Cheapest critical illness insurance companies in Canada (2025)

According to the Canadian Cancer Society, nearly 1 in 2 Canadians will face cancer or any other critical illness in their lifetime. While the Canadian healthcare covers many medical expenses, a critical illness like cancer or a stroke can leave you with huge medical bills, lost income, and extra expenses. That’s where critical illness insurance can save you by paying a lump sum if you are diagnosed with a covered critical illness, so you can focus on your recovery without stressing over money. 

But with so many options available, how do you find the most affordable critical illness coverage in Canada? This article will guide you to the best and cheapest critical illness insurance companies in Canada and how to get the best plan within your budget.

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What is critical illness insurance?

Critical illness insurance pays you a tax-free lump sum amount if you are diagnosed with a critical illness listed in your policy. A few common critical illnesses are cancer, stroke, heart attack, multiple sclerosis, etc. The insurer pays this lump-sum money directly to you and can be used for covering your medical bills, paying your mortgage loan, or replacing your lost income while you recover. 

Critical illness insurance is different from life insurance as it supports you financially while you are still alive and dealing with a serious health condition. The main purpose of this coverage is to reduce your financial burden so you can focus on recovering from your critical illness.

What factors influence critical illness insurance cost in Canada?

Insurers take several factors into account while deciding the coverage and cost of your insurance premium. These include your age, health and medical history, smoking status, policy term, lifestyle, and occupation. Take a look at some key factors:

  • Age: Older people pay a higher premium as the risk of developing a critical illness increases with age
  • Medical history: If you have a pre-existing condition or a history of illness, you may have to pay higher premiums or even face denial of coverage
  • Term of policy: Longer policy terms often result in higher premiums
  • Coverage amount: The higher the coverage amount you choose, the higher your CI insurance cost
  • Smoking status: If you are a smoker, you may have to pay a higher premium due to the increased risk of critical illness
  • Lifestyle and occupation: Risky occupations or unhealthy lifestyle habits, such as heavy alcohol use, can also raise your premiums
  • Family medical history: A family history of critical illnesses can also raise premium costs as insurers consider this a high risk
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What are the cheapest critical illness insurance companies in Canada?

Some of the most affordable and best critical illness insurance companies in Canada are BMO Insurance, Canada Protection Plan, Manulife, and RBC Insurance. 

Here is a list of top insurance companies that offer low-cost critical illness insurance for some major illnesses, such as cancer, heart attack, kidney failure, stroke, and multiple sclerosis.

  • RBC Insurance: Cheapest critical illness insurance for heart attack and stroke
  • Canada Protection Plan: Cheapest critical illness insurance for cancer
  • Manulife: Cheapest critical illness insurance for kidney failure
  • BMO Insurance: Cheapest critical illness insurance for multiple sclerosis and brain tumours

Cheapest critical illness insurance for heart attack and stroke: RBC Insurance

RBC offers a basic critical illness insurance plan, which is one of the most affordable for those who mainly want coverage for common serious illnesses like stroke and heart attack. This critical illness plan is ideal for those 18-50 years old. 

Under this plan, you can choose a lump-sum benefit of $10,000, $25,000, $50,000, or $75,000, depending on your financial needs. 

RBC critical illness insurance monthly premiums

Age Estimated monthly premium
25 $13–$15
30 $15–$18
35 $18–$22

*Representative monthly premium for a healthy, non-smoking 30-year-old, $50,000 coverage

Read our detailed review of RBC critical illness insurance

Cheapest critical illness insurance for cancer: Canada Protection Plan

Canada Protection Plan offers a specific “Cancer Protect” plan, which is one of the budget-friendly cancer insurance coverage plans. The typical coverage offered under this plan is a $10,000 to $50,000 lump-sum benefit. Though this plan is focused on cancer, but also offers combined plans for both cancer and heart conditions. 

The Cancer Protect plan is best-suited for those who want cheap coverage, especially for cancer, with an easy application process.

CPP critical illness insurance monthly premiums

Age Estimated monthly premium
25 $10–$13
30 $12–$15
35 $15–$18

*Estimated monthly premium for a healthy, non-smoking 30-year-old, $50,000 coverage

Read our detailed review of Canada Protection Plan critical illness insurance

Cheapest critical illness insurance for kidney failure: Manulife

Manulife’s basic critical illness insurance plan, CoverMe, is among the most affordable plans for kidney failure. This plan is not only affordable but also does not require any medical exam for approval. The policy offers a lump sum, tax-free benefit up to age 75. 

The CoverMe plan focuses on the most common and severe illnesses, which makes it one of the cheapest plans for critical illness. Apart from kidney failure, it also covers major illnesses like cancer, heart attack, stroke, coronary artery bypass surgery, and aortic surgery

Manulife critical illness insurance monthly premiums

Age Estimated monthly premium
25 $24
30 $27
35 $27
40 $30
45 $34
50 $38

*Estimated monthly premium for a healthy, non-smoking 30-year-old, $50,000 coverage

Read our Manulife critical illness complete review

Cheapest critical illness insurance for multiple sclerosis and brain tumours: BMO Insurance

BMO Insurance offers a cheap critical illness insurance plan for multiple sclerosis and benign brain tumours, with 25 other illnesses including cancer, heart attack, stroke, and alzheimer’s. If you want coverage for these two conditions, BMO insurance is the most affordable insurer. 

The Living Benefits critical illness policy offers 10- and 20-year terms or coverage up to 75 or 100 years of age. Apart from multiple sclerosis and brain tumours, this plan also covers 25 other life-threatening conditions at affordable costs.

BMO critical illness insurance monthly premiums

Age Estimated monthly premium
25 $18–$20
30 $20–$22
35 $22–$25

*Estimated monthly premium for a healthy, non-smoking 30-year-old, $50,000 coverage

Read BMO critical illness insurance full review
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Find the lowest quotes from the best critical illness insurance providers in Canada

How to lower critical illness insurance cost in Canada?

To find the most affordable critical illness insurance in Canada, you can follow a few practical steps. These include comparing quotes, choosing basic coverage, applying when you are young, opting for lower coverage amounts, and consulting with an insurance broker.

  • Shop around: The critical illness insurance rates for similar coverage may vary from insurer to insurer. So, it would be best to shop around and compare plans from multiple life insurance providers. If this seems a difficult task for you, you can also visit PolicyAdvisor and compare plans from multiple insurers in one place 
  • Apply when you are young: Critical illness insurance premiums are typically cheap when you are younger and in better health. To get the most affordable plans, apply when you are young
  • Limit coverage amount: Going for a higher coverage amount will automatically increase your premium. Opt for a basic critical illness plan with lower coverage amounts to save up on premiums
  • Consider policy riders: Some insurers also let you add critical illness coverage as a rider to your life insurance policy. This way, you can get the needed coverage at a much lower cost than buying a standalone policy
  • Limit the coverage term: Instead of going for lifetime coverage, limit your policy term for say 10 or 20 years, i.e., for the time when you may need it. Having short-term critical illness insurance will be cheaper than lifetime coverage
Learn more about the cost of critical illness insurance in Canada

How do pre-existing conditions affect the cost of critical illness insurance?

Pre-existing conditions can significantly impact the cost of critical illness insurance in Canada. If you have a medical history involving chronic illnesses like diabetes, hypertension, heart disease, or cancer, insurers will assess you as a higher-risk applicant. As a result, they might:

  • Charge higher premiums if you have a history of illnesses like asthma, thyroid disorders, or autoimmune conditions
  • Exclude specific illnesses related to your medical history from the policy’s coverage
  • Ask you to undergo additional medical tests or detailed underwriting to assess your current health status
  • Decline your application if you’ve had recent diagnoses or complications from serious conditions

The impact on your premium depends on the type and severity of the condition, how well it is managed, and how long it has been stable. Applicants with stable pre-existing conditions may still qualify for coverage.

Are critical illness insurance premiums tax-deductible in Canada?

In Canada, critical illness insurance premiums are generally not tax-deductible for individuals when the policy is personally owned. This means that if you buy a critical illness policy to protect yourself or your family, you cannot claim the premiums as a tax deduction on your personal income tax return. 

However, if a business purchases a policy for an employee, the premiums might be considered a business expense, depending on how the policy is structured and who the beneficiary is. It’s important to consult a tax advisor or accountant to understand the tax implications, especially if you’re self-employed or a business owner offering employee benefits.

Is it cheaper to bundle life and critical illness insurance in Canada?

Yes, bundling life and critical illness insurance in Canada can be cheaper than buying two separate policies. Many insurers offer bundled plans at discounted rates, making it a cost-effective way to get comprehensive protection. 

When you bundle, you typically pay a single premium for both coverages, which reduces administrative fees and simplifies policy management. Some insurers even offer flexible options to customize the coverage amounts for life and critical illness separately. 

For example, you might choose $250,000 in life insurance with $50,000 in critical illness coverage under one plan. Bundling also ensures that both policies work seamlessly together, offering financial protection for both death and serious illnesses like cancer or stroke. Speak to a licensed advisor to explore bundle options and savings

Is it worth paying for critical illness insurance?

Yes, critical illness insurance can be a worthwhile investment in Canada, particularly if you:

  • Don’t have employer-provided insurance or benefits
  • Have a family history of serious illnesses
  • Want to ensure your mortgage or other financial obligations are covered if you lose income due to illness

When it comes to affordability, critical illness insurance is relatively accessible, with premiums starting as low as $24 per month. However, costs may vary based on your age, health, smoking status, and the level of coverage you choose.

If you’re worried about critical illness insurance not being worthwhile, you can add a return of premium rider to your plan. This option will return all your paid premiums if:

  • You pass away without making a claim
  • Your policy expires without a claim
  • You cancel your policy after a set period without a claim

How to get the cheapest critical illness insurance in Canada?

Finding the most affordable critical illness insurance in Canada can feel overwhelming, especially when you’re comparing multiple plans without knowing the fine print. That’s where PolicyAdvisor makes a difference. 

Our licensed advisors work with 30+ top Canadian insurance companies to compare quotes and coverage options tailored to your needs and budget. We simplify the process, helping you understand your options clearly and choose the most cost-effective plan without any pressure or hidden fees. 

Even after you purchase your policy, our team provides dedicated after-sales support, answering any questions and assisting with future changes or claims. Book a free consultation with us today to secure the best critical illness insurance coverage at the lowest possible price.

Looking for critical illness insurance?

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Frequently Asked Questions 

Is having critical illness insurance worth it in Canada?

Yes, having critical illness insurance can be worthwhile as it can provide you with the much-needed financial support when you are dealing with a life-threatening condition. It will offer a lump-sum payment to help cover medical expenses, supplement lost income, and provide monetary support to your family.

Can I get critical illness insurance if I have a pre-existing condition?

Yes, you can get critical illness insurance even if you have a pre-existing condition. However, having a pre-existing condition may affect your policy premium and its terms. You may have to go through a waiting period and get limited coverage. So, make sure to check the policy wordings before proceeding.

How do I get cheap critical illness insurance in Canada?

To get the best critical illness insurance in Canada, you can follow a few basic steps. These include:

  • Applying when young and healthy
  • Shopping around and comparing critical illness insurance quotes from insurance brokers like PolicyAdvisor
  • Go for basic plans with limited coverage
  • Opting for a limited time (such as 10, 20 years) policy

If I already have a life insurance policy, do I still need critical illness coverage?

Life insurance and critical illness cover both serve different purposes. While life insurance pays you a death benefit if you pass away, critical illness cover pays a lump sum amount while you are alive and dealing with a serious illness, like a heart attack, cancer, stroke, to name a few. This lump sum money can help you with recovery and daily expenses while you are dealing with a critical illness.

How is critical illness insurance different from disability insurance?

Disability insurance provides a monthly income replacement if you can’t work due to injury or illness for a period of time. It gives you a monthly payment until you feel better and return to work. Critical illness insurance provides a one-time lump sum payment if you are diagnosed with a serious illness mentioned in your policy. Whether you can work or not, this policy will pay you a lump sum amount upon diagnosis.

