Is it OK to pay multiple claims for critical illness? What are the restrictions?

Multiple claims are compared to single claims, i.e. after the first critical illness claim, the contract is not terminated, the coverage continues to be valid, and if the insured person has other critical illnesses later, the insured can be repaid.

However, there is a limit to the multiple claims of critical illness insurance, and it is not necessarily possible to make a second claim, which will be subject to some conditions.

For specific content, you can directly see this condensed article:Is the critical illness insurance worth paying multiple claims? It turns out that we were all deceived!

1. What are the conditions for multiple claims?

1) Disease grouping.

Disease grouping is to group dozens of major diseases, and each group only pays once. As long as you suffer from one of the critical illnesses in this group, after receiving the compensation, the multiple claims for all diseases in the group will be invalid.

For example, a critical illness insurance policy covers 100 types and can be paid three times. The insurance company divides these 100 into 4 groups, and each group pays only once. If Xiao Ming suffers from lymphoma for the first time, he belongs to group A and will be compensated; Later, if you have an acute myocardial infarction, you also belong to group A, so you can't make a claim.

2) Intervals.

Insurance companies require a time lag between the first critical illness and the second critical illness, ranging from 180 days to 5 years. The interval between secondary claims for cancer will be longer, usually 3-5 years.

If the onset of the two critical illnesses is less than the interval between them, you will not be eligible for a claim.

2. What should I pay attention to when purchasing critical illness insurance with multiple claims?

1) The more groups, the better.

The meaning of disease grouping is: diseases in the same group can only be paid once, and diseases in other groups can continue to be paid, and the more groups the better.

2) The more dispersed the high-incidence critical illness, the better.

The 6 common and high-incidence critical illnesses that must be included in the critical illness insurance regulations account for 80% of critical illness insurance claims. The more dispersed the high-incidence critical illness, the less likely it is to affect each other, which is conducive to multiple claims.

3) Malignant tumors were grouped separately.

Cancer is one of the most common critical illnesses, accounting for more than 70% of all critical illnesses. It can also easily cause diseases of other related organs, such as end-stage renal disease. Separate groupings of cancers can increase the probability of getting a second claim.

If it is not possible to group it separately, it is best to separate it from the disease that is more linked.

4) The shorter the interval, the better.

The shorter the interval, the higher the continuity of insurance. From a medical point of view, cancer has a 5-year shelf life, so it is best to choose a product with an interval of less than 3 years between malignant tumors.

If you want to know what high-quality multi-claim critical illness insurance is, you can read this article, which has been summarized for you:Top 10 Critical Illness Insurance Points Worth Buying!

On the basis of the traditional critical illness insurance payment, i.e., the termination of the contract, many critical illness insurance products have developed into a model that can be paid multiple times. Multi-claim critical illness insurance means that after the insured suffers from a critical illness for the first time, the insurance protection continues to be effective, and the claim can still be made when the insured suffers from a critical illness for the second time.

Generally speaking, there are two common conditions for multiple claims in critical illness insurance. Critical illness insurance with multiple claims usually divides the covered critical illnesses into different groups according to certain criteria, and the insured must suffer from a different group of critical illnesses each time before multiple claims can be made. If it is a previous critical illness**, the insurance company will not pay the claim.

The first claim of multiple claims of critical illness insurance needs to be made after the expiration of the waiting period, and the second claim needs to be separated from the time of the first critical illness by a certain number of days, which shall be subject to the terms and conditions of the product.

To sum up, the purchase of multiple claims of critical illness insurance can be based on the type of disease to choose a more reasonable group of insurance products, which consumers can only follow the regulations given by the insurance company to choose, lack of initiative, in addition to referring to the length of the insurance waiting period, choose the insurance product with a short waiting period, which is relatively simple. Generally speaking, the probability of getting a second critical illness claim is small, and if you have the need and financial strength in this regard, you can still choose to configure it to make the protection more perfect.

The biggest difference between a single claim and multiple claims is that a single claim for critical illness insurance is to obtain a critical illness, and the contract will be terminated after the claim is settled, and if you suffer from a critical illness in the future, you will no longer be paid; The multiple claims refer to the fact that after the first illness, you can also get the claim after the subsequent critical illness, as follows:

1.Disease grouping: The insurance company may divide the critical illness into several groups, and if you suffer from a critical illness within the same group, you can only make a claim once; If you suffer from a different group of diseases, you can make multiple claims.

