Critical Illness Insurance | Sun Life

Critical Illness Insurance | Sun Life

Critical Illness Insurance

Helps you alleviate the expenses that comes with a covered critical illness.

Here's what you need to know

Critical Illness Insurance helps provide financial support if diagnosed with a covered critical illness.

 

If you’re diagnosed with a critical illness like a heart attack or stroke, your life can change quickly. In addition to the emotional and physical toll, there may be strain on your personal finances. That’s because while a major medical plan may pay for some of the costs associated with treatment, out-of-pocket expenses like co-pays and deductibles can still put a strain on your savings.

 

  • HELPS PROTECT YOUR FINANCES FROM AN ILLNESS. When you, your spouse or child is diagnosed with a covered condition, you can receive a cash benefit to help pay unexpected costs not covered by your health plan.
  • HELPS COVER RELATED EXPENSES. While health plans may cover direct costs associated with a critical illness, you can use your benefit to help with related expenses like lost income, childcare, travel to and from treatment, deductibles and co-pays.
  • PAYS CASH BENEFITS DIRECTLY TO YOU. Critical Illness insurance can be used however you want, and it pays in addition to any other coverage you may already have.

 

What’s more, all family members on your plan are eligible for a wellness-screening benefit, also paid directly to you once each year per covered person.

Dealing with a critical illness can be costly to you in 2 ways:

 

  • Medical bills. It’s not unusual for a critical illness to result in out-of-pocket expenses. It starts with the usual, deductibles and copays, but it doesn’t end there. You might decide to go to a doctor or facility that’s “out of network.” You might decide to get a second opinion or type of treatment that isn’t covered at all. When your health is at stake, it's important to feel like you have control and choices.  
  • Lost income. Treatment and focus on recovery may require extra time away from work. That can impact the paycheck your family may rely on to keep everything on track. Or you might discover you have added expenses because you need more help around the house, extra childcare, or additional lodging near treatment. These costs can subtract from your wages or savings. 

 

The advantage of this coverage is simple: you can use your critical illness benefit any way you choose. You can use it to help pay for medical expenses like deductibles and copays, as well as any non-medical expenses. You can also use this money to help pay daily living expenses such as grocery bills, mortgage payments, childcare, and transportation – all of which can be an added worry if you lose income while you’re out of work.

 

Access to this benefit helps you have more control over your finances and ultimately your health care options, too. Less stress about money and added peace of mind are both great ways to support your recovery.

These are the periods when you are eligible to enroll for Critical Illness Insurance:

 

  1. Within your new hire enrollment period
  2. If you have a qualifying life event (you get married, have a baby, etc.)
  3. During your employer’s annual enrollment

 

Check with your employer’s human resources/benefits team for specifics about these timeframes.

 

Keep in mind: If you enroll during these timeframes, you have what is called "guaranteed issue," which means you may qualify for coverage without answering health questions. You must have coverage in place before a covered critical illness occurs in order to be eligible to collect the benefit when you need it. 

These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.

 

Critical Illness Insurance Brochure

 

How to file a Critical Illness claim

 

Preventive Screening Benefit

How It Works

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Enroll for coverage

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After coverage is in effect, you receive a diagnosis of a covered critical illness

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Receive a lump-sum payment

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Use your money however you want

Doctor's test results indicate a heart attack diagnosis.

That’s when Critical Illness Insurance comes in.

Because you have critical illness coverage, your diagnosis means you’re eligible to receive a payment you can use any way you choose.

Frequently Asked Questions

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  • Who is the provider?

    Sun Life is a leading financial services company that helps clients achieve lifetime financial security and live healthier lives.
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  • Who in my family is eligible for this program?

    Members of your family who are considered eligible to enroll for coverage include:

    • You – if you are an active employee working 16+ hours per week
    • Your spouse – age 18 and older
    • Your child(ren) – under age 26

     

    You must be enrolled in coverage for members of your family to also enroll. 

  • How much does coverage cost?

    This is group insurance offered at group rates. Refer to the plan documents for complete details. 
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  • What if my employment status changes?

    Good news! If you leave or retire from your current employer, you can continue your coverage without interruption (subject to applicable law and the plan’s terms and conditions). Although payroll deduction will no longer be available, you can opt for other payment methods such as direct bank account deduction or home billing. Higher rates may apply. 
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  • When would my coverage start?

    For annual enrollment, coverage is effective on the date shown on the Certificate after the application is received and approved. The employee must be actively at work on the coverage effective date. 

     

    For new hires and qualifying life events, check with your employer’s human resources/benefits team for coverage effective date.

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  • Do I have to answer health questions or take a medical exam?

    No, you don’t. If you enroll during your eligible enrollment periods, you have "guaranteed issue," which means you may qualify for coverage without answering health questions.
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  • Am I really free to use the payment any way I choose?

    Yes, you are! There are no restrictions or requirements about how you can use your critical illness cash benefit. When you’re facing a critical illness, you want to be able to focus your time and energy on treatment and recovery. This plan can help you do just that. You’re free to use your benefit on medical expenses and/or non-medical expenses. Having that kind of flexibility can help you feel more in control over your care and your finances at a very stressful time.

Take A Closer Look

Learn more about this benefit offering and find out if you are eligible.

Do You Need Help?

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Phone Number: 1-844-732-1865