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Critical illness vs. Life insurance: Which protects Canadian cancer patients better?

A cancer diagnosis changes everything. With an estimated 247,100 new cancer cases expected in Canada in 2024, the reality is that cancer affects nearly every Canadian family.

Beyond the emotional and physical challenges, Canadian families face significant financial pressures that can devastate their savings and future security. [Source: Canadian Medical Association Journal]

What many don’t realize is that cancer accounts for approximately 67% of all critical illness insurance claims paid in Canada. Understanding the difference between critical illness insurance and life insurance could save your family from financial hardship when facing cancer.

This comprehensive guide examines how critical illness insurance and life insurance protect Canadian cancer patients differently, helping you make an informed decision about which cancer insurance coverage suits your needs best. 

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Understanding your insurance options for cancer protection

In Canada, critical illness insurance and life insurance offer distinct protection for cancer patients. Critical illness insurance delivers a tax-free lump-sum payout upon cancer diagnosis, to help you manage immediate expenses and maintain financial stability during treatment. 

In contrast, life insurance ensures your family’s long-term financial security by providing a death benefit to cover debts, mortgages, or living costs after your passing. 

What is critical illness insurance?

Critical illness insurance provides a lump-sum payment when you’re diagnosed with a covered serious illness, including cancer. In Canada, most critical illness policies cover over 25 conditions, with cancer being the most commonly claimed condition. 

Key features:

  • Immediate cash payment upon diagnosis
  • No restrictions on how you spend the money
  • Covers living expenses during treatment
  • Available while you’re still alive to benefit
Read more about critical illness insurance for cancer patients

What is life insurance?

Life insurance pays a death benefit to your beneficiaries when you pass away. For cancer patients, life insurance ensures your family’s financial security after you’re gone, covering debts, mortgages, and ongoing living expenses.  

Key features:

  • Death benefit paid to beneficiaries
  • Protects the family’s long-term financial security
  • Can include living benefits riders
  • Builds cash value (permanent policies)
Read more about getting life insurance after a cancer diagnosis

Critical illness insurance for cancer patients

How critical illness insurance works for cancer

Critical illness insurance becomes invaluable the moment you receive a cancer diagnosis. Most Canadian insurers pay benefits for invasive cancers after a brief waiting period (typically 30 days from diagnosis). 

Coverage details:

  • Invasive cancer: Full benefit payment for cancers that have spread beyond the original site
  • Carcinoma in situ: Partial payment (usually 15-25% of coverage) for early-stage cancers
  • Skin cancer: Limited coverage for melanomas and certain skin cancers

Financial protection during treatment

Cancer treatment in Canada involves significant out-of-pocket expenses despite universal healthcare. Critical illness insurance for Canadian cancer patients helps cover these costs that government health plans don’t address:

  • Income replacement: Average treatment period ranges 6-18 months
  • Treatment costs: Experimental drugs, private clinics, alternative therapies
  • Living expenses: Transportation, accommodation, childcare, household help
  • Mortgage protection: Prevents foreclosure during treatment

Can you get life insurance after cancer in Canada?

Obtaining life insurance after a cancer diagnosis presents unique challenges for Canadian patients. The life insurance underwriting process becomes more complex when cancer is involved, but options exist for cancer survivors seeking financial protection.

Timing considerations:

  • During treatment: Most insurers decline applications
  • Post-treatment: Waiting periods of 2-10 years depending on cancer type
  • Remission period: Gradual acceptance with higher premiums

Is cancer considered a pre-existing condition?

Yes, cancer is considered a pre-existing condition by insurance companies. A pre-existing condition refers to any illness, disease, or health issue that existed before you applied for health or life insurance. Cancer is specifically included in this category, meaning that if you’ve been diagnosed with cancer prior to applying, insurers will typically treat it as a pre-existing condition during their assessment.

Types of life insurance for cancer patients

Life insurance offers vital financial protection for cancer patients and their families, with options tailored to varying health and financial needs. Term life insurance provides affordable, temporary coverage ideal for protecting dependents or paying off debts like mortgages. 

Permanent life insurance offers lifelong coverage with cash value growth, suitable for estate planning despite higher premiums. Guaranteed issue life insurance ensures accessibility without medical underwriting, perfect for those with active cancer or severe health conditions, though it comes with lower coverage limits and waiting periods.

Term life insurance:

  • More affordable premiums
  • Temporary coverage (10-30 years)
  • Ideal for mortgage protection and dependents

Permanent life insurance:

  • Lifelong coverage with cash value
  • Higher premiums but guaranteed acceptance
  • Estate planning benefits

Guaranteed issue life insurance:

  • No medical underwriting required
  • Lower coverage amounts ($50,000 maximum typically)
  • Higher premiums and waiting periods
Read more about the types of life insurance policies available in Canada

Living benefits for cancer patients

Modern life insurance policies often include accelerated death benefits that allow cancer patients to access their death benefit early. These living benefits can provide crucial financial support during cancer treatment:

  • Terminal illness benefits (life expectancy under 12-24 months)
  • Chronic illness benefits for long-term care needs
  • Critical illness riders similar to standalone policies

Cost comparison: Critical illness vs. Life insurance

When considering cancer protection in Canada, the cost of insurance varies based on age, coverage amount, and whether you’re choosing critical illness or life insurance. 

For critical illness insurance, which pays out a lump sum upon a cancer diagnosis, premiums typically start around $50 per month for a 35-year-old and can increase to $500 per month for someone aged 55, based on $100,000 in coverage.

On the other hand, life insurance premiums are generally more affordable for higher coverage amounts. For example, term life insurance for a 35-year-old costs approximately $30 to $80 per month for $250,000 in coverage, while a 45-year-old may pay between $60 and $150 per month for the same coverage. 

Permanent life insurance offers lifelong protection but can cost 5 to 10 times more than term life options.

Critical illness premiums vs life insurance premiums for cancer patients

Insurance type Age Coverage amount Monthly premium range
Critical Illness Insurance 35 $100,000 $50 – $150
Critical Illness Insurance 45 $100,000 $100 – $300
Critical Illness Insurance 55 $100,000 $200 – $500
Term Life Insurance 35 $250,000 $30 – $80
Term Life Insurance 45 $250,000 $60 – $150
Permanent Life Insurance Any N/A 5 – 10x term premium

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Which insurance is right for you?

When protecting your family against the financial impact of cancer, Canadians typically choose between critical illness insurance and life insurance, or both. The right choice depends on your age, financial responsibilities, and protection goals. 

Critical illness insurance offers immediate support during treatment, while life insurance focuses on long-term family security. Some families may benefit from combining both for comprehensive cancer coverage options.

Critical illness vs Life insurance: How to choose the best insurance for cancer patients?

Choose critical illness insurance if:

  • You have dependents relying on your income
  • You want to cover treatment and recovery expenses
  • You’re focused on maintaining lifestyle during illness
  • You already have life insurance in place

Choose life insurance if:

  • Your priority is your family’s long-term financial security
  • You have large debts or a mortgage
  • You want maximum coverage at a lower cost
  • You aim to leave a financial legacy

Consider both if:

  • You have high financial obligations
  • You want full protection against both life and health risks
  • Your budget can handle both premiums
  • You’re the main income earner
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Frequently asked questions

Can I have both critical illness and life insurance?

Yes, absolutely. Many Canadians choose to have both. Critical illness insurance provides a tax-free lump-sum payment if you are diagnosed with cancer or another covered illness, helping you manage treatment costs and replace lost income. Life insurance, on the other hand, provides financial security for your family in the event of your death. 

What happens if I don’t use my critical illness insurance?

If you don’t make a claim on your critical illness insurance, the coverage simply expires at the end of the policy term. However, many insurers offer a “return of premium” option. This means you can receive a refund of some or all of the premiums you’ve paid if you remain healthy and don’t claim by a specific age (commonly 65 or 75). This feature comes with an additional cost but provides peace of mind that your premiums may not be lost.

How long after cancer treatment can I apply for life insurance?

Insurers typically require cancer survivors to wait a certain period after completing treatment before they can apply for traditional life insurance. Waiting periods vary by cancer type and individual case:

  • Breast cancer: 2 to 5 years
  • Prostate cancer: 1 to 3 years
  • Colon cancer: 3 to 5 years
  • Skin cancer (non-melanoma): 1 to 2 years
  • Melanoma or more aggressive cancers: May require longer waiting periods or specialized underwriting

Some cancer survivors may need to provide regular follow-up reports or be offered life insurance with higher premiums or limited coverage.

Are cancer survivors eligible for critical illness insurance?

Most cancer survivors are not eligible for critical illness insurance covering cancer recurrence. However, they may qualify for coverage that excludes cancer but still protects against other conditions such as heart attack, stroke, or organ failure.

Alternatively, simplified or guaranteed issue policies (which have no medical exams but offer limited coverage) may be available, though they usually exclude cancer-related claims.

Is life insurance more expensive for cancer survivors?

Yes, life insurance for cancer survivors typically have higher premiums or come with exclusions or limited benefit periods. Rates depend on the type of cancer, stage, time since treatment, and overall health. Some insurers specialize in high-risk applicants and may offer better options.

Can I get life insurance immediately after a cancer diagnosis?

It is generally very difficult to obtain traditional life insurance immediately after a cancer diagnosis. However, no medical life insurance options (also called guaranteed issue life insurance) are available. These policies have lower coverage amounts, higher premiums, and typically include a two-year waiting period before full benefits are payable.

Can I convert my group life insurance to individual life insurance after a cancer diagnosis?

If you have group insurance through your employer, you may be able to convert it to an individual policy without medical questions when you leave your job. This conversion privilege is valuable for cancer patients, as it provides a way to maintain coverage even if your health has changed.

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Is Critical Illness Insurance Worth It in Canada? (2025)

 Imagine receiving a life-changing diagnosis like cancer, a heart attack, or a stroke—not only would you face emotional and physical challenges, but the financial strain could be overwhelming. 

Critical illness insurance promises a financial safety net during these difficult times, providing a lump sum payout to cover medical costs, replace lost income, or help with daily living expenses. But is it truly worth the investment? Let’s unpack the details together.

Is critical illness insurance worth it in Canada?

Yes, having critical illness insurance is worth it in Canada! It helps insured individuals during difficult times by paying them a lump sum benefit amount that is non-taxable. Canadians who have a critical illness insurance policy can utilize this payout for their treatment or other expenses and focus on complete recovery.

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Call 1-888-601-9980 to speak to our licensed advisors right away, or book some time with them below.

What is critical illness insurance?

Critical illness insurance is an agreement you make with an insurance provider that they will pay you a lump-sum benefit if you develop a life-threatening illness. Critical illnesses usually require a long and expensive treatment plan.

The payout can help individuals receive the best healthcare facility to proceed with their treatment. Additionally, it may also serve as an income backup in case the individual needs to take some time off work.

Here are some of the key features of critical illness insurance:

  • A one-time payment that is given regardless of any other health insurance policy
  • Coverage against 26 critical ailments, including heart attack, cancer, stroke, kidney failure, organ transplants, and more
  • Provision of additional coverage for diseases such as Alzheimer’s disease, severe burns, multiple sclerosis, etc
  • Critical illness insurance usually has a waiting period—a predefined duration during which you can’t make any claims 
  • Critical illness insurance is a living benefit—you will get the payout while you are alive and undergoing treatment

Why is critical illness insurance coverage worth it?

Critical illness insurance is worth the cost of monthly premiums because it’s very likely that you will be payed out for your policy. In fact, over 80% of critical illness insurance policies are paid out, and that number is growing. Because this type of insurance coverage can include a variety of illnesses, chances are, you’ll have to make a claim. That means it’s worth your money.

Let’s take a look at some stats.

