CLHIA-ACCAP - Consumer Information

A guide to supplementary health insurance

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INDIVIDUAL PLANS Critical Illness Plans Critical illness plans and/or riders on other types of individual or group plans pay you a cash lump sum if you are diagnosed with a life-threatening illness such as cancer, heart disease requiring surgery, heart attack or stroke. Some critical illness policies also cover kidney failure, blindness, organ transplant, paraplegia, quadriplegia, and/or dementia (including Alzheimer's disease) . You can use the money for anything you want: to pay off debts, to finance expensive medical equipment or special home care, to pay for child care, to change careers or to start a small business. Living Benefits If you become terminally ill, you may need extra cash to pay medical bills and living expenses. Many companies provide living or accelerated benefits to individual life insurance policy holders who suffer a life-threatening illness. When you apply for living benefits from your life insurance policy, you must provide your insurance company with a medical opinion that you are in the terminal stages of an illness and have 24 months or less to live. The insurance company must also ascertain that the proceeds from your policy have not been assigned to pay off a loan or debt, or left irrevocably to someone who might sue for full benefits once you die. TIP: Consult a lawyer or financial advisor before applying for living benefits. Although these benefits are not subject to income tax at present, they can affect your eligibility for social assistance benefits that are based on means tests 11

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