Critical Illness insurance is there to respond when you suffer an illness or injury that results in a serious incapacity. This type of insurance can pay out to help individuals deal with loss of wages, costs of treatments and medication and other losses that come with serious illness or injury. This type of insurance is there to allow you to concentrate on your recovery instead of stressing about financial obligations at a time when you need to be focusing on your health.
Critical illness denials occur when insurance companies refuse coverage for insureds who have been diagnosed with a critical illness. While insurance policies vary, the most common critical illnesses covered include cancer, heart attacks, brain injury, strokes, organ transplants, and major surgeries.
If your critical illness insurance claim is denied, your family’s financial security becomes a distraction when you should be focusing on your health. Speaking with a lawyer can give you peace of mind and insight into your options.
Reasons for Critical Illness Denials
Unlike other types of insurance that respond to illness or injury, critical illness coverage relates to a very specific set of injuries or illnesses which are laid out in the policy of insurance. If an injury or illness is not listed in your policy for critical illness, then it will not trigger insurance coverage. Most people are not aware of how narrow the coverage of critical illness insurance can be. These are called policy exclusions and are one of the most common reasons critical illness insurance is denied.
Another type of policy exclusion is pre-existing illnesses. These are often not covered under a policy of insurance. When applying for critical illness insurance it is extremely important to ensure that you and your treating doctor are aware of the specific terms of your insurance policy and carefully choose the wording you use when making an application to avoid a denial of your claim.
In some cases, critical illness denials may be the result of administrative errors or technicalities. Missing deadlines, incomplete forms, or failure to provide requested documentation can lead to your claim being denied. It is crucial for you to carefully review the requirements of your insurance policy and the instructions provided by the insurance company to ensure that your application for insurance coverage is as complete and accurate as it can be and that you adhere to the timelines laid out in the policy language.
Strict Timelines Apply
Along with timelines for applying for critical insurance coverage, there are also strict timelines that need to be adhered to if you want to challenge a denial of your critical illness insurance coverage. Insurance companies will have internal appeals processes you can go through to try to convince them to change their minds after they have denied your critical illness claim, however often these are a waste of time as you’re appealing to the same insurance company that has already decided to deny your claim. There are strict timelines in which you have to start a lawsuit if you want to enforce your entitlement to critical illness benefits under your insurance policy and if you miss those deadlines you will be unable to sue.
Yukon Critical Illness Claim Lawyers
If your legitimate critical illness claim has been denied, contact our experienced insurance denial lawyers today for a free consultation.