Critical illness insurance statistics in Canada

  • More than 80 percent of working Canadians have either suffered from a critical illness themselves or know someone who has a critical illness.
  • More than 400,000 Canadians are still living with the after-effects of stroke.
  • The average out-of-pocket expenses for cancer in Canada is around $400 a month.
While not all illnesses are dire, they can sometimes require continued medical care as well as lifestyle changes. This entire spectrum of health expenses for treatment of medical conditions and aftercare that comes after a critical illness requires more than what your provincial health care plan will cover.
Critical illness statistics

What does critical illness insurance cover?

Critical illness insurance in Canada covers close to 26 diseases that require immediate medical intervention and management, including cancer, heart attack, strokes, kidney failure, brain tumor, and more. 

Here are a few prominent diseases covered by critical illness insurance:

  • Heart attack
  • Stroke
  • Cancers
  • Aortic surgery
  • Coronary artery bypass surgery
  • Major organ transplant
  • Major organ failure on a waiting list
  • Occupational HIV infection
  • Kidney failure
  • Aplastic anemia
  • Acquired brain injury
  • Benign brain tumor
  • Dementia (including Alzheimer’s disease)
  • Bacterial meningitis
  • Motor neuron disease
  • Multiple sclerosis
  • Parkinson’s disease
  • Loss of limbs
  • Paralysis
  • Severe burns

Advantages of critical illness insurance coverage

Critical illness insurance comes with many advantages as an insurance product beyond the high rate of payout, including flexibility, return of premium rider, easy conversion to permanent coverage, and more.

  • Flexibility in how benefit is used
  • Premiums can be returned if there are no claims (return of premium rider)
  • Ability to get coverage as a rider or separate policy
  • Ability to convert to permanent coverage

Disadvantages of critical illness insurance coverage

While critical illness insurance is a great product, there are some aspects that some may find negative in terms of pricing, underwriting guidelines, and claims processing process.

  • More expensive than life insurance
  • More stringent underwriting guidelines
  • Strict claims process (you must have an official diagnosis, which may take time)

How much does critical illness insurance cost?  

The cost of critical illness insurance can vary based on the type of coverage you want, your age, general health condition, etc. Usually, the price will range between $22 to $640 for non-smokers and $36 to $880 for smokers. The following tables show the estimated costs of critical insurance coverage based on the coverage period, and the age and gender of the insured:

10-year coverage for male non-smokers

10-year coverage 100K 250K 500K
Age 25 $22.49 $48.09 $90.21
Age 35 $30.87 $68.40 $130.81
Age 45 $63.18 $136.35 $267.30
Age 55 $153.81 $321.75 $638.10

10-year coverage for male smokers

10-year coverage 100K 250K 500K
Age 25 $36.49 $67.09 $102.21
Age 35 $58.87 $84.40 $165.81
Age 45 $95.18 $156.35 $321.30
Age 55 $198.81 $359.75 $879.10

10-year coverage for female non-smokers

10-year coverage 100K 250K 500K
Age 25 $24.20 $47.88 $91.49
Age 35 $32.07 $69.47 $132.95
Age 45 $62.01 $135.45 $266.40
Age 55 $127.06 $285.98 $567.45

10-year coverage for female smokers

10-year coverage 100K 250K 500K
Age 25 $29.20 $58.88 $98.49
Age 35 $43.07 $78.47 $154.95
Age 45 $85.01 $153.45 $287.40
Age 55 $147.06 $297.98 $590.45

Factors influencing the cost of critical illness in Canada

Several factors influence the cost of critical illness insurance in Canada, including age, health status, coverage amount and smoking status of the individual. Take a look at some of the most prominent ones:

  • Age: Premiums increase with age as the risk of developing a critical illness rises
  • Health status: Pre-existing conditions or a history of illness can lead to higher premiums or coverage denial
  • Coverage amount: Higher coverage amounts lead to more expensive premiums
  • Policy term: Longer policy terms often result in higher costs
  • Smoking status: Smokers typically face higher premiums due to increased health risks
  • Occupation and lifestyle: High-risk occupations or unhealthy lifestyle choices can elevate premiums
  • Family medical history: A family history of critical illnesses can also raise premium costs
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What are the top 3 critical illnesses?

In Canada, the top three critical illnesses leading to insurance claims are cancer, heart attack, and stroke. These conditions are highly prevalent and are included in nearly all critical illness insurance policies, often accounting for the majority of claims due to their frequency and impact on individuals’ health and finances.

According to the Canadian Cancer Society, cancer is the leading cause of death in Canada, responsible for 30% of all deaths. Approximately 2 in 5 Canadians (44% of men and 43% of women) are expected to develop cancer during their lifetime.

Between 2015 and 2030, the number of new cancer cases diagnosed is expected to increase by about 40%. Lung, breast, colorectal, and prostate cancers are the top four types, accounting for 46% of diagnosed cases.

Do you need critical illness insurance cover?

Regardless of any disadvantages of the product, the rate at which you are likely to get paid out for this policy makes this policy worth it—it’s a very low-risk gamble compared to other insurance products. Critical illness insurance provides a different type of peace-of-mind than other insurance categories like term life or whole life insurance.

If you worry about your quality of life after a health scare, how a sickness could affect your family’s financial well-being, or having to work through an illness thus delaying or hampering your recovery, then critical illness can definitely be considered worth it.

Which is better life insurance or critical illness?

Life insurance and critical illness insurance are completely different insurance products that serve different purposes.

  • Life insurance: pays out a death benefit to your beneficiaries when you pass away
  • Critical illness insurance: pays out a benefit to you (the policyholder) if you are diagnosed with a critical illness

In the context of permanent (or whole life) coverage, permanent life insurance is more of a guaranteed product than critical illness, because one day you will pass away, but you may not necessarily be diagnosed with a critical illness. But that doesn’t make it a better product than critical illness insurance.

Both policies are important to have when considering the financial future of your family. Critical illness insurance will financially support your family if you are recovering where as life insurance will take care of your family if you have passed away.

What cancers are not covered by critical illness insurance?

Typically, non-invasive or early-stage cancers (such as stage 0 or carcinoma in situ) and certain types of skin cancers, like basal cell carcinoma or squamous cell carcinoma, are not covered under most critical illness insurance policies in Canada. Coverage usually focuses on life-threatening and advanced-stage cancers.

However, melanoma, which is an aggressive form of skin cancer, is typically included if it meets the policy’s severity criteria (e.g., the cancer must have invaded deeper skin layers or spread). Other types of cancer that may be covered are:

  • Blood cancers like leukemia may be covered if they reach a specific stage
  • Prostate cancer might require a diagnosis above a certain grade on the Gleason scale to qualify for a claim
  • Thyroid cancers may only qualify if they exceed a specific tumor size or require aggressive treatment

Do I need both income protection and critical illness cover?

Yes, you may need both income protection and critical illness cover. Income protection and critical illness insurance coverage are different insurance products with different purposes.

  • Income loss protection or job loss insurance: pays out a benefit if you lose your job
  • Critical illness insurance: pays out a benefit to you (the policyholder) if you are diagnosed with a critical illness
  • Disability insurance: replaces a portion of your income if you are sick or injured and cannot work for a short or long period of time (depending on the policy). This is different from job loss insurance as you are only temporarily off work.

Disability insurance will replace your income while you’re off work due to a critical illness, whereas critical illness insurance will pay you a one-time lump sum payment when you are diagnosed with that illness. We recommend both products to ensure your full financial security during your recovery period.

Insurance can be affordable

Find the lowest quotes from the best critical illness insurance providers in Canada

Does critical illness pay out on diagnosis?

Yes, critical illness insurance in Canada typically pays out after a diagnosis of a covered illness, provided you meet the conditions outlined in the policy. This often includes meeting a minimum survival period (typically 30 days) and providing the necessary documentation, such as medical reports with proof of diagnosis within 30 to 90 days of the diagnosis date or surgery

Once the policy requirements are met, you receive the payout as a tax-free lump sum. The money can be used at your discretion, whether for medical costs, living expenses, home care, or paying off debts.

What to look for in a critical illness insurance policy?

When selecting a critical illness policy and deciding if it’s worth it for your family, you should consider looking for simplified issue options, flexibility, eligible illnesses, coverage amounts, and survival periods for a well-rounded coverage.

To give you a better idea of how to select the best critical illness insurance policy, here’s a breakdown of policy benefits you should look for:

  • Simplified issue options: Many insurance providers offer online options to purchase policies with quick, easy, and instant approval.
  • Flexibility in premiums: Options such as limited pay and return of premium change the way pay for premiums or lessen the financial impact of those premiums.
  • Eligible illnesses: Many of the providers in Canada offer enhanced coverage for 25+ illnesses. However, there are a few companies that offer basic coverage only (16 or even sometimes 4 illnesses). Some even have policies that cover only 1 type of illness, like heart-related events or cancer.
  • Coverage amounts: Canadian insurance companies offer critical illness insurance coverage from $10,000 to millions of dollars, but each provider has different minimum and maximum coverage amounts.
  • Survival period: As we have already discussed, insurance providers in Canada generally instill a 30-day survival period (which is also known as a waiting period).
  • Coverage for children: Many policies offer optional riders for coverage for children.
  • Partial payouts: Some policies have options that cover partial conditions and thus disburse partial benefit payouts.

Several Canadian insurance providers offer different types of critical insurance policies. Each of these policies has its own merits and drawbacks. PolicyAdvisor has reviewed all the major critical illness insurance offerings in Canada. In doing so, we come up with a list of features, details, and options Canadians should look for when shopping for their own critical illness coverage.

It may be the case that every feature is available in one policy, but with the help of an experienced insurance broker, you can find the coverage that is best for you.

Critical illness insurance vs. disability insurance

Critical illness insurance and disability insurance serve different purposes in financial protection. 

One one hand, critical illness insurance provides a lump-sum payment if you’re diagnosed with a specified serious illness. Disability insurance, on the other hand, provides regular income replacement if you’re unable to work due to an injury or illness. Both types of insurance offer vital protection, but they address different financial needs.

Here is a detailed comparison of the two insurance plans. Check out to know more:

Difference between critical illness insurance and disability insurance

Comparison features Critical illness insurance (CI) Disability insurance (DI)
Claim event(s) Diagnosis of a covered life-

threatening illness or condition

Any illness or injury that leads to a loss of income
Covered conditions 26+ common conditions including:

  • Heart attack
  • Cancer
  • Stroke
  • MS
  • Kidney failure
  • Parkinson’s disease
  • Aplastic anemia
  • And more
Any medical condition that would prevent you from working, including:

  • Mental health struggles
  • Broken bones
  • Back injuries
  • Carpal tunnel
  • Seizures
  • Hearing or vision loss
Benefit amount $25K – $2.5M+ depending on

your policy

Replaces a part of your monthly income
Benefit duration One or more lump-sum

payment(s)

Monthly payments Until you

recover or your policy lapses

(can last until you reach 65 or

older)

Coverage term You can get coverage up to age 100 Most policies end when you turn 65
Period before benefits begin Survival period of 30 days Waiting period (or elimination

period) of 30 days to 1 year

When combined, these two types of insurance provide both immediate financial relief and ongoing income support, ensuring that you’re financially protected from both the short-term and long-term impacts of a serious health issue.

Is it worth paying for critical illness insurance?

Yes, critical illness insurance can be a worthwhile investment in Canada, particularly if you:

  • Don’t have employer-provided insurance or benefits
  • Have a family history of serious illnesses
  • Want to ensure your mortgage or other financial obligations are covered if you lose income due to illness

When it comes to affordability, critical illness insurance is relatively accessible, with premiums starting as low as $24 per month. However, costs may vary based on your age, health, smoking status, and the level of coverage you choose.

If you’re worried about critical illness insurance not being worthwhile, you can add a return of premium rider to your plan. This option will return all your paid premiums if:

  • You pass away without making a claim
  • Your policy expires without a claim
  • You cancel your policy after a set period without a claim

Find out if critical illness insurance is worth it for your family

Those seeking coverage should consider this carefully and choose the policy (or critical illness insurance rider) that suits them best, considering both their coverage requirements and their budget. Better yet, get in touch with one of our experienced advisors to help educate you on your options.

