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Critical illness insurance vs disability insurance — what’s the difference?

SUMMARY

People can confuse critical illness insurance with disability insurance. But they’re different products that do different things. Critical illness insurance gives you a one-time sum of money if you’re diagnosed with a severe illness. On the other hand, disability insurance gives you regular payments to replace a part of your income if you become injured or ill to the point where you can’t work.

IN THIS ARTICLE

Critical illnesses insurance vs disability insurance can be easy to mix up. They have a lot in common, and can both deal with your ability to earn a paycheque.

Sometimes, people who have insurance believe that because they have one type of policy, they’re covered for everything. But that’s not the case. In this article, we look at the difference between critical illness insurance and disability insurance.

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What’s the difference between critical illness vs disability insurance?

Disability insurance (DI) and critical illness insurance (CI) cover different things and give payouts in different ways. They both give you money if something happens to impact your health, and you are no longer able to work.

The primary difference is that critical illness insurance only pays out one time. Disability insurance gives you monthly payments until you get better and can return to work.

The chart below shows some of the main differences and similarities between DI and CI.

Key differences: critical illness insurance vs disability insurance

Disability Insurance Critical Illness Insurance
Claim event(s) Any illness or injury that leads to a loss of income Diagnosis of a covered life-threatening illness or condition (severe disability may be included)
Covered conditions Any medical condition that would prevent you from working, including:

  • Mental health struggles
  • Broken bones
  • Back injuries
  • Carpal tunnel
  • Seizures
  • Hearing or vision loss
26+ common conditions, including:

Benefit amount (how much your payout would be) Replaces a part of your monthly income $25K – $2.5M+ depending on your policy
Payment frequency Monthly payments One or more lump-sum payment(s)
Benefit duration Until you recover or your policy lapses (can last until you reach 65 or older) One time only
Coverage term Most policies end when you turn 65 You can get coverage up to age 100
Return to work Monthly payments stop once you return to work (although partial payments may be available) Payout is not tied to work — you are paid out whether you are working or not
Period before benefits begin Waiting period (or elimination period) of 30 days to 1 year Survival period of 30 days
Income replacement Meant for ongoing income replacement Not meant as income replacement, but can help

What is a critical illness insurance policy?

Critical illness insurance is a type of insurance that gives you a tax-free, lump sum of money if you become sick with a certain illness or need serious medical treatment.

It gives you the peace of mind to focus on recovering without worrying about how you’re going to afford the things you need.

You can use a critical illness insurance payment for anything you need. But most people use it to pay for costs while they recover. That can include out-of-pocket medical treatment, house cleaning, or even a gift basket for your neighbours if they watered the plants while you were in the hospital – the choice is yours.

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Key features: Critical Illness Insurance

Benefit amount: $25,000 to $2.5 million or more — decided by you and your insurance provider when you buy the policy

Payment: One-time tax-free lump sum (some companies will pay out on more than one occasion, ex. if you get the same serious illness twice after a period of time)

Beneficiary: The insured person (you)

Requirements: 30-day survival period — you must survive for at least 30 days after diagnosis for the insurance company to pay you.

What can CI cover?

A critical illness plan will cover 26 or more of the most common types of diseases in Canada, like cancer, heart attack, kidney failure, and more.

Sometimes, a disability may count as a critical illness. For example, blindness and paralysis are disabilities that are also critical illnesses.

critical illness insurance covers
Full Guide to Critical Illness Insurance in Canada

What is a disability insurance policy?

Disability insurance is a type of insurance that gives you monthly payments if an injury or illness affects your ability to work. It’s meant to replace the income you lose while you’re recovering. You may also see it called disability income insurance.

There are two different types of disability insurance coverage: short-term or long-term. Long-term disability usually kicks in if your disability lasts longer than the short-term disability insurance period.

The amount of money you get from disability payments depends on how much your regular income is. It’s also a regular, ongoing payment, unlike CI insurance that gives you the payout all at once.

DI payments are meant to be used to cover your mortgage payments or rent and pay for your normal daily expenses while you’re not working and recovering. But you can use it any way you like. Payments continue until you get better enough to go back to work, or until your coverage ends.

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Key features: Disability Insurance

Benefit amount: Depends on your monthly income (avg. $2,000+)

Payment: Monthly until you recover and return to work, or until your coverage period ends — whichever comes first

Beneficiary: The insured person (you)

Requirements: elimination period of waiting period of 30 days to 1 year or more — your disability must last longer than this period before your insurance payments can begin

Types: short-term disability for injuries lasting 6-26 weeks or more; long-term disability for injuries lasting longer than the short-term disability period

What can DI cover?

A disability policy will cover any injury or illness that prevents you from working. This includes mental health concerns.

Most people only think of physical, visual injuries as disabilities — like if you fall at work and break a bone or if you suffer a severe burn. Those count as covered conditions for sure. But the 3 most common disability insurance claims in Canada are for:

  1. Mental illness
  2. Musculoskeletal issues
  3. Injury or poisoning
disability insurance Canada
Full Guide to Disability Insurance in Canada
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Do I need disability insurance if I have critical illness insurance?

It depends. Both policies can help protect your income and savings if something serious happens to health and stops you from working. But they work best in different situations.

Whether you need just one or the other, or both, depends on your needs, age, and other factors. The policies do complement each other very nicely and give you a well-rounded way to protect your income.

