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    What Are The Differences Between Critical Illness & Medical Insurance?

    critical-illness-medical-insurance-cigna-hong-kong

    There is a common confusion between critical illness insurance and general medical insurance. Instead of relying solely on what your insurance broker says, it is crucial to understand their difference before footing the bill.

    Generally speaking, critical illness insurance provides coverage for cancer, stroke and heart attack—the three major critical illnesses. Critical illness insurance usually pays a lump sum benefit should the insured be diagnosed with a defined critical illness. Meanwhile, medical insurance products generally reimburse actual medical expenses.

     

    Critical Illness Insurance

    General Medical Insurance

    Benefits

    One-off or multiple conditional payments

    Reimbursement

    Coverage

    Cancer, stroke, heart attack, and other defined critical illnesses

    Full or partial reimbursement of any hospitalization expenses

    Myth 1: Is it true that all medical expenses of critical illness are already covered by a Critical Illness plan?

    Truth: A fixed sum will be provided upon diagnosis of a defined critical illness. The benefits are not limited to medical purposes; it is up to the insured to determine how to spend the money.

    Myth 2: Does critical illness insurance cover all kinds of critical illnesses?

    Truth: Every insurer has its own definition of “critical illness”. For example, some insurance does not cover carcinoma in situ, cancer recurrence, or specific types of cancers.

    Myth 3: If I never made a claim for my Critical Illness plan, can I get back a premium return?

    Truth: It would depend on the terms and conditions of the insurer. Some Critical Illness plans will provide a return of 100% total premium paid.

    Deciding which insurance to take depends on your needs and factors like age, health conditions and income. Let’s take a look at the following scenario.

    Scenario: Breast cancer requiring annual medical expenses of HKD $1,000,000 

    Critical Illness Insurance

    Medical Insurance

    Lifetime Insurance Amount: HKD $1,000,000 

    Annual Insurance Amount: HKD $1,000,000

    Annual Premium: HKD $33,070

    Annual Premium: HKD $3,125

    Extended Reading: How To Perform Breast Self-Exam

    You should always be alert for the unpredictable. In fact, general medical insurance and critical illness insurance can complement each other, to give you the comprehensive protection that saves you the financial hassle. While critical illness insurance covers unexpected serious illnesses such as cancer and heart attack and provides you with a lump-sum cash benefit, the general medical plan can support hospitalization expenses of minor surgery and accidents.


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    Cigna HealthFirst Elite 360 Medical Plan offers comprehensive and personalized medical coverage across the stage prevention, diagnosis, treatment and recovery, with a range of hospital and surgical benefits, optional insurance benefits with an annual limit of up to HK$50 million, personalized health assessment, three critical illnesses(cancer, stroke and heart attack) all-rounded care and international medical concierge service. A 360-degree total health protection that spans across all the key stages of your health journey. Learn more here.

    Sources: 

    1. MoneyHero -【保險陷阱】「全保」唔係最著數 醫病要買危疾定醫療保險?
    2. HK01 - 危疾、醫療保險要分清
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    Information provided in this article is intended for health and fitness purposes only and is not intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment or prevention of disease (see Terms & Conditions for details). Any health-related information found in this article is available only for your interest and should not be treated as medical advice. Users should seek any medical advice from a physician, especially before self-diagnosing any ailment or embarking on any new lifestyle or exercise regime. Any information contained in this article may not be suitable, accurate, complete or reliable. Cigna Healthcare accepts no responsibility for the content or accuracy of information contained on external websites or resources, or for the security and safety of using them. "Cigna Healthcare" and the "Tree of Life" logo are registered trademarks of Cigna Intellectual Property, Inc. in the United States and elsewhere, licensed for use. All products and services are provided by or through operating subsidiaries, and not by The Cigna Group.

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