The list of conditions is only the beginning. A familiar diagnosis may not qualify at every stage.

Severe-illness cover pays a benefit when a diagnosed condition meets the policy’s stated definition and severity. It is sometimes called critical-illness or dread-disease cover. Policies can use severity levels, partial payments, survival periods, exclusions and limits on repeated claims, so marketing summaries should be checked against the policy wording.

The benefit itself can provide flexible money for treatment-related costs, recovery time, travel, home changes or other financial disruption. It is not the same as medical scheme cover, which addresses qualifying healthcare expenses, and it is not automatically income replacement.

Try this now

Choose the three conditions you assumed were covered and locate their definitions in the policy. Note whether benefits are full, partial, severity-based or subject to a survival period.

Ask your advisor

  • What financial problem is this benefit intended to solve?
  • How do severity levels and repeat claims work?
  • Which significant conditions or stages are excluded?

A medical diagnosis does not by itself confirm an insurance claim. The exact policy definition and medical evidence determine eligibility.

Next: Unpaid work also has to be replaced