« back to news

Critical Illness Insurance could leave you out on a limb

An unfortunate bus driver recently tried to claim on his insurance after having his leg amputated, only to be told they'd only pay out if they lost both of them.

Mr Wells featured in the news recently after payment of critical illness cover for over 12 years with a leading provider - only to have his claim rejected.

Critical illness cover is designed to pay out a lump sum on the diagnosis of a listed serious illness. He had paid £4,500 for the cover over the years. After a series of infections, Mr Wells unfortunately had to have his leg amputated above the knee. While recovering from the major surgery, Mr Wells will be unable to work – meaning money is a worry for him and his family. Mr Wells is hopeful that he may be able to return to work once he has a false limb fitted. With that in mind, he approached his insurers to make a claim, only to be told that he would not receive a payout.

The insurers quoted the Association of British Insurers loss of limb definition which states that critical illness policy only pays out when two limbs are lost. This actually highlights the importance of understanding exactly what a policy will cover. Always read documents thoroughly and compare levels of cover between different policies. Of course, you cannot forecast what medical conditions may arise, but it is helpful to know exactly what your policy will and will not cover.

Different policies cover different critical illnesses and each policy will only cover the conditions set out in the specific policy wording. However, according to ABI guidelines, all critical illness policies cover cancer, heart attack and stroke. Remember though there may be terms and conditions that apply surrounding these illnesses. For example, certain types of cancer may be excluded and the stage of the cancer may also have a bearing.

Generally, any self-inflicted injury – including illnesses caused by drug and alcohol abuse would not be covered by critical illness insurance.

The best course of action is to speak with a professional company. Call Westhill Insurance Services, their team of friendly and helpful advisors will be able to advise on any insurance you may have as well as guide you towards the best possible insurance for you should you wish to take out critical illness cover. Certainly if you work for yourself or are a key employee, this may be very sensible, impartial advice will help you reach the right decision for you. Westhill Insurance Services is an independent insurance company and will shop around to find you the best policy at the best possible price. Don't leave things to chance – have a chat with Westhill Insurance and let them help you find peace of mind.

Contact Westhill Insurance Services, today.

Posted on 1st October, 2011