Therefore, it is best to pay multiple claims for critical illnesses without grouping, and secondly, the more groups the better, so that there are fewer excluded diseases after each claim;

2.Time interval: For multiple claims for critical illness insurance, there will generally be an interval and survival limit in the second and third claims.

The interval refers to the time interval between the first critical illness and the second critical illness, and between the second and third critical illnesses, which is generally 1 year or 180 days.

Survival refers to the first.

2. A period of time is specified after the diagnosis of the third critical illness, such as 14 days, 28 days, 30 days, etc., and generally does not exceed 30 days. If the insured person dies during the survival period since the diagnosis, there will be no second (third) compensation.

Critical illness insurance can be paid by multiple companies at the same time.

The payment method of critical illness insurance is direct payment, and the payment type insurance can be stacked with compensation.

If you buy critical illness insurance from different companies, once you are diagnosed with a critical illness, as long as the critical illness is covered by the policy and the condition meets the payment criteria, you can get compensation from multiple insurance companies at the same time.

As for how to make a smooth claim, I have a good guide for you:How to settle a claim after a claim has occurred

At the same time, there are some things to pay attention to about stacking payouts.

1. The resulting illness is only covered by one critical illness insurance

In this case, although you have multiple critical illness insurance, you can only pay one of the coverage of one critical illness insurance.

Therefore, before we buy critical illness insurance, we must look at the terms of the insurance contract, so as to avoid not understanding the contract, being rejected by the insurance company, and some easy to step on in the contract. Teach you to identify those pitfalls in the insurance contract!

2. Death benefit in critical illness insurance

Once the insurance company has paid the critical illness insurance benefit, the corresponding insurance contract will be terminated. Some critical illness insurance policies include death benefit, which is actually life insurance as the main insurance and critical illness insurance as an additional insurance.

Because only one of the death benefit and critical illness insurance benefits are paid, the life insurance contract will also be required to be terminated when the critical illness insurance pays the insurance benefits. For example, after Xiao Chen claims compensation from the two companies, on the one hand, he can get double compensation, but on the other hand, the life insurance of Company B will also lapse.

You may think that you get more protection by buying critical illness insurance from multiple insurance companies, but it also costs a lot of money, which is really not cost-effective.

In fact, you can consider purchasing a cost-effective critical illness insurance with multiple claims. If you want to know the difference between multiple claims and single claims, you can take a look at my article:Is it more cost-effective to pay multiple claims than a single claim?

Which critical illness insurance plans are worth buying for multiple claims? I've picked out a cost-effective critical illness insurance product, I suggest you take a look:In 2020, it is worth buying multiple claims critical illness insurance** points

Critical illness insurance can be combined with multiple critical illness insurance policies at the same time.

Health insurance includes both early payment and reimbursement.

1. Advance payment insurance refers to the insurance that the human body can claim compensation when it meets the conditions specified in the contract.

2. Reimbursement insurance refers to the compensation insurance for expenses incurred after medical treatment after the occurrence of diseases in the human body. The amount of reimbursement cannot exceed the actual medical expenses paid.

Critical illness insurance is of a benefit nature, and there is no problem of duplicate insurance. As long as the payment standard agreed in the contract is met, the insurance company will pay the insured the critical illness insurance benefit according to the contract.

If consumers want to obtain higher insurance protection through multiple and repeated insurance, they should choose life insurance-related products, such as accident insurance, life insurance and critical illness insurance, which can be paid superimposed, without being affected by the company, and there is no problem of duplicate insurance.

Critical illness insurance is a lump sum payment of the agreed sum insured after the occurrence of the agreed critical illness status. If there are multiple policies, it can also be paid multiple times, unlike medical insurance, the final reimbursement amount of medical insurance cannot exceed the actual amount of expenses.

For example, Ms. Wang purchased a critical illness insurance policy from Insurance Company A and Insurance Company B, with an insured amount of 500,000 yuan, and a few years later, Ms. Wang unfortunately suffered from a critical illness and met the conditions for claims, and finally the two policies were superimposed with a total of 1 million yuan.

