CLHIA-ACCAP - Consumer Information

Guide to Critical Illness Insurance

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A GUIDE TO CRITICAL ILLNESS INSURANCE 21 If you've been diagnosed with a covered condition listed in your policy, you will want to submit a claim under your critical illness policy with your insurer. Your agent or the insurance company will be able to help you to start the claim process. What to do when you receive a diagnosis that may be covered under your policy Reach out to the following if you need assistance: For group or association coverage: For individual policies: The following documentation is required for a critical illness claim: Submitting a claim 9 Confirm that your policy and coverage are in force. Check that your illness is listed in the conditions covered by your policy. Review your policy for exclusions and limitations that may affect your claim eligibility. Submit a claim as soon as you are able. you'll need to complete a claimant statement provided by your insurance company for group insurance, a completed employer or plan sponsor statement provided by your insurance company your doctor needs to complete an attending physician statement provided by your insurance company and provide medical documentation to support your claim your agent your insurance company your employer or the plan's sponsor your insurance company • • • • • • • • • MAKING A CRITICAL ILLNESS CLAIM • •

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