Terminal IllnessIf an eligible insured has an illness or condition that is expected to result in death within 24 months or less. (1)
Chronic IllnessIf an eligible insured is unable to perform 2 of 6 activities of daily living for a period of at least 90 days or requires constant supervision to protect from threats to health or safety due to severe cognitive impairment.
The ADLs include bathing, continence, dressing, eating, toileting, and transferring. |
Critical IllnessCovered critical illnesses may include (2):
1. Heart Attack 2. Stroke 3. Invasive Cancer 4. End Stage Renal Failure 5. Major Organ Transplant 6. ALS 7. Blindness 8. Paralysis 9. Arterial Aneurysms 10. Central Nervous System Tumors 11. Major Multi-System Trauma (Major injury to three or more organs or systems) – Not Available in California 12. AIDS – Not Available in California 13. Severe Disease of Any Organ (resulting in significantly altered life expectancy) 14. Severe Central Nervous System Disease (Parkinson’s, Huntington’s, Multiple Sclerosis, Encephalitis with long-term effects) – Not Available in California 15. Major Burns (>40% BSA, 3rd Degree) 16. Loss of Limbs |
1. Some States May Limit The Definition Of Terminal Illness To Conditions That Are Expected To Result In Death Within 12 Months.
2. Claims Will Not Be Processed Until At Least Thirty Days After The Qualifying Illness Has Occurred
2. Claims Will Not Be Processed Until At Least Thirty Days After The Qualifying Illness Has Occurred