The best way to figure out which one you need is to speak with our licensed insurance agents. We’re friendly and experienced, so we are happy to help you assess your needs.

Tip

Insurance Tip: Check your work coverage

In Canada, some businesses can give their employers disability or critical illness insurance as part of a group package for employees. Before deciding to buy a new policy, check your work benefits. You may already have coverage that you didn’t know about. So, you may not even need to buy a separate policy.

Where can I compare critical illness versus disability insurance quotes in Canada?

You can shop and compare instant quotes from leading insurance companies on PolicyAdvisor.com. Get personalized quotes for critical illness or disability insurance in minutes on our website. Just click the button below to get started.

As Canada’s best insurance broker, we’re also happy to do the legwork for you if you want! Click here to book a free consultation call with our licensed advisors and let them weigh the pros and cons for you personally.

Frequently asked questions

Is it better to get disability or critical illness insurance?

It really depends on your needs. Both types of insurance policy serve different needs in different ways, so there is no answer as to which one is “better” to get.

➡️ People working high-risk jobs may find it more useful to get disability coverage. Or, if they find they have a good disability plan through their work or union benefits, they may find it better to buy their own critical illness plan to cover them.

➡️ Meanwhile, self-employed people may choose to get both. They may not have the benefit of a group plan through their work, so may want to get both for maximum coverage.

critical illness insurance vs disability insurance

Does a critical illness policy cover disability and vice versa?

Sometimes there can be overlap between critical illness coverage and disability insurance. Some critical illnesses are disabilities (such as blindness and paralysis). What counts as a disability for insurance purposes can vary a lot, so it’s more difficult to say.

In our experience, there can be overlap between the two. But it’s very case-by-case and depends a lot on the individual diagnosis.

SEE THE FULL LIST OF 26+ COVERED ILLNESS

Can I claim for both critical illness insurance and disability insurance in Canada?

Yes. If you have both types of coverage and something serious happens to your health to stop you from working, you can submit a claim for both policies.

Your CI provider will give you a one-time lump sum payment. And your disability coverage will start giving you monthly payments until you recover. You will get both payments.

WHAT IS
A LIVING BENEFIT?
A living benefit refers to an insurance policy that pays out money during your lifetime. Compare this to life insurance, where the death benefit is not paid out until the policyholder dies.

Living benefits are usually paid out to you, and not to your family like with life insurance.

Both critical illness insurance and disability insurance are types of living benefits in Canada. If you become seriously ill or disabled, these policies will give you a payout to help you pay for expenses as you recover.

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Which is cheaper — disability coverage or critical illness coverage?

It depends. How much your premiums will cost for either types of these insurance policies depends on things like:

  • Age
  • Health
  • Occupation
  • Policy details
  • Coverage extent
  • Add-on riders
  • And more

Remember — these policies serve different needs. Yes, they work together very well to help protect your wallet if something unexpected happens. But they can be like comparing apples and oranges.

If you’re on a tight budget and worried about whether you can afford both, give us a call at 1-888-601-9980. Everyone’s situation is different, so our agents can help you figure out your best move. It’s no obligation, so there’s no pressure!

Do Canadians ever need both CI and DI insurance?

Yes. Many Canadians can benefit from having both critical illness and disability insurance coverage.

Critical illnesses in particular are very common in Canada. Disability insurance is also more common than most people realize.

Having insurance gives you peace of mind, especially if your family relies on the money you earn. If something unexpected happens and you can’t work, insurance lets you still be able to pay bills and keep up with your everyday expenses.

A lot of Canadians expect to rely on the government to take care of their expenses if they become seriously ill. But we do not recommend this because the amount you receive is often not enough to cover your normal day-to-day needs.

Author Photo
The criteria for offering coverage or disbursing government benefits are very stringent, and payout through these programs may be much lower than your current monthly wages
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Jiten Puri
CEO, PolicyAdvisor.com

Where does life insurance fit into this?

Life insurance is something completely different from critical illness versus disability insurance plans. It pays out a death benefit, meaning the insured person has to die before anything is paid out.

There can be some exceptions. For instance, some companies may pay out a part of your death benefit during your lifetime if you are diagnosed with a terminal illness where a doctor says you only have a certain amount of time left to live.

Or, for whole life insurance policies, you can get living benefits through something called cash value. The insurance company invests part of your premium and gives the profit back to you to use in multiple ways.

But, in general, life insurance is meant to benefit your surviving loved ones. Critical illness and disability insurance are meant to benefit you.

Get professional advice

If you want to speak with an insurance professional before making a decision, you don’t have to go far. Our licensed advisors are happy to answer all your questions on the details of critical illness vs. disability insurance. They can give you advice tailor-made for your circumstances, so you can make the best decision.

Need help?
Call us at 1-888-601-9980 or book time with our licensed experts.
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KEY TAKEAWAYS

  • Critical illness insurance and disability insurance are two different products that work differently, but complement each other well
  • Where you need one over the other or both is determined by the policyholders specific needs
  • CI pays a lump sum of money that you can use to pay for medical expenses, home modifications, or anything else as you recover
  • DI pays regular monthly payments meant to pay for costs like your mortgage/rent and daily living expenses until you recover

By Carly Griffin
Senior Insurance Advisor, LLQP
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