. We can help you look at the full picture and build a combination that fits your lifestyle and the people who rely on you.
We aim to find a Critical Illness Cover policy that matches your personal and financial situation, making sure that you are protected from an unexpected critical illness or disability diagnosis.
We've had the pleasure of helping many different types of customers find a perfect insurance product for their situation.
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Our team of insurance specialists will search through a wide range of options to find the most appropriate product for your personal and financial circumstances.
Transparency is at the heart of our service. When we can, we will try and save you time and money on your Critical Illness Cover.
If we feel that your situation is better suited to another type of insurance policy, we will be transparent with you.
In some cases, it could be best to take out multiple policies to maximise your protection.
You can book a free insurance review for the morning, afternoon or later in the evening, 7 days a week!
We are even available most bank holidays!
Age is one of the most significant factors when it comes to how your critical illness cover is priced. The younger you are when you take out the policy, the lower your premiums are likely to be.
This is because younger applicants are statistically less likely to suffer from serious illnesses. The risk of developing a condition such as cancer or heart disease typically increases with age, and insurers use this information to calculate the level of risk.
Even a few years can make a noticeable difference to the cost. Taking out cover in your 20s or 30s, especially if you are in good health, usually means you can lock in a much lower rate for the entire duration of the policy.
On the other hand, waiting until your 40s or 50s may mean higher monthly premiums, even if your circumstances have not changed much. For this reason, many people choose to set up critical illness cover sooner rather than later.
Your current health is closely reviewed when applying for critical illness cover. During the application process, you will be asked about your medical history, including any conditions you are currently managing or have dealt with in the past.
The insurer will also want to know about your weight, blood pressure, and any medications you are taking. In some cases, you may be asked to complete a health questionnaire or provide a report from your GP.
If you are in good health and have no history of major illness, you will likely pay less. On the other hand, if you have had issues like high cholesterol, asthma, diabetes, or a history of cancer, this may increase your premium or result in specific exclusions on your policy.
The more information you provide upfront, the better the insurer can assess your level of risk. It is always best to be open and honest, so the cover you are offered truly reflects your circumstances.
The level of cover you choose has a direct impact on how much you pay. If you want the policy to pay out a large lump sum in the event of a claim, you will need to pay a higher monthly premium.
This is because the insurer is taking on more financial risk. For example, someone looking for £250,000 worth of cover will always pay more than someone applying for £50,000, assuming all other factors are the same.
When deciding how much cover you need, it helps to think about what you would want the money to do. Would it be used to pay off your mortgage? Cover your income for a couple of years? Help with childcare, education costs, or medical expenses?
Once you know what you are protecting, it becomes easier to work out a realistic amount of cover, and we can help make sure that it fits within your budget without compromising on what matters most.
The longer your policy lasts, the more it is likely to cost. That is because a longer term gives the insurer more time in which a claim could be made.
If you are covered until the age of 60, the risk is lower than if the policy runs until 70 or 75, and the pricing reflects that. Choosing the right term depends on your personal circumstances, such as how long your mortgage runs or how long you expect your family to depend on your income.
It is worth thinking about what you want the cover to achieve. For example, if your main priority is to protect your children while they are growing up, you may only need cover for 15 or 20 years.
If you are protecting your income well into later life or supporting adult dependants, a longer term might make more sense. Getting the balance right between term length and affordability can make a big difference to how long you are comfortable keeping the policy in place.
What you do for a living can have a surprising impact on how your policy is priced. Insurers assess whether your job increases the risk of illness or injury that could lead to a claim.
Manual labour roles, jobs involving exposure to hazardous materials, or high-stress positions may carry higher premiums compared to office-based or lower-risk jobs.
For example, a roofer, construction worker, or paramedic might face a higher premium than someone working in finance or IT. Even jobs that involve a lot of travel or shift work may be seen as carrying slightly more risk.
That does not mean you cannot get cover, but the insurer may adjust the premium to reflect the type of work you do. When applying, it is important to describe your role accurately so the cover you receive matches the reality of your day-to-day job.
Your everyday habits and lifestyle choices are taken into account when your premium is calculated. Smoking is one of the biggest contributors to increased pricing, as it significantly raises the risk of developing cancer, heart disease, and respiratory issues.
Even if you have recently quit, insurers may still class you as a smoker until you have been tobacco-free for a certain amount of time, typically 12 months.
Alcohol use, recreational drug use, and your level of physical activity may also be considered. If you regularly take part in high-risk hobbies like skydiving, rock climbing, or motorsport, your premium could increase depending on how often you do it and whether it involves professional-level risk.
Being honest about your lifestyle helps ensure that the policy you receive will remain valid and effective if you ever need to make a claim.
When assessing your application, insurers may ask about your immediate family’s medical history. This usually includes your parents and siblings, and focuses on whether they were diagnosed with certain serious conditions, particularly at a younger age.
A family history of cancer, heart conditions, or neurological disorders may be seen as an indicator of increased risk. While this does not mean you will develop the same condition, it can influence how the insurer views your overall health outlook.
In some cases, it may lead to a slightly higher premium or, occasionally, certain conditions being excluded from the policy. The more detail you can provide about your family’s medical background, the more accurately your cover can be tailored.
Additional policy features can add value to your cover but will usually come at an extra cost.
Features such as children’s critical illness cover, total permanent disability benefit, or partial payouts for less severe illnesses increase the overall level of protection, but they also raise the insurer’s risk. As a result, adding these extras will affect your premium.
Another common feature is a waiver of premium, which means your policy stays active without payments if you are unable to work due to illness.
You may also be able to include indexation, where the payout amount rises over time to keep up with inflation. These options can be helpful, but they are not always essential for everyone. We can help you look at which features are worth including, based on what matters most to you and your family.
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