Legal Services

Filing a Critical Illness Insurance Claim

Having a health insurance policy is essential for any person who wants quality treatment at the hospital. Medical treatment costs have skyrocketed over the past several years, and it’s very difficult in today’s world to be able to afford quality treatment without running up a massive bill. If you have a medical insurance policy, you don’t have to think twice before admitting yourself to a hospital. There are plenty of products offered to people who need to purchase a health insurance policy.

One of these is the critical illness insurance policy. The critical illness insurance claim, or heart attack insurance, is basically a type of claim where the insured and the insurer come to an agreement to pay off a lump sum amount to the insured in case he or she is diagnosed with a critical illness that has been previously listed in the policy. Rather than paying for multiple treatments, the insurer is discharged from their obligation after paying a lump sum amount.

Important Information

There are many important things you should know before filing for a critical illness claim. First of all, you should know that only a specific list of injuries and illnesses are covered. These are highlighted in the terms and conditions listed on your original insurance claim. Common illnesses that are covered under the insurance policy include Parkinson’s disease, heart attacks, limb paralyses, cancer or coronary artery surgery, deafness or blindness, multiple sclerosis, organ transplants, kidney failure, or Alzheimer’s disease. Certain diseases are excluded when trying to file such claim, such as extreme sports related injuries, or injuries that are self-inflicted.

Before you file a claim, you will need to talk to a professional specialist about your situation. You must get in touch with a law firm that specialises in filing injury claims in order to proceed further with your claim. Your lawyers will be able to guide you about whether you stand a chance of successfully filing the illness insurance claim. It is very important that you process the claim through a legal firm to increase your chances of getting a positive reply.

How to Proceed

The first thing you need to do is discuss your case with a professional lawyer. He or she will be able to guide you about your condition and will also give you tips about whether you stand a chance at getting the claim accepted or not. If the lawyers believe you can get a settlement, they will contact the insurance company on your behalf and negotiate a lump sum amount for you.

In case of a critical illness, most people generally prefer getting a one-time payout rather than getting payment in delayed installments. You can use that money for treatment or many other purposes, depending upon your needs and circumstances. Getting all of the lump sum amount in one go also releases the insurance company from any future liability, reducing their losses considerably due to the unforeseen nature of critical illnesses and the costs of treatment.