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Give us a call at 1-888-601-9980 or book some time with our licensed experts.

Frequently asked questions (FAQs)

What is the difference between critical illness insurance and health insurance?

Critical illness insurance in Canada provides a lump-sum payment if you’re diagnosed with a life-threatening illness. This payment can help pay for any purpose, like covering treatment costs, paying off debts, or adapting your lifestyle. 

Health insurance covers routine medical expenses that provincial health coverage may not offer. This may include doctor visits, prescription drugs, and hospital stays. It may also include extended benefits like dental and vision care.

Can I purchase critical illness insurance if I have a pre-existing condition?

Yes, you can purchase critical illness insurance if you have a pre-existing condition, but it may be more challenging.

Insurers often assess the risk associated with your pre-existing condition.  This could lead to higher premiums, exclusions, or denial of coverage for illnesses related to that condition. 

Can I customize my critical illness insurance policy?

Yes, you can often customize your critical illness insurance policy to fit your specific needs. Insurers typically offer various options that allow you to tailor your coverage. They are as follows:

  • You can select from a range of critical illnesses to include in your policy
  • You can determine the lump-sum payout amount
  • You can add optional riders, like the return of premium or disability income,  for additional benefit
  • You can choose the length of coverage, whether it’s a set number of years or until a certain age

What are the exclusions typically found in critical illness insurance policies?

Critical illness insurance policies often include several common exclusions. These exclusions may vary from one insurer to another, but they generally include:

  1. Self-inflicted injuries: Conditions resulting from intentional self-harm are usually not covered
  2. Substance abuse: Illnesses arising from alcohol or drug abuse are commonly excluded
  3. Non-disclosure: Failure to fully disclose your medical history can lead to denial of claims
  4. Less severe conditions: Early-stage or less severe forms of certain illnesses, like some cancers, may be excluded
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How much is critical illness insurance in Canada?

The cost of critical illness insurance can vary depending on your age, lifestyle, and coverage amount. While no one plans for a life-altering illness, the financial impact of a critical condition can be as devastating as the diagnosis itself. 

In this guide, we’ll take you through the cost of critical illness insurance and share tips to help you find affordable coverage.

What is critical illness insurance?

Critical illness insurance is a type of coverage that provides a lump-sum payout if you’re diagnosed with a serious illness covered by the policy, such as cancer, heart attack, or stroke. This money can be used for medical expenses, lost income, or other financial needs during recovery. 

Unlike traditional health insurance, it offers financial flexibility to help cover non-medical costs like mortgage payments or home care. It’s designed to ease financial stress during a challenging time, ensuring better financial security.

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What factors affect the cost of critical illness insurance in Canada?

The cost of critical illness insurance in Canada can vary from one individual to another, based on several factors such as age, gender, health status, coverage amount selected, and certain lifestyle choices. 

  • Age: Younger individuals pay lower premiums, while rates increase significantly after an individual turns 40
  • Health status & medical history: Pre-existing conditions or past illnesses lead to higher premiums or exclusions
  • Coverage amount & policy term: Higher coverage and longer terms increase costs. Short-term policies are more affordable
  • Lifestyle choices: Smoking, alcohol use, and risky activities raise premiums
  • Family medical history: A history of critical illnesses in the family can result in higher rates
  • Gender: Men and women face different risks, affecting premium costs
  • Insurance provider & policy features: Prices vary by insurer, and added benefits like a return of premium increase costs
Find out what critical illness insurance covers in Canada

How much does critical illness insurance cost in Canada?

In Canada, the cost of critical illness insurance can vary between $15 to $385 per month, based on the age, gender, family medical history, or smoking status of an individual. Here’s what the cost may look like for men of various age groups (both smokers and non-smokers) opting for $50,000 or $100,000 in coverage:

Cost of critical illness insurance in Canada

Age Coverage amount Monthly premium ( Male smokers) Monthly premium (Male non-smokers)
20 $50,000 $17.27/month $15.56/month
30 $100,000 $38.81/month $29.29/month
35 $50,000 $32.34/month $21.18/month
40 $100,000 $80.04/month $45.20/month
45 $50,000 $78.15/month $39.22/month
55 $100,000 $385.12/month $170.74/month

*Illustrative costs for male individuals of various age groups opting for either $50,000 or $100,000 in coverage

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How does smoking status affect the cost of critical illness insurance?

Smokers typically pay higher premiums than non-smokers due to the increased risk of developing serious conditions such as cancer, heart disease, and stroke. This amount can vary between $35 to almost $400 per month, depending on your age and other health complications.

Many insurers classify applicants as smokers if they have used tobacco or nicotine products within the last 12 months. Here’s what you can expect to pay per month to purchase a critical illness insurance plan for the top insurance providers in Canada:

Cost for critical illness insurance for smokers from top Canadian insurers

Age Canada Life Manulife RBC Desjardins Sun Life
30 $35.57/mo $39.77/mo $39.87/mo $37.35/mo $41.49/mo
40 $74.48/mo $83.06/mo $78.66/mo $77.58/mo $86.40/mo
55 $360.99/mo $395.98/mo $396.45/mo $373.95/mo $398.25/mo

*Illustrative costs for male smokers of various age groups with $100,000 in coverage

Are there any age-specific discounts for critical illness insurance?

Although it is not typically guaranteed, age-based discounts can be provided by some insurers who offer lower premiums for younger applicants.

Also, some providers offer promotional discounts for specific age groups if you make sure to lock in lower rates by participating in an early enrollment. Group policies that are often purchased by employers or associations sometimes include age-based pricing benefits.

You can compare various plans offered by several companies to make sure which critical illness insurance plan suits your budget best.

Check out when it's the perfect time to buy critical illness insurance coverage in Canada

How does my occupation affect the cost of critical illness insurance in Canada?

Certain occupations, particularly those with higher physical risks or exposure to hazardous conditions, may result in higher premiums. This is because individuals in these fields are perceived to have a higher likelihood of facing critical illnesses or injuries. Understanding how your occupation impacts your premium can help you assess your coverage options effectively.

Do pre-existing conditions increase the cost of critical illness insurance?

Yes, pre-existing conditions will typically increase the cost of your critical illness insurance plan. Most insurance companies assess an applicant’s medical history during underwriting. Individuals with pre-existing conditions are considered at higher risk as they may fall sick more frequently as compared to healthy individuals.

This is why people with pre-existing conditions may face higher premiums, exclusions for certain conditions, or even denial of coverage. Some policies may offer coverage with a waiting period, meaning pre-existing conditions won’t be covered for a particular period of time after purchasing the policy. 

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What is the average critical illness insurance coverage that Canadians typically choose?

The average critical illness insurance coverage that Canadians typically choose ranges between $50,000 and $100,000. This is considered to be an ideal amount that can help cover medical expenses, loss of income, and other financial burdens during recovery. 

However, you can also opt for a higher coverage—up to $250,000 or more—depending on your financial obligations, lifestyle, and family needs. Certain factors such as age, health status, and premium amount may also influence what coverage option you’re going for. Make sure to assess your personal expenses and potential medical costs to determine the right coverage amount for your needs.

Is critical illness insurance tax deductible in Canada?

Critical illness insurance premiums are generally not tax-deductible for individuals when purchased for personal use. Since the benefit is paid out as a lump sum and is typically tax-free, the Canada Revenue Agency (CRA) does not allow individuals to deduct premiums as a medical expense.

However, if a business purchases a critical illness policy for an employee, the tax treatment can vary. In some cases, premiums paid by an employer may be considered a taxable benefit for the employee.

Who offers the best critical illness coverage in Canada?

Although the best critical illness insurance company can depend solely on the specific needs of an individual compared to the offerings of various providers, some of the most prominent names in Canada include Canada Life, Sun Life, Manulife, Desjardins, and RBC.

  • Canada Life: Offers flexible term and permanent coverage with customizable benefits and lump-sum payouts for medical and recovery expenses
  • Sun Life: Covers up to 26 illnesses, providing tax-free lump-sum payments and optional return-of-premium benefits for added financial security
  • Manulife: Provides coverage for up to 24 illnesses, along with second medical opinions and flexible payout options for comprehensive protection
  • RBC Insurance: Offers up to $2 million in coverage with critical illness and long-term care benefits to ensure financial stability during recovery
  • Desjardins: Covers up to 26 conditions, with partial payouts for early-stage diagnoses and wellness support services for a holistic approach
Explore the difference between critical illness insurance and critical illness riders in our detailed blog

How to reduce the cost of critical illness insurance in Canada?

Reducing the cost of critical illness insurance in Canada involves several options which include buying insurance at a younger age, choosing a higher deductible, considering policy riders, and limiting your coverage amount. These strategies can help lower your premiums without sacrificing essential coverage. 

  • Buy at a younger age: Premiums tend to be lower when you’re younger and in better health. The sooner you purchase coverage, the more affordable it will likely be.
  • Choose a higher deductible: Opting for a higher deductible can reduce your premiums. However, ensure you’re comfortable with the out-of-pocket expenses in the event of a claim.
  • Consider policy riders: Some insurance providers offer the option to add critical illness coverage as a rider to a life insurance policy. This can be more cost-effective than purchasing a standalone critical illness policy.
  • Limit coverage amount: If you don’t need extensive coverage, consider opting for a lower coverage amount. This can help you save on premiums while still providing essential protection.
  • Shop around: Different insurers offer varying rates for similar coverage. Compare policies from multiple providers to find the best deal that meets your needs.
  • Maintain a healthy lifestyle: Insurers may offer better rates to those with good health. Maintaining a healthy weight, not smoking, and exercising regularly can improve your eligibility for lower premiums.
  • Opt for limited coverage: Some policies offer limited-term coverage (e.g., coverage for a specific number of years), which can lower premiums compared to lifetime coverage.
  • Review and update your policy regularly: As your life circumstances change, such as becoming debt-free or experiencing a decrease in financial responsibilities, you can review your policy and adjust your coverage to reflect your current needs

How to find the best critical illness insurance rates in Canada?

Searching for the best critical illness quotes in Canada can indeed be daunting. Comparing several plans to choose one that suits your needs the best can be hectic, especially if you lack extensive industry knowledge. This is exactly where PolicyAdvisor comes in.

Our team of expert advisors can take you through all your options based on your budget and lifestyle choices. Moreover, through PolicyAdvisor, you can access lifetime after-sales support in case you run into any problem or have queries about your plan at a later point of time! Book a call with us today and make sure you’re fully prepared when a health crisis hits your life!

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Frequently asked questions

Does critical illness insurance pay out for partial diagnoses or early stages of illness?

Some critical illness insurance policies may offer partial payouts if the illness is diagnosed at an early stage or if you only experience partial symptoms. These policies may include a graded benefit structure that provides a reduced payout if the illness doesn’t meet the full criteria for a complete diagnosis. It’s important to review the terms to understand how early detection or partial conditions are handled.

Can I customize my critical illness insurance policy to suit my specific needs?

Yes, many insurance providers in Canada offer customizable options. You can adjust the coverage to focus on specific illnesses, such as heart conditions or neurological disorders, depending on your family medical history or personal health concerns. Customizing your policy allows you to tailor your protection and potentially lower your premiums.

Do critical illness insurance premiums increase with age?

Yes, premiums generally rise as you age since the risk of developing a critical illness increases. Buying a policy at a younger age can help lock in lower rates, and some policies offer level premiums that remain fixed throughout the term.

Is there a difference in cost between standalone critical illness insurance and a critical illness rider added to life insurance?

Yes, standalone critical illness insurance policies tend to have higher premiums but offer broader coverage and higher payouts. Critical illness riders added to life insurance are usually more affordable but they may provide limited benefits and expire when the life insurance policy ends.

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Does critical illness insurance cover heart attack?

Every year in Canada, roughly 63,200 people are diagnosed with a heart attack for the first time (source: Government of Canada). With the heart attack mortality rate of about 12% (source: Healthline), that means that every year over 55,000 people live with varying degrees of heart damage, which can impact lifestyle, mobility, and the ability to work.

