Critical Illness vs Disease-specific Plans

Here’s a table that will highlight the key difference between these two important health insurance covers.

Parameters  Critical Illness Plan  Disease-specific Plan
Meaning You are covered by a critical illness plan for a number of conditions that pose a serious risk to your life. You are covered by a critical illness plan for a number of conditions that pose a serious risk to your life. You are protected by a disease-specific plan from a single ailment or disease. Due to its focus on a particular illness, this plan is also referred to as a niche plan.
Survival period The survival period included in a critical illness plan might last anywhere from 0 to 30 days. This means that in order to make a claim under the policy, you must live for the specified number of days following the diagnosis of the covered sickness. In the majority of situations, a disease-specific plan has no survival time.
Coverage 20 life-threatening illnesses are typically covered by this plan. A predetermined lump-sum payment will be given to you as a claim settlement if you are found to have one of the covered diseases and meet all other policy requirements. This plan takes a targeted approach because it is created to provide specialised insurance coverage in the event of a specific condition. Based on the conditions of the insurance, you may either get a predetermined lump sum payment or be reimbursed for your medical costs associated with treating the sickness (paid). Future premium payments may also be exempted in specific circumstances.
Waiting period The typical waiting period for this plan is 90 days. This indicates that you must wait 90 days after purchasing the plan before filing a claim. Often, there is no waiting period before you can file a claim against this plan.
Premium This plan’s premium is comparably more expensive than a disease-specific plan because it provides protection against a broad spectrum of ailments. * This plan’s premium is comparatively less expensive than a critical illness plan because it just provides coverage against one particular sickness. *
Common diseases that are covered A critical illness plan frequently covers the following illnesses: The top five diseases include cancer, stroke, benign brain tumour, coronary artery bypass, and paralysis. This insurance can also include additional ailments. Generally, a disease-specific plan will cover one of the following conditions: Diabetes, kidney disease, dengue, hypertension, and cardiac disease are the top five medical conditions. The programme is not just for the illnesses listed above.
Who should buy it? If you wish to expand the benefits of your health insurance, you should purchase this cover. The cost of treating a critical illness might be high. To manage your money in these trying times, a special plan that covers a wide range of life-threatening illnesses in addition to your health insurance coverage can be beneficial. If you have a family history of a specific illness, such as diabetes, you should purchase this coverage. Also, such health insurance plans for families can be bought as a financial precaution against the occurrence of a certain disease in and around your city or neighbourhood, like dengue.

What cover should I buy?

There isn’t a predetermined response to this query. You must be aware of your needs for health insurance and purchase a type of health insurance plan that satisfies them. These combinations (combos) will aid you in making your purchase selection.

Combo 1

Individual Health Insurance Plan with a Disease-Specific Plan (amount covered greater than Rs. 10 lakhs).

Combo 2

Individual health insurance (assured up to a maximum of Rs. 5 lakhs), including critical illness insurance and disease-specific insurance.

* Standard T&C Apply

Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.

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