Multiple critical illness insurance policies can be paid at the same time. Critical illness insurance is a fixed payment type, as long as it is within the contract coverage period and the claim conditions are met, the claim will be settled.

To put it simply, the more you buy, the more you lose, and how much you invest in the amount of insurance, how much money you can get at one time.

1.Premium issues

Critical illness insurance that does not include it usually costs several thousand yuan a year, and if it includes death benefits, most of them are nearly 10,000 yuan, and if you apply for multiple insurances, it will undoubtedly increase financial pressure.

2.Overlay claims issues

When we buy multiple critical illness insurance, there will be a diagnosed disease that only belongs to the coverage of a certain product, so it is impossible to achieve superimposed compensation, so purchasing multiple critical illness insurance is far from choosing a critical illness insurance with comprehensive protection.

3.Death Benefit: Critical Illness Benefit: 2 Compensation 1

At present, some critical illness insurance in the insurance market includes death benefits, which are actually a combination of life insurance as the main insurance and critical illness insurance as an additional insurance.

When critical illness insurance pays out critical illness insurance benefits as an add-on, the contract of the main life insurance will also be terminated. Therefore, the insurance company usually states that only one of the death benefit and critical illness insurance benefit will be paid.

4.Coverage is not comprehensive

Daddy thinks that instead of investing in a few more critical illness insurance, it is better to have medical insurance, accident insurance and life insurance fully equipped, with more comprehensive protection and better ability to fight risks.

Critical illness insurance can be claimed at multiple times at the same time. Critical illness insurance is a benefit-based insurance product, and it has nothing to do with whether it has been carried out or how much it costs to see a doctor. As long as the health notice is truthfully made at the time of purchase, and the subsequent illness meets the definition of critical illness agreed in the insurance clause, the insurance company will make a claim in accordance with the insurance contract; If you purchase critical illness insurance from different insurance companies, you can apply for a claim at different insurance companies if you have an accident.

It is recommended that you must buy enough insurance for critical illness insurance, and the sum insured should reach 500,000 yuan. For example, high medical expenses such as stomach cancer and leukemia should also take into account the **expenses during the **period and the decrease in income caused by not being able to work. If you buy a very low sum insured, it will be difficult to resist the financial pressure caused by a critical illness.

Therefore, if a company still feels that the coverage is not comprehensive or the insured amount is insufficient to meet the insurance needs, you can continue to purchase critical illness insurance. In the event of an accident, you can apply for a claim.

Yes, if you apply for insurance from different companies, you can get compensation from multiple insurance companies at the same time as long as the critical illness is stated in the policy and the condition meets the payment criteria. Critical illness is an indemnity type of insurance, and in the event of a disease specified in the terms and conditions, each company will compensate for it.

Because critical illness is a cash compensation type of insurance, the claim is made with a copy of the diagnosis certificate and examination report of the specialist doctor, and the invoice for the expenses of ** fee, examination fee, bed fee, drug fee, etc. incurred during the hospitalization has nothing to do with it, but is related to the amount of compensation signed by the contract of each insurance company, and each contract company must fulfill the contractual responsibility, which is also the real meaning of the existence of critical illness insurance, and each company can purchase it separately without conflict.

It depends on the situation and depends on the situation in which the insured suffers from a disease that qualifies for the benefit.

Critical illness insurance, including critical illness, moderate illness, mild illness, and additional death liability.

Situation 1: Different insurance companies, moderate disease, mild illness contains different types, there may be insurance company A products, B insurance company products do not, so if the insured suffers from moderate or mild disease, it may not be able to repeat the claim.

Situation 2: If the insured is sick, company A can pay for the disease, and the proportion of compensation is higher, and B does not have the disease, and can only pay for the mild disease, and the compensation ratio is low. Although you can pay repeatedly, you will get less compensation.

Situation 3: Insurance company A has death liability, insurance company B does not, if the insured dies, insurance company A can pay, but insurance company B cannot pay.

The compensation of critical illness insurance involves a lot of professional knowledge, the compensation situation is also more complicated, and the proportion of annual premiums paid is relatively large, so it is very necessary to choose a critical illness insurance product that suits you.

How to buy insurance? Many families want to buy a suitable insurance for themselves, and they didn't care about this topic before, so they rarely have contact with insurance knowledge.

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