Critical illness insurance can play a vital role in supporting people’s heart attack recovery by providing financial protection should they undergo this life-threatening health event. Critical illness insurance is a living benefit that can be used at the insured’s discretion, whether it’s to pay for care, treatment, income replacement, or anything else they may need. Keep reading to learn more about who is eligible for heart attack insurance and how it can protect your financial future.

Can I claim critical illness insurance for a heart attack?

Yes, you can typically claim critical illness insurance for a heart attack, but it depends on the policy terms. Most critical illness policies cover heart attacks, but they may specify severity levels or medical criteria that must be met, such as evidence of heart muscle damage or elevated cardiac enzymes. 

Minor heart conditions might not qualify. It’s essential to review your policy’s definitions and exclusions to understand coverage details and ensure your claim aligns with the requirements.

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What is a heart attack?

A heart attack, also called myocardial infarction, is when the heart muscle suffers damage due to a lack of blood flow and, consequently, lack of oxygen. Just as a stroke is caused by loss of blood flow to the brain, a heart attack is caused by a lack of blood flow to the heart.

The severity of heart attacks varies depending on how long the blood supply is cut off from the vital organ. In worst-case scenarios, it can lead to cardiac arrest and death.

What are the probable causes of a heart attack?

There are several factors that can cause heart attacks. The most common cause is obstructed coronary arteries due to buildup of plaque, cholesterol plaque, or blood clots. Heart attacks can also be caused by a coronary artery spasm, which temporarily restricts the coronary artery, inhibiting blood flow.

While heart attacks are often unexpected, there are certain factors that influence your risk of heart disease—some of which can be mitigated. For instance, smoking, stress, recreational drug use, obesity, high blood pressure, and high cholesterol can all increase your risk of this medical condition. Other uncontrollable factors—such as age, family medical history, and certain autoimmune conditions—can contribute to your risk of a heart attack.

What is critical illness insurance?

Critical illness insurance is a type of coverage offered by life insurance companies (typically as an add-on to a life insurance policy, but can also be purchased as a stand-alone policy) that pays out a tax-free lump sum should the insured be diagnosed with a life-threatening illness or suffer a serious health event while the policy is active.

Unlike traditional life insurance, critical illness insurance issues a benefit while the insured is alive, providing them and their family with financial support as they manage the financial and health impact of a life-threatening illness. This money can be used to pay medical expenses, cover non-traditional treatment, travel expenses or any other expenses the family sees fit.

It should be noted that the critical illness insurance benefit is only paid if the insured is diagnosed with a covered illness, as specified in the policy. The proceeds of the insurance can be used fully at the discretion of the insured.

Learn more about whether life insurance covers heart attack

How does critical illness insurance work?

Critical illness insurance offers financial protection by paying out a tax-free lump sum if you are diagnosed with a covered condition. To activate the policy, you must:

  • Be diagnosed with a specific illness listed in your plan (e.g., cancer, heart attack)
  • Submit a claim with medical documentation
  • Meet the waiting period requirements (if applicable)

The payout can be used for any purpose, including medical expenses, income replacement, or lifestyle adjustments during recovery.

Does critical illness insurance cover heart attack?

Yes, critical illness policies cover heart attacks. In fact, heart attacks are the second most claimed health event through critical illness coverage (representing 13%), following cancer (63%). If you’ve suffered from a heart attack, it is important to note what insurance companies consider when approving claims.

First, a heart attack requires a medical specialist diagnosis, and the insured must have undergone symptoms as well as electrocardiogram (ECG) changes that are consistent with a heart attack.

critical illness insurance is worth it because of the high likelyhood such illness in Canada

How much does critical illness insurance cost?

Critical illness insurance can cost between $22 and $921 per month depending on factors like age, health, coverage amount, and policy term. For example, A 25-year-old male non-smoker could pay $22.49 per month for $100,000 coverage over 10 years and $56.70 per month for $250,000 coverage over 20 years.

Critical illness insurance premiums across different categories

Category/Coverage Period and Amount 10 Years ($100,000) 20 Years ($100,000) 10 Years ($250,000) 20 Years ($250,000) 10 Years ($500,000) 20 Years ($500,000)
Male Non-Smoker (Age 25) $22.49 $26.82 $48.09 $56.70 $90.21 $108.00
Male Non-Smoker (Age 35) $30.87 $42.50 $68.40 $96.75 $130.81 $187.25
Male Non-Smoker (Age 45) $63.18 $89.78 $136.35 $214.82 $267.30 $423.66
Male Non-Smoker (Age 55) $153.81 $234.09 $321.75 $470.02 $638.10 $921.15
Female Non-Smoker (Age 25) $24.20 $27.09 $47.88 $57.83 $91.49 $110.25
Female Non-Smoker (Age 35) $32.07 $44.04 $69.47 $100.04 $132.95 $195.37
Female Non-Smoker (Age 45) $62.01 $81.74 $135.45 $194.73 $266.40 $383.47
Female Non-Smoker (Age 55) $127.06 $173.70 $285.98 $408.60 $567.45 $801.00

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Is critical illness insurance tax deductible?

The payout from a critical illness policy  is tax-free. However, the premiums paid by individual policyholders, are considered a personal expense and are not tax deductible. For businesses providing critical illness coverage to employees, the premiums may be deductible as a business expense.  

How to claim critical illness insurance?

To claim your critical illness insurance, you need to submit a claim form to your provider within their specified timeframe. For instance, companies like Canada Life and RBC require you to submit your claim form along with satisfactory proof of diagnosis within 30 to 90 days of the diagnosis date or surgery.

Can I be denied critical illness claim for a heart attack?

There can be certain scenarios in which your critical illness claim may be denied. For instance, a claim may be denied if a policyholder has ECG changes that point to a pre-existing heart attack, displays other acute coronary syndromes, or has undergone a medical procedure or received another diagnosis that has caused elevated cardiac biomarkers.

How long do I have to wait to file a claim after having a heart attack?

In order to make a claim for heart attack insurance, policyholders must be diagnosed with a heart attack by a physician and wait 30 days after the diagnosis. This waiting period is called a survival period. Some insurance providers do offer shorter survival periods. Typically, the critical illness benefit will be paid within a month of the claim being submitted.

Can I start a critical illness insurance policy after I’ve had a heart attack?

While it is much easier to start a critical illness insurance policy before suffering any major health events, it is still possible to find coverage after a heart attack recovery. In other words, you have options, though you may not qualify for the most competitive rates or highest benefits.

The most common route for those who have recovered from a heart attack is guaranteed critical illness insurance. This type of policy, though inclusive, has some limitations. For example, guaranteed critical illness insurance typically includes a two-year pre-existing condition exclusion.

This means that if you’ve suffered from a heart attack in the two-year period before the start of the policy, any heart attack or related health event in the next two years will not be covered.

Can I get critical illness insurance if my family has cardiovascular health concerns?

If your family has a history or signs of heart disease, it is prudent to think about investing in critical illness insurance. Though most life insurance companies take family medical histories into account when evaluating a critical illness insurance application, having an increased risk of heart disease will not necessarily exclude you from coverage. Your coverage limit and premium rates, however, may be impacted.

In cases where family history is a consideration, it is advisable to purchase critical illness insurance sooner rather than later. This will increase your chances of being able to place coverage and improve the premium rates you are offered.

To find out more about insurance for heart attacks and other critical health conditions, head to our critical illness insurance learning centre. To better understand how much critical illness insurance coverage you might need, consult our critical illness insurance calculator.

How to get the best critical illness quotes in Canada?

Finding the best critical illness insurance quotes in Canada can be a hassle, but PolicyAdvisor makes it simple and stress-free. With the help of our experienced advisors, you can compare rates from Canada’s top insurance providers, offering side-by-side comparisons of critical illness plans tailored to your needs.

Whether you’re looking for broad coverage, competitive premiums, or specific illness inclusions, PolicyAdvisor can help you curate options based on your unique requirements.

Need further assistance?

Give us a call at 1-888-601-9980 or book some time with our licensed experts.

Frequently asked questions

How does critical illness insurance differ from disability insurance when covering heart attacks?

Critical illness insurance provides a one-time lump sum payment upon diagnosis of a covered condition, like a heart attack, while disability insurance replaces a portion of your income if you’re unable to work due to any medical condition. If your heart attack meets the criteria outlined in your critical illness policy, you’ll receive the payout regardless of your ability to continue working.

Does critical illness insurance cover rehabilitation costs after a heart attack?

The lump sum payout from critical illness insurance can be used for any purpose, including rehabilitation, medical expenses, lifestyle adjustments, or even paying off debt. Unlike health insurance, it doesn’t reimburse specific medical costs—it gives you the flexibility to allocate the funds where you need them most.

What happens if I have multiple heart attacks?

Most critical illness policies provide a one-time lump sum payout per insured condition. If you suffer multiple heart attacks, only the first eligible claim will be covered. However, some policies offer multi-condition coverage or allow for separate claims if different critical illnesses occur. 

Can I purchase critical illness insurance if I already have a heart condition?

If you have a pre-existing heart condition, insurers might exclude heart attacks from your coverage or charge significantly higher premiums. Some specialized policies cater to individuals with pre-existing conditions, though the terms might be more restrictive. Check out your policy documents to find out whether your insurance policy covers heart attack as a pre-existing condition.

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Does critical illness insurance cover diabetes?

 If you have diabetes or are at risk of developing it, you might be wondering whether critical illness insurance can offer financial protection for the condition.

In this article, we’ll explore how critical illness insurance covers diabetes in Canada, what coverage options exist if you’re already diagnosed, and what alternatives to consider if you don’t qualify.

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Need insurance answers now?

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What is critical illness insurance?

​​Critical illness insurance is a type of insurance policy that pays out a tax-free lump sum should the insured be diagnosed with a life-threatening illness covered by the insurer. This type of coverage is also available as an optional add-on with life insurance policies.

Unlike traditional life insurance, critical illness insurance issues a benefit while the insured is alive, providing them and their family with financial support as they manage the financial and health impact of a life-threatening illness.

What does critical illness insurance cover?

Most critical illness insurance providers cover around 26 conditions, including blindness, limb loss, dementia, cancer, heart attack, and stroke, based on the definitions standardized by the Canadian Life and Health Insurance Association (CLHIA).

However, children’s critical illness policies, or riders, may cover up to 35 conditions, including illnesses commonly diagnosed in children such as autism, cerebral palsy, and more.

What is not covered by critical illness insurance?

Critical illness insurance in Canada typically excludes pre-existing conditions — conditions diagnosed before purchasing the policy, such as diabetes, arthritis, or osteoporosis. Most policies also have a waiting period of 90 days to one year for conditions like cancer and Parkinson’s disease. If you’re diagnosed during this waiting period, you won’t be eligible for benefits.

What is diabetes?

Diabetes is a chronic condition classified by the body’s inability to properly use or produce insulin. Insulin is a hormone normally found in your pancreas that controls glucose (sugar) levels in the blood. 

If you have diabetes, your body doesn’t respond to or produce insulin how it should. This results in high blood glucose (blood sugar) levels. High levels of blood glucose and diabetes can lead to a lot of complications such as cardiovascular disease, stroke, kidney disease, eye damage(retinopathy), glaucoma, gangrene, or even Alzheimer’s

Diabetes can impact anyone at any age although some types are more prevalent among certain demographics. According to the Public Health Agency of Canada, men are more likely to be diagnosed with diabetes than women, except for gestational diabetes. 

What are the various types of diabetes?

There are three main types of diabetes: type 1, type 2, and gestational.   

Type 1 Diabetes

Type 1 diabetes is an autoimmune disease that typically develops during childhood but can also occur in adults. In this condition, the immune system destroys the pancreatic cells that produce insulin. Because Type 1 diabetes is an autoimmune disease, there are no proven ways to prevent it.

Type 2 Diabetes

Type 2 diabetes is a metabolic disorder that most typically appears in adults over the age of 40, however, you can be diagnosed when you’re younger. It occurs when your pancreas doesn’t produce enough insulin to metabolize the amount of glucose in your body or your body isn’t able to properly use the insulin it produces. Contributing factors include fitness levels, weight, ethnicity, family history, and genetics. This condition can be prevented to an extent through lifestyle choices such as diet and exercise.

Gestational Diabetes

Gestational diabetes occurs during pregnancy when your body is unable to produce enough insulin, leading to an increase in blood glucose levels. While gestational diabetes usually goes away a few weeks postpartum, it does signify an increased risk for developing type 2 diabetes in the future. Gestational diabetes can be prevented to an extent through lifestyle choices such as diet and exercise.

Symptoms and Complications

Diabetes can express itself through various symptoms and can lead to a variety of complications. Diabetics can experience increased thirst, increased urination, increased hunger, weight loss, blurry vision, numb hands or feet, and tiredness among other things.

If diabetes isn’t managed properly it can lead to conditions such as high blood pressure, heart disease, kidney failure, stroke, or other complications. These symptoms and complications will all be relevant in determining the level of coverage as well as the cost of a policy that an insurance provider may offer

Treatment & Management

Diabetes is treated through the management of blood sugar and insulin levels. Less serious cases of type 2 diabetes can be managed through diet and exercise. For type 1 and more serious cases of type 2, condition management involves monitoring blood glucose levels and administering insulin in response. 

Before offering coverage, most insurance providers will require at least two tests to determine how well your diabetes has been managed:

  • Glucose test or sugar reading: This reveals your current blood glucose level.
  • HbA1C or A1c test: This test shows your blood glucose levels over the past two to three months by measuring the amount of glucose attached to your red blood cells.

Higher glucose levels can be an indicator of poor health and diabetes management and could result in higher insurance prices.

Does critical illness insurance cover diabetes?

No. Critical illness insurance doesn’t cover diabetes, as it’s considered a chronic condition rather than a life-threatening illness. However, complications arising from diabetes can be life-threatening and are typically covered by critical illness insurance plans. For example, diabetes-related complications like cardiovascular disease, stroke, kidney failure, limb loss, and Alzheimer’s are often covered by these policies.

If you are at risk for diabetes due to your family history, consider getting critical illness insurance to protect yourself against any potential complications. To ensure coverage of future illnesses, be sure to consult your policy and any pre-existing condition exemptions. If you are unsure, consult an advisor to understand your coverage options.

Can I get critical illness insurance if I have been diagnosed with diabetes?

Yes, you can get critical illness insurance after a diabetes diagnosis, but your options will be limited. Your diabetes will be considered a pre-existing condition that can lead to higher premiums. Potential coverage will also vary, depending on the type of diabetes you have, past complications, and how well-managed your diabetes is. If your diabetes is well managed, then the insurance company may approve you for coverage, although there will be a risk of an insurance rating i.e. a price increase. 

Alternative coverage options for individuals with diabetes

If you don’t qualify for standard critical illness insurance coverage plans, you can still qualify for non-medical critical illness insurance policies — simplified issue or guaranteed issue.

If you have a family history of diabetes, it’s better to get critical illness insurance sooner than later as a diagnosis of diabetes can severely limit your coverage options. Simplified or guaranteed coverages, while being more accommodative, may impose a pre-existing condition exclusion as well as a 2-year waiting period.

Read more about simplified issue vs guaranteed issue insurance.

To determine what kind of coverage you qualify for, be sure to chat with one of our advisors.

How do I apply for critical illness insurance with diabetes?

If you want to buy critical illness insurance with diabetes, book a free consultation with our licensed advisors, who’ll help you compare different providers, understand policy terms and exclusions, and find coverage options that match your specific needs.

Need insurance help?

Give us a call at 1-888-601-9980 or book some time with our licensed experts.

Frequently asked questions

Is diabetes part of critical illness insurance?

No, diabetes itself isn’t covered under critical illness insurance as it’s considered a pre-existing condition, which can increase your premiums or disqualify you from coverage. However, many diabetes-related complications, like heart attack, stroke, kidney failure, and blindness, are covered under critical illness insurance, though specific coverage depends on your policy and insurer.

Will my insurance go up if I have diabetes? 

Yes, if you have diabetes, you are likely to pay higher premiums due to the health risks associated with the condition. The cost increase depends on how well-managed your diabetes is. Insurance companies may offer you a rated policy (with higher than standard rates) and require additional medical underwriting, which could lead to even higher premiums or coverage exclusions.

Do I need to inform my insurance company if I have diabetes? 

Yes, you need to disclose your diabetes diagnosis while applying for critical illness insurance. Insurers typically require detailed information about your condition, including ongoing treatments, medications, and recent diagnoses, to assess your risk level. This helps them determine your eligibility, premium costs, and coverage levels. Failing to disclose this information could result in denied claims or canceled coverage in the future.

Can I get life insurance if I have diabetes?

Yes, you can get life insurance if you have diabetes, but your options may be limited. Your coverage and rates will depend on how well-managed your condition is, the type of diabetes you have, and whether you’ve experienced any complications.

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Does critical illness insurance cover cancer?

With one in two Canadians expected to be diagnosed with cancer in their lifetime, as reported by the Canadian Cancer Society, it is no surprise that critical illness insurance covers cancer.

Cancer, a disease caused by the uncontrolled growth of abnormal cells, can affect nearly any part of the body. The treatment costs for cancer can be astronomical, involving surgeries, chemotherapy, radiation, and sometimes experimental treatments.  

In such cases, critical illness insurance provides a lump-sum benefit to help you focus on recovery without the added stress of finances. In this article, we’ll discuss how cancer is covered under critical illness insurance to ensure you’re always prepared for the unexpected.

What is critical illness insurance?

Critical illness insurance is a type of policy that provides a lump-sum payout if the insured person is diagnosed with a covered critical illness. It’s designed to help people financially when faced with a serious health condition.

Commonly covered illnesses include cancer, heart attack, stroke, and organ failure. This coverage can assist in managing medical costs, living expenses, or other financial burdens during a difficult time.

Learn more about how critical illness insurance works
critical illness insurance is worth it because of the high likelyhood such illness in Canada
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How does the CLHIA define cancer?

The Canadian Life and Health Insurance Association (CLHIA) defines cancer as a disease characterized by the uncontrolled growth and spread of malignant cells in the body.

It typically includes life-threatening types of cancer that invade tissue and have the potential to spread to other parts of the body.

Does critical illness insurance cover cancer?

Yes, most critical illness insurance policies cover cancer, as it is one of the most commonly diagnosed critical illnesses in Canada. According to the Canadian Cancer Society, cancer is the leading cause of death in Canada, responsible for 30% of all deaths. 

Approximately 2 in 5 Canadians (44% of men and 43% of women) are expected to develop cancer during their lifetime. However, coverage often depends on the type and severity of the cancer.

Policies typically cover life-threatening forms of cancer, while non-invasive or early-stage cancers may be excluded or covered under specific conditions.

What cancers are covered by critical illness insurance?

Critical illness insurance in Canada typically covers a wide range of cancers, including breast, lung, colon, leukemia, and lymphoma. Life-threatening cancers that are invasive and have the potential to spread to other parts of the body are generally included. 

However, non-invasive cancers, early-stage cancers, and some types of less aggressive cancers may be excluded or covered under certain conditions. 

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What cancers are not covered by critical illness insurance?

Typically, non-invasive or early-stage cancers (such as stage 0 or carcinoma in situ) and certain types of skin cancers, like basal cell carcinoma or squamous cell carcinoma, are not covered under most critical illness insurance policies in Canada. Coverage usually focuses on life-threatening and advanced-stage cancers.

However, melanoma, which is an aggressive form of skin cancer, is typically included if it meets the policy’s severity criteria (e.g., the cancer must have invaded deeper skin layers or spread). Other types of cancer that may be covered are:

  • Blood cancers like leukemia may be covered if they reach a specific stage
  • Thyroid cancers may only qualify if they exceed a specific tumor size or require aggressive treatment

Is breast cancer covered by critical illness insurance? 

Yes, breast cancer is covered by most critical illness insurance providers in Canada as long as the policyholder meets their terms and conditions and is not diagnosed during the initial waiting period (typically 90 days). 

Some policies, like RBC’s Critical Illness Insurance Plan, also provide you the full benefit amount if you’re diagnosed at an early stage.

Are genetic tests for cancer covered under critical illness insurance policies?

No, critical illness insurance policies typically do not cover genetic tests for cancer, as they are considered preventative or diagnostic rather than treatment-related.

Policies mostly cover the treatment of diagnosed conditions, rather than the cost of tests or screenings. However, some insurers may offer additional coverage or wellness benefits that could cover the cost of certain tests. 

Can I submit a claim on a critical illness policy upon diagnosis of cancer?

Yes, you can submit a claim on a critical illness policy upon being diagnosed with cancer, but it depends on the type and severity of the diagnosis. Most policies cover life-threatening cancers as defined in the terms of the policy. 

Early-stage or non-invasive cancers may not qualify for a claim or might require additional criteria to be met. You must always consult your insurer to understand the claims process and required documentation, such as medical reports.

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Is prostate cancer covered by critical illness insurance?

Yes, prostate cancer is generally covered by critical illness insurance in Canada, provided it meets the severity and life-threatening criteria set out in the policy. 

Early-stage prostate cancer may not qualify for a claim, but if the cancer progresses to a more serious stage and meets the policy’s definition, a claim can typically be made. 

For instance, Manulife’s Lifecheque® and Sun Life’s Critical Illness plans cover Stage A (T1a or T1b) prostate cancer, provided the diagnosis is made by a specialist and confirmed through a pathological examination of the tissue.

Can I get critical illness insurance if I am in remission?

Yes, you may be able to get critical illness insurance if you are in remission, but approval will depend on several factors, including how long you’ve been cancer-free and the specific policy guidelines.

Insurers often impose waiting periods or exclusions for pre-existing conditions. However, you should remain prepared for higher premiums or limited coverage, as a history of cancer increases the perceived risk.

Can I get critical illness insurance if I have a family history of cancer?

Yes, having a family history of cancer does not automatically disqualify you from getting critical illness insurance. However, insurers may consider it during the underwriting process. 

This could lead to higher premiums or additional exclusions, depending on the policy and how closely related the family members with cancer are. It’s important to disclose your family medical history accurately to avoid issues during claims.

How to buy critical illness insurance?

There are different ways to buy critical illness insurance, depending on your requirements, such as individual, group and special purpose policies. Here are the most common options:

  • Individual policy: Can be purchased through an agent or online, and usually requires medical underwriting to determine your eligibility and premium costs
  • Group plan: Available through your employer or association you’re enrolled with. These plans are either partially or fully paid for by the entity providing them (as they’re considered the policyholders). Coverage usually ends when you leave the employer or association
  • Special purpose plan: This type of critical illness insurance covers your loan payments for a specific period, if you’re diagnosed with a critical illness. You can apply for a special purpose policy by checking a box on your loan application or submitting an insurance application after your loan’s approval

You can have multiple types of critical illness insurance simultaneously. To determine the right coverage for your needs, schedule a free consultation with our licensed advisors.

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Frequently asked questions

Is there a waiting period for cancer coverage under critical illness insurance?

Yes, most critical illness insurance policies in Canada have a waiting period before cancer coverage applies. This waiting period can range from 30 days to several months, depending on the insurer. 

The waiting period typically ensures that the cancer diagnosis occurred after the policy was active and helps prevent claims for pre-existing conditions. 

Does critical illness insurance provide a lump sum payout for all types of cancer?

Critical illness insurance usually provides a lump sum payout for a range of life-threatening cancers, but not all types of cancer are covered equally. For example, invasive cancers that meet the severity criteria of the policy are typically eligible for a lump sum payout. 

However, early-stage or non-invasive cancers, like certain forms of skin cancer or Stage 0 cancers, may not qualify. It’s essential to understand the specifics of the policy, including the types of cancer covered and any exclusions or limitations.

Can cancer survivors increase their coverage amount after a policy is in place?

In most cases, cancer survivors cannot increase their critical illness insurance coverage amount once a diagnosis has been made. This is due to the fact that insurance companies typically do not allow coverage increases for pre-existing conditions. 

If you are a cancer survivor, any changes to your policy, such as increasing coverage, may be subject to additional underwriting or exclusions. 

How does a critical illness policy differ from a terminal illness benefit?

A critical illness policy and a terminal illness benefit both provide financial support in the event of a serious illness, but they differ in coverage and purpose.

Critical illness insurance provides a lump sum payout for a range of serious illnesses, such as cancer, heart attack, or stroke, provided the condition meets the policy’s severity criteria. 

On the other hand, a terminal illness benefit is specifically for situations where the illness is expected to result in death within a defined period, usually 12 months.

Some critical illness policies may include a terminal illness benefit as part of the coverage, allowing for an early payout if the policyholder is diagnosed with a terminal condition.

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Does critical illness insurance cover stroke?

Every year over 100,000 Canadians will experience a stroke, making it the leading cause of adult disability in the country (source: the Heart and Stroke Foundation of Canada). Symptoms vary, but the short and long-term effects of a stroke can be debilitating and even life-threatening. Strokes are also the third leading cause of death in Canada.

While insurance can’t protect against the medical risk of stroke, it can provide a financial safety net should you or a loved one be diagnosed with this critical illness. Critical illness insurance can help pay for treatment, care, or general support. In Canada, strokes represent the third most common diagnosis claimed through critical illness insurance. 

Keep reading to find out more about how critical illness insurance can benefit you if you or a loved one is at risk for stroke.

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What is critical illness insurance?

Critical illness insurance provides a tax-free lump sum payment if you’re diagnosed with a life-threatening illness or experience a serious health event covered by your insurer. While available as a standalone policy, you can also add it to your life insurance plan as a rider (or an optional add-on), though its coverage may be limited.

Unlike regular health insurance that covers ongoing medical expenses, critical illness insurance offers a one-time payment that you can use however you need, whether that’s for replacing lost income, supporting your family, or paying off debts.

What is a stroke?

A stroke, or cerebrovascular accident, occurs when the brain loses blood flow due to a hemorrhage, embolism, or thrombosis. This loss of blood damages brain cells, leading to stroke symptoms. Early warning signs include numbness, confusion, severe headaches, and loss of balance, while long-term effects can include speech impairments, memory problems, and permanent loss of function.

There are three main types of stroke:

  • Ischemic strokes: The most common type of strokes, ischemic strokes are caused when a blood vessel in the brain becomes blocked by a blood clot or plaque buildup
  • Hemorrhagic stroke: Occurs when a blood vessel in the brain ruptures. This type is often linked to high blood pressure and can cause severe damage as blood pools in the brain
  • Transient ischemic attack (TIA): Often called a “mini-stroke,” a TIA occurs when blood flow to the brain is temporarily blocked. While symptoms are usually mild and short-lived, a TIA often serves as a warning sign that a more severe stroke may be imminent

Does Critical illness insurance cover stroke?

Yes! Strokes fall under covered health conditions in most critical illness insurance policies. In fact, strokes are one of the main conditions covered by both basic critical illness policies (covering 3 or 4 conditions) and enhanced critical illness insurance policies (covering 25 or 26 conditions).

Coverage conditions

Most Canadian insurers use (and adhere to) the Canadian Life and Health Insurance Association’s (CLHIA) definition of stroke when assessing claims for the condition. According to the CLHIA, a stroke is an acute cerebrovascular event caused by intracranial thrombosis, or hemorrhage, or embolism from an extracranial source, with:

  • Acute onset of new neurological symptoms, and
  • New objective neurological deficits on clinical examination,
  • Persisting for more than 30 days following the date of diagnosis. These new symptoms and deficits must be corroborated by diagnostic imaging testing. The diagnosis of stroke must be made by a specialist

Potential Exclusions

Depending on the type or severity of stroke, there may be exclusions. For example, TIAs or mini-strokes, intracerebral vascular events (strokes caused by trauma), and lacunar strokes that don’t meet the above definition may not be covered.

Read our full guide on what critical illness insurance covers in Canada

How long do I have to wait to file a claim after having a stroke?

Most critical illness insurance policies include a survival period clause. This means you must survive for at least 30 days after a stroke diagnosis before filing a claim. It is only after this period that the benefit will be paid. 

Most companies will require medical information about the diagnosis, including signs, symptoms, and related investigations, within six months of the date of diagnosis.

Can I get critical illness insurance after having a stroke?

Yes, you can buy critical illness insurance after having a stroke in Canada. You have two options:

  • Guaranteed critical illness insurance: This coverage doesn’t require a medical evaluation but includes a two-year pre-existing condition exclusion. This means if you had a stroke within two years before applying, the policy won’t pay out if another stroke occurs during the first two years of coverage. The exclusion may also apply to other critical illnesses directly related to the stroke
  • Traditional fully underwritten insurance: Depending on the severity of your stroke and how much time has passed (typically several years), you may qualify for traditional, fully underwritten insurance. Your eligibility will be assessed based on your medical history and current health status

Can I get critical illness insurance if I have a family history of stroke?

Yes, but your eligibility and premiums will be based on your current health condition and risk factors. If you have a family history of stroke, insurers will take that into account while deciding on your premiums and coverage levels.  You may receive an insurance rating, leading to higher premiums, or specific coverage exclusions.

Despite this, if you’re at high risk for stroke due to family history, you should absolutely get critical illness insurance. We recommend speaking with an insurance advisor to understand how your family history might affect your coverage options.

How can I purchase critical illness insurance?

You can buy critical illness insurance as an individual policy, get coverage through your employer, or opt for a special plan that’s linked to your mortgage:

  • Individual policy: You can purchase this directly through an insurance agent or online. These types of policies usually require medical underwriting but also give you more control over your coverage
  • Group plan: You might already have access to this through your employer or a professional association. These plans are partially or fully paid for by their providers, and their coverage usually ends when you’re no longer associated with them
  • Special-purpose plan: This type of insurance covers your loan payments for a set period if you’re diagnosed with a covered condition. You can apply for it when completing your loan application or after your loan’s approval

You can hold multiple types of critical illness insurance simultaneously for broader protection. As always, we recommend booking a free consultation with our licensed advisors for personalized guidance on your coverage needs.

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Frequently Asked Questions

Is stroke covered by critical illness insurance?

Yes, most critical illness insurance policies cover stroke as a qualifying condition, provided it meets the CLHIA’s definition of stroke (see above) and doesn’t fall under any exclusions. Many insurance companies, including Sun Life, don’t cover mini-strokes (TIAs), strokes caused by trauma, or lacunar strokes that don’t meet the CLHIA’s definition.

What are the benefits of having critical illness insurance in case of a stroke?

Critical illness insurance provides a tax-free lump-sum payment upon the diagnosis of a stroke that you can use for:

  • Medical and recovery costs: Pay for specialized treatments and rehabilitation services, or hire private healthcare support
  • Income replacement: Cover your living expenses while you’re unable to work
  • Home modifications: Adapt your living space to accommodate any physical limitations
  • Debt management: Keep up with mortgage payments and other financial obligations
  • Family support: Help your family maintain their standard of living or cover caregiving costs
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Critical illness riders vs critical illness insurance — which one should you choose?

There are multiple ways to get critical illness insurance coverage. A critical illness rider is often a less expensive option, but whether it’s better for you than a full policy depends on your health risks, financial obligations, and personal and family needs.

This article examines the key features and differences between both options to help you decide which is right for your situation.

What is a critical illness rider?

A critical illness rider is an optional add-on for your main insurance policy. In Canada, most people add it onto their life insurance as a way to get additional coverage. But you can add it to other policies too, like mortgage insurance or disability insurance.

Riders will still cover you for major illnesses, but they won’t have all the same features a full policy can give you. A rider may also not cover you for as many health issues or for as much money as a full-scale critical illness policy will.

But, it does cost less than a full, separate policy does. And it can be convenient to buy multiple coverages at the same time like this. Critical illness is one of the most common riders Canadians get for their life insurance coverage.

How does a critical illness insurance rider work? 

With a critical illness rider, if you get a serious illness that your insurance provider has agreed to cover, they will pay you out a portion of your life insurance death benefit early.

They will give this to you as a one-time, lump sum payment that’s tax-free. But only once, and only for qualifying illness — which could be as little as 3 or 4.

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There is much variation in the numbers and types of riders offered by various insurance companies. To ensure you get the right policy and type of coverage you want, we suggest enlisting the help of a licensed insurance broker.
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Jiten Puri
CEO, PolicyAdvisor.com

Does a critical illness rider cover the same things critical illness insurance does?

It depends. Most CI riders cover fewer conditions than a full-scale policy will. It depends on the company, though. Some life insurance companies have riders that cover the same number of illnesses as a regular plan. And some of those can cover as many as 26 health conditions. But that’s rare for riders.

Full list of conditions covered by critical illness insurance in Canada

What is a critical illness insurance policy?

Critical illness insurance is a form of insurance that pays you a lump sum if you are diagnosed with a serious illness. The critical illness benefit money can be used for anything you need, like covering costs for:

  • At-home or specialty medical care
  • Prescription medication
  • Other treatment costs
  • Home modifications
  • Debt
  • Lost income
  • Daily living expenses
  • Other financial obligations

Most standalone CI policies will cover at least the major health conditions that are most common in Canada, like cancer, heart disease, multiple sclerosis, and more.

If you get a critical illness diagnosis and you have a standalone policy, you get a full lump-sum payment to use however you need to.

What is the difference between critical illness riders vs critical illness insurance?

A critical illness rider is like a smaller version of a critical illness insurance policy. They’ll both give you a payout if you’re diagnosed with a serious, life-altering illness. But a full policy will normally give you better coverage. An optional rider will be cheaper, but will have more coverage limits.

Think of it like a donut vs a mini donut. They’re both the same thing in a way, but on different scales. Let’s look at the different features of each below.

critical illness riders vs policies
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Critical illness riders vs critical illness insurance: pros and cons

Let’s look at the pros and cons of both critical illness insurance and critical illness riders to determine which offers more benefits and flexibility.

Pros and cons of critical illness riders 

Critical illness riders offer several benefits, including no medical underwriting and lower costs compared to full policies. However, they also have some limitations:

Critical Illness Insurance Rider: Pros and Cons

Pros Cons
Lower cost Limited flexibility — you can’t customize it as much as a full policy
No underwriting — it comes with an insurance policy so underwriting has already been done Attached to another policy — if you lose that coverage, you also lose this rider
You can cancel it without losing the insurance policy it’s attached to You can only get it when you buy a new insurance policy — it can’t be added to an existing policy
Can be convenient to get multiples types of insurance coverage at the same time  No options to get your money back if you don’t submit a claim (return of premium)
Limited coverage amount
May not cover you for as many medical conditions as a full policy would
May not give partial payments for some conditions — check with your advisor
Can decrease your payout for other insurance — if you have to make a claim, the money will be taken from the payout of the insurance policy it’s attached to

Pros and cons of critical illness insurance

Critical illness insurance offers coverage for 26+ serious health conditions. However, it requires thorough medical underwriting and can be expensive for people with pre-existing conditions like diabetes and arthritis. Here are the key benefits and limitations of critical illness insurance:

Critical Illness Insurance Policy: Pros and Cons

Pros Cons
Full coverage — can cover up to 26 major illnesses Premium rates can be more expensive than riders and other types of insurance policies
Higher amount of coverage — up to $2.5 million Thorough underwriting process
More customization options and flexibility
Return of premium options — get your money back if you don’t end up having to make a claim
Many plans pay out for partial conditions — such as early-stage cancers
Some plans can give more than one lump sum payout if you get the same illness more than once

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Is it better to get a critical illness insurance rider or a full policy?

Whether you should get a rider or a stand-alone policy will depend on you and your family’s needs. Both have their pros and cons. It could come down to whether it’s most important that you have a lot of coverage, that you save as much as possible, that you have more flexible options, or more.

You should get a critical illness rider if:

  • You are about to buy life insurance and you want to get critical illness coverage at the same time
  • You want the lowest cost for coverage possible
  • You want to be approved very quickly
  • Optional features and high coverage amounts aren’t as important to you
  • You just want basic coverage

You should get a standalone critical illness insurance if:

  • You need to have a lot of coverage — such as if you’re a high-income earner or if you have a lot of debt
  • It’s important to you to have flexibility to change or customize your policy to fit your exact needs
  • You want critical illness coverage but you already have an existing life/mortgage/disability insurance policy
  • You don’t want to diminish your life insurance payout if you happen to become ill with a life-threatening illness in the future
  • You’re not on an extremely tight budget

How to buy critical illness insurance: rider vs full policy

You can only buy a critical illness insurance rider when you’re buying a new policy At PolicyAdvisor, we have a range of insurance products with the option to add this type of insurance as a rider.

If, however, you want to buy a standalone critical illness insurance policy, you can get the lowest rates from Canada’s top insurers using our online tool or schedule a free consultation with our licensed advisors, who can help you choose a plan more suitable for your requirements.

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Frequently asked questions

Is a critical illness insurance rider worth it?

It depends on you and your needs. A critical illness rider may be worth it if you just want something basic and are willing to sacrifice flexibility for a low cost.

In our opinion, though, most people are better off getting more comprehensive protection if it can fit in their budget.

Does a regular critical illness plan have the same survival period as a rider?

Yes, critical illness insurance coverage usually has the same survival period whether you buy it as its own policy or as an optional life insurance rider.

The survival period is the amount of time after a diagnosis that you have to live before the insurance provider will give you a claim payout. Most insurance companies have a 30-day survival period.

Does a critical illness (CI) rider have exclusions a stand-alone policy does not?

Yes, critical illness riders often have exclusions that a standalone policy does not. Here are some differences between the two in terms of exclusions:

  • Coverage amount: Most CI riders will only cover up to $25,000 for a critical illness. Full coverage could get you up to $2.5 million.
  • Covered conditions: Many riders won’t cover more than a handful of major illnesses. In our experience, most will cover just the basic 3 — life-threatening cancerheart attack, and stroke. Some may cover up to 26 like a full policy does, but these are pretty rare.
  • Can’t be retained upon cancellation of main policy: You can cancel a rider and keep the policy it’s attached to, but not the other way around. If your main policy is canceled, you also lose your rider. Or, if your base policy is only for a 10-year term, your critical illness cover will also only last for those 10 years.
  • Limited conversion options: With term insurance plans, some companies let you convert to permanent life insurance down the line — or to a different type of policy. But, if you had a critical illness insurance rider attached to that term life insurance, you may not have the same options to bring it over to your permanent plan.

What’s the difference between a critical illness rider and a terminal illness rider?

A critical illness rider is an optional add-on, which can be added to a life insurance policy for a small extra cost. It pays a one-time lump-sum amount iff you’re diagnosed with a covered illness.

A terminal illness rider is also an optional benefit that is usually included for free in life insurance plans. It pays a one-time lump-sum benefit (typically 50%-75% of the insured amount) if you’re diagnosed with a terminal illness and have two years or less to live.

What does life insurance with critical illness cover?

Life insurance with a critical illness rider in Canada combines death benefits and living benefits. If you are diagnosed with a covered critical illness, you receive a tax-free lump-sum payout. This money can help cover medical expenses, lost income, or other costs associated with recovery, ensuring financial support during a challenging time.

If no claim is made during the term of the policy and you pass away, your beneficiaries will receive the death benefit, which helps cover funeral costs, and outstanding debts, and provides financial support for your family after your passing.

What is the difference between critical illness insurance and life insurance?

Critical illness insurance offers a living benefit designed to support you while you’re alive. Life insurance offers a death benefit to your beneficiaries in the event of your demise. 

Critical illness insurance offers a lump-sum payout if you’re diagnosed with a life-threatening illness like cancer, heart attack, or stroke. On the other hand, life insurance is meant to protect your loved ones after your passing. If you die, life insurance pays out a death benefit to your beneficiaries, helping them cover funeral expenses and debts, and maintain their lifestyle without the burden of financial uncertainty.

Does life insurance cover critical illness?

No, life insurance and critical illness insurance are separate products that serve different purposes. Life insurance covers you for a set period (or in the case of permanent life insurance, your entire lifetime) and only pays a benefit upon your passing. It does not cover conditions like heart attack, cancer, and stroke, nor does it provide benefits upon diagnosis.

Critical illness insurance, on the other hand, is a living benefit policy that covers these conditions and pays a lump-sum benefit upon their diagnosis. 

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When should I buy critical illness insurance?

You should buy critical illness insurance in Canada as early as possible, ideally in your 20s or 30s, when premiums are lower, and you’re more likely to qualify for coverage without health complications.

Purchasing coverage early ensures financial protection if you’re diagnosed with a severe illness later in life, offering a lump-sum payout to cover medical costs, lost income, or other expenses. 

In this article, we’ll explore the best time to buy critical illness insurance in Canada and why acting early can greatly benefit you.

What is critical illness insurance?

Critical illness insurance is a type of policy that provides a lump-sum payout if the insured person is diagnosed with a covered critical illness. It helps people financially when facing serious health conditions.

Commonly covered illnesses include cancer, heart attack, stroke, and organ failure. This coverage can assist in managing medical costs, living expenses, or other financial burdens during a difficult time.

Read more about how critical illness insurance works.
Critical illness statistics
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Is critical illness insurance worth it in Canada?

Yes, critical illness insurance is worth it in Canada because provincial healthcare only covers basic medical needs, such as hospital stays and essential treatments.

It doesn’t cover lost income, specialized treatments, or private care, leaving gaps that can cause financial strain during a serious illness. 

Critical illness insurance helps fill these gaps through a lump-sum payout. Given the high prevalence of serious illnesses like cancer, heart attacks, and strokes, critical illness insurance ensures that if you’re diagnosed with a life-threatening illness, you won’t have to bear the financial burden alone.

Here are a few situations where critical illness insurance can play a crucial role in saving your financial life:

  • Your spouse needs to take time off work and does not have allowances for paid extended leaves of absence; the critical illness insurance can be used to replace all or part of their income (depending on how much coverage you purchase)
  • You are self-employed and do not qualify for disability insurance, critical illness insurance can be used to replace your income
  • Your medical expenses are not covered by your extended medical or universal health care. This might include adapting your home for any new physical disability you may have or physio appointments
common critical illnesses in Canada

When is the best time to buy critical illness insurance?

The best time to buy critical illness insurance is when you’re young and healthy. Early purchase ensures lower premiums, broader coverage, and fewer restrictions based on pre-existing conditions.

Life milestones, health changes, or shifts in financial responsibilities are also key moments to consider buying a policy.

Buying critical illness insurance in your 20s or early 30s has distinct advantages like lower premiums, easier chances of approval, and a solid financial foundation for your future.

Additionally, major life events like marriage, starting a family, or purchasing a home are ideal times to assess your insurance needs. 

Lastly, and importantly, if you’ve experienced a recent health diagnosis or learned of medical conditions in your family history, it’s crucial to get critical illness insurance sooner. 

What age should you get critical illness coverage?

The younger you are when you get critical illness insurance, the better it is. Younger people are generally healthier, which means your premiums will be lower. Insurance companies base premiums on factors like age, health, and lifestyle, so securing coverage while you’re younger helps lock in more affordable rates. 

By purchasing critical illness insurance early, you also ensure that you’re covered before any pre-existing conditions develop.

Pre-existing conditions such as high blood pressure, diabetes, or heart problems can make it harder to qualify for coverage or result in exclusions from your policy.  

Parents can also buy critical illness insurance for their children right after birth up to the age of 25. The premium costs for children’s critical illness insurance are substantially lower and the coverage is guaranteed. 

Act early to protect your health!

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What is the age limit for critical illness insurance?

The age limit for critical illness insurance typically varies by insurer and policy, but most Canadian insurers offer coverage up to the age of 65. Once you reach this age, some policies may offer renewal options but may not allow new applications. 

However, there are exceptions where certain policies may provide coverage beyond age 65. These extended policies may come with adjusted terms or premium rates. For example, Manulife’s Lifecheque® Basic critical illness insurance plan covers individuals till the age of 75.

As you age, you may face higher premiums or limitations on the types of illnesses covered. In some cases, insurers might impose restrictions or exclusions for certain pre-existing conditions or health risks that become more common as you get older.  

When can you buy critical illness insurance for your child?

You can purchase critical illness insurance for your child from birth until they turn 25, depending on the provider. Some companies even offer extended coverage for additional conditions if the child is under 17 years of age.

While you can apply for coverage as early as one day after your child is born, most insurers require the policy to be issued when the child is at least one month old. 

critical illness riders

What factors should you consider before purchasing critical illness insurance?

Before purchasing critical illness insurance, it’s important to assess factors such as the affordability of premiums within your budget, and whether existing coverage like life or disability insurance meets your needs. 

Consider your age, health, and financial responsibilities, as these affect premiums and coverage options. Additionally, reviewing policy details, including exclusions, is crucial. Here’s what you must bear in mind:

Budgeting for premiums: Ensure premiums align with your financial plan and are affordable long-term

Evaluating existing coverage: Review current insurance policies, such as life or disability insurance and Identify gaps that critical illness insurance can fill, such as covering medical costs or lost income

Health status: Purchase while you’re in good health to secure lower premiums and broader coverage

Age and eligibility: Younger applicants often benefit from lower premiums and better terms

Coverage needs: Consider the conditions covered and whether they align with your family’s medical history, and check for add-ons or riders, like return-of-premium or child coverage, to enhance protection

Policy terms and exclusions: Ensure you check waiting periods, claim limits, and exclusions specific to the policy 

Financial responsibilities: Assess current and future financial obligations, such as loans, mortgages, or dependents

Learn more about the best critical illness insurance companies in Canada

How to buy critical illness insurance?

You can purchase critical illness insurance through individual policies, group plans, or special-purpose plans, depending on your needs.

  • Individual policy: Can be purchased through an agent or online, and usually requires medical underwriting to determine your eligibility and premium costs
  • Group plan: Available through your employer or association you’re enrolled with. These plans are either partially or fully paid for by the entity providing them (as they’re considered the policyholders). Coverage usually ends when you leave the employer or association
  • Special purpose plan: This type of critical illness insurance covers your loan payments for a specific period, if you’re diagnosed with a critical illness. You can apply for a special purpose policy by checking a box on your loan application or submitting an insurance application after your loan’s approval

Note that you can have multiple types of critical illness insurance simultaneously. To determine the right coverage for your needs, schedule a free consultation with our licensed advisors.

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Frequently asked questions

Are the benefits from critical illness insurance taxable?

No, critical illness insurance payouts in Canada are entirely tax-free. This means the lump sum you receive can be used for any purpose—medical bills, living expenses, or even recovery-related travel without any tax deductions or implications.

What happens if I recover quickly from a critical illness?

Yes, you will still receive the benefits as long as you meet the policy criteria. Critical illness insurance is designed to provide a payout based on the diagnosis of a covered condition, not your recovery status.

Once you are diagnosed with a listed illness and survive the waiting period (typically 30 days), the payout is issued, even if you make a full recovery soon after. This flexibility ensures financial support regardless of your recovery timeline.

What is the rule of thumb for critical illness coverage?

The general rule of thumb is to aim for coverage that lasts at least five years. This timeframe accounts for the average recovery period from a critical illness, allowing time to recuperate, return to work, and adapt to any lifestyle changes. Additionally, consider the types of illnesses and treatments you may need, as these factors will influence the amount of